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APPLICA'T�N FOR CONSTRU�ION PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT.WA 98201 •257�BB10 <br /> i � DEMOLITION ! I COMBINATION 17 BUILUING I� MECH"tiICAL f7 PLUMBING f7 SIGN <br /> PROJECT ADDRESS� �HI�T ('10y'T � ��/g-r,��t—� lnw�- �fB2 �� <br /> �..r.ii� u.a<�<r.[ss urv n• Arna <br /> �J�xtnl R�'� (,tXi oGoRsu��.A rBz(o R �c �e✓rartr� v✓n �iyz,�� 4rs-zszb . <br /> ltll�!11 Inell�WRL55 CIIV I:P P1CflC <br /> �l�fliiILCI011G(SY.IU.fI Af11l�PW�[55 CIIY !m 1ryI.M1E <br /> ���r <br /> cEr¢Hu�anw.c�on wawoncss cnr tv M�ae surciccrisc. <br /> Jf✓F <br /> V[CIP��44f01110�f,Ip1 4AILI.ppP[SS GiY IP MpE S���EICEMSC� <br /> IRIIUUnY.C�1111��CIM YM�Cq1C55 CIIY IW NKY4 St�iElCCNSC• <br /> comm�cum�ct a vroen <br /> _����� �/ �?,f HEATING SYSTEM: fl GAS I�ELECTflIC fl <br /> x�.�.una woi�..un swurt roo�Eunwv[D conucr r[nwi��no rrxn2 ru� <br /> � �IZ-S' Z:L- o7S0 "R ��L '3bMo <br /> (�°�'� `�f �jhNJ'✓JyB arW G�-SatiSocK�p <br /> � ' I MEPEBV GER7IFY iHPT I IIAVE REAO AND EYAMIIIED THIS <br /> rnaro.m u,c of owmrtr. AFPLICATIDN AN[1 NNOW TME SAIAE TO OE TRUE AND CORRECT.AlL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNIYG THIS TYP[OF <br /> WOPN WILL OL COIdPLIE�1'/ITM WIILTMER SPECIFlLD M[FEIN OR <br /> imupn[w'n"m'��ro�i+orrnon[ntti;��vxnnowon•n¢nrvroc(wa[sl NOT. TME GBANTING OF A P[RMIT DOES NOT PRESUME TO GNE <br /> im.�,qvn iQ n�an L�� or f��Ly�+'�5 r�iLm AVTHORITY TO VIOLATE OR CANCEL THE PROVISION UF A� <br /> OTHER STATE OR LOCAI LAW REGULATMG CONSTRUCTION OR 1' _ <br /> {�'aD I Ti Wl 'rD ,F-�1� 1—' PERPoRIdAIICE OF GONSTRUCTION.THAT I AIA AUTHOPI2ED OY, iE <br /> GWNER OP TH�S PR7PERTY TO PERFORM TME\YOPK FOR WHICM <br /> �'I7S 3 " Z`13- �� -�0 3 APPLICATION IS MFDE RND I COMPLV WITH THE STATE <br /> r�ncu.u.i o rwuu[n CONTRACTORS LAW I B 21 RCW AND 29620U Y/AC. <br /> [.lilf•111i1C1iuNIll��lt[IJ�I(�I1�[]f+f.�ILI[1'IKKI[�tt1YbU1 � ��Z <br /> y`IG11�1111i1 p�IE <br /> CIIY IIU.iIA�i IIC��15(1� <br /> PLUTABMG MECIIANICAL <br /> NO. TYPE OF FI%TURE ON ITF.M FEE N0.r— TYPE OF EOUIPMENT FEE <br /> WATER CLOSET ITOILET� A'C—A'IINDLa UNITS <br /> _�__ <br /> UATHTU� FORCEO AIR SYSTEM$ <br /> LFVATONY IWASH DASIN� { NEAT PUM1IP <br /> SHOYJER : UNR HEFTCRS <br /> KITCMEN SINN 8 UISP CLOTMES DRYEFS <br /> DISMWASMER RANGE I�OOD <br /> LAUHDHVTRAY WFTER HEATtR <br /> CLOTIIES lVAS11EP WOOD STOVE <br /> UR�NAI � MF.TOL Fl4iEPL�CE(WOOb OUFNIYG� <br /> [1RINNING FOUNTAIN FiREP:AC.0 INSEflT�WOOD�URNING� <br /> FI.00R DRAIN GF3 RPE�'LACE <br /> i— <br /> �ACKFIOW PREVENTEPS ! GFSFPNGE <br /> SItJN15[RVICE—�AR,EICJ � GRSPIPING <br /> j E%IIAUST FFN <br /> I <br /> SU�TOTAL 5 SU�TOTAL E <br /> � PERMI� 5 P£RMIT 5 <br /> � TOTALFEE 5 TOTAf.FEE f <br /> FOft OFFICE USE ONLY: �J �pl� -pJ�� <br /> .� ..�i uucK uun sEuucx Zo� cm[suo.cr� ruy uwe ruuou� �i ^ e r /__— <br /> -,�j �.3VaL�cE P,Fh. S , i � . ' (�/�L7 '�� <br /> . . � '7 io�enu vec�msu[ �J FEES YAWATION_ FEE <br /> � �- C� �hf:5 /Y`t6� Bu�lOux: �' � I <br /> � <br /> � '� IV 1 / Ili)IA pWLlllNli bItLU 011\:lI <br /> ��. p uun; Q � — <br /> LM1-".. ��1�. 3 i] rwuevq <br /> . � a,c �.snrn�uiow w�u[w ucourxu <br /> � �j— � — — /�/ ii.rs �o --}--- -�— <br /> 1�i � .nitNlttllU I1fn�OH �(IDIIIC114M41CIIlCK I <br /> n� � J _ � <br /> OIIILfl <br /> .��NI11OP 11[AifW <br /> ;, � :�„�a��,o��s����,� ; <br /> ... � Z'r;�;r neus�nri + �+r CITV OF EVERETT roeiwwains � <br /> � � n LOCALSALES <br /> � ��.�i _`j�_ TA%CODEI59105 IOTAL � <br /> % _'. _._ <br /> a <br /> c <br />