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A�PLICATIt� FOR CONSI�RUC7'�N PERMIT���� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 320�CEDAR STREET•EVERE?T,WA o8201 •257-8810 <br /> �:i DEMOLITION i-.��, COMBINATION i; BUILDING ; IdECHANICAL ❑ PLUMBING �-: SIGM <br /> �PROJFCT ADDIIF.SS �, / n <br /> /��O/(P �7A.f�L�j �.�� <br /> o.� i� u4iuoon�s.. a�r f�•• 1¢,o v���e <br /> l'lHl,(U t�ll.F �i�13/(�1./rlFt'DEHk ri,+fRF.Y/ 7�St'��j //r� - 9�S9�O <br /> rn�.ur ue�iencacss � urr u• >r�omc <br /> n6�p¢ronDESGUCn ueR�ppqEss C.iiv jip p�pryE <br /> �F:/!�//J�f� <br /> Gf[�N,E-R���L�CONiRACiOP Y�iI�DpRE55 q1V IiP %pNE SiRCIICENSE• <br /> rirr+i�✓�"�J��h�� �J1�A1{ /aS CyL✓�/E,� <br /> I.I�CII�IIICAlC0110.�t11 pl A Y�IIA�fiE55 �IfYp � ]�.p p1�GNE Sl11El1LEN5E• <br /> ,' J/�'l'1/� N/N 1"3..' RIJNIa>O,✓ <br /> viuVl!nqLON1BRpOP/ MNL�pp11EY' GiY Iia i�a:vE SiqCLICENSE� <br /> 1:-�^l.l-� 1�hUt�l�'�� Jr'�[��(�fil �-� <br /> CG'�1[�aCl R;EO VIOPN � <br /> 11pJr I�r'O.P.z�'� /79 ��� _ HEATING SYSTEM: GAS G ELECTRIC ❑ <br /> us,r:m onKu�omv�eeroouc�mva�ro canurn:u.s��i.�:�����anr:o <br /> ������ .r�e .c., / o.�/�ttEni Has- 5o8-43�10 <br /> e <br /> _`�_:����rJ Er1,1N uNi7 ?'�t1� �� � . .c17;� <br /> � � �� D I MERE�V GERTIPY TMAT 1 HAVE READ AND E%AIdINED THIS <br /> �� I Y.[� ��> <br /> r,;o�.osi'uscor ommnic� APPLICATIO'J ANG KNOW THE SAIdF TO pE TRUE AND COFFECT ALL <br /> �i���I'�i �/f I• PROVIUIOI+S Of LAWS AN�OH�R(ANCES GOVERNING THIS TVPE OF <br /> � ' WOHN VlILL Bc' C01dPLIED P/ITN WHETHER SPECIFIEO MEREIN OR <br /> ucuccscmanamrvnoP[anlsMowHo[�owyon�enecnrwocovrt,i • NOT. THE GRANTING Of A PERtd1T COES NOT PRESUTAE TO GIV[ <br /> io*�_o�.ocK orJYI�L��(1 /lllEo0i7� AUTHORITY TO VIOLATE OR CANCCI THE PROVISIDN OF ANY <br /> OTHER STFTE OR LOGAL LAY�REGULFTING CONSTRUCTION OR TM[ <br /> PERFORldPtlC[OF CONSTRUCTION.TMAT 1 AM AUTHJRIZED�Y TMC <br /> OYMER OP lln:, PIICPE TY TO PERFORhI TNE V"/ORK FOF '.d��,CH <br /> APP Ia i . E At:D I COM1IPLY YJITH TM'_ 2i;dE <br /> r»riva�iouuuo[a — � RAGTOR. t�'t]�.,WAND 96200YJAC. <br /> �Y ! 7 7 <br /> r�irsu,umior���u+iEiioca.aooaEs�,rEiEPHONE H�MOEn <br /> � 1'.GY / 17 i /. �,ii.uni ouc " <br /> ��r.o��.,�,Es�� �,,�„o <br /> � '/3-n / <br /> PLIIMBING MECMANICAL � <br /> N0. TYPE OF FIXTURE Oq ITEM FEE N0. TYPE Of EOUIPMFNT fEE <br /> WATER CLOSET(TOILET� A�C-A'YNDLG UNITS <br /> � DATHTUD FORGE�AIRSYSTEfdS <br /> (-• LAVATORY�WASHBASINj HEATPUI.IP <br /> SNOWER UNRHEATEFS <br /> NITCHEN SINR 8 DISP CLOTHES�RVEiiS <br /> �ISHWASNER RFNGE HppD � <br /> LAUNDRYTRAY IYATER HEFTEH <br /> CLOTNES WASNER tY00�STOVE <br /> URINAL NETAL FlPEPLACE pY000 BUHNING� <br /> _ �PINKING FOUNTAM FIf1EPLACE INSERT pVOOD PURNING) <br /> FLOOR ORAIN GAS iIREpLACE <br /> DACKFLOW PREVENTEFS GAS RANGE <br /> SINK(SERVICE-GAR.ETC.1 GAS PIPINC <br /> _ E%NAUSTFAN <br /> T - <br /> SUBTOTAL 5 SU�TOTAL 5 �' <br /> PERMIT S PERfdIT 5 '' <br /> TOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLY: (�) /OU" O� S,J✓f.� �.L!�.�u'e �_ � <br /> rrovrseroacn nc.nsne+c. smc;c�o.cK rur�cncceHuue[n r¢ t�c�rnq <br /> Z�>' _ z,�t 5' Cr,volv -0/1/ y32 i�- <br /> usEzo��e i+ � �or.mc� v.uHrsn[ FEES VALUATION FEF � <br /> �L `�-Zil S �.�ns iir�� <br /> e��o�,.; C'k. oo,i 3� I <br /> nom�niui�rroJ{ � ��iiusvrn•xv.n�c s¢curmocn <br /> C�`� :1 299Y ,�ti a�ua��c -� <br /> OCLV�'>NCV !::)p�51JAF5 CLN^�NIWAp B� 4ENt I <br /> � �Our uECeR000. <br /> 'r`_ �.� L �,�_ ✓� <br /> ivasria:nirnecoo nusox woi*wH.tvurvcN[cK <br /> oiMcn ' <br /> 1'.��[PU:aAnEOU PEe$ON <br /> SiI.iE BWtO�Mi SU�CN WGF <br /> nr-rcrcoru� — vur�s.arn�crun. CITYOFEVERETT r;o��:��cu.s �— <br /> LOCAL SAI.ES <br /> __�-�y�..._ . .''-,_�/�U�� j_TA%COOE IS 7105 ��toinL - �- '� --.-----'-�- <br /> - -_'_ ',I." ___ '1 <br /> a.,�:v�e � . . <br />