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APPLICATIC� FOR CONSTRUCT�N PERM�T� <br /> CITY OF EVERETT•BUILDIN6 DIVISION <br /> 3200 I:EDAR STqEET•EVERETT,WA 98201 •257-8810 <br /> �l DEMOL�TION G COMBINATION X BUILDING �':I MECHANICAL �] PLUMBING 7 SIGN <br /> PROJECTA�DRESS��a� -t-4tl'SO'J ,�I� <br /> � F <br /> ONIIEH MAIL���R[55 �IiI I11` PNONE <br /> �l_�l�t, �s �cowFr �.-c e c.�ox a���c„�� (4as) 33o-4.i 3� <br /> iEN4Ni M1RAD�RL55 LIiY ZIP PNONE <br /> vU A <br /> oar¢roaccsaHce uauoor+cs, cm z�� �a+e <br /> >���sla� Lu,ef �e V C�as) 3s3-os31 <br /> GEI�CHI.LLONiML10R M11��OOHf�i f;liY lIP PHONE $L1IELICENSE• <br /> f���-y�:. �rv_c P�o, 13�� m�1� ��e:,� �360) 65.�-�97T LTFES}{LOyvKT <br /> MECI�4NIL�4^,COYiPACiOq MPI�.�OOPE55 LIiY ZIP PNONE Si�iEIKEN$E• <br /> rV� <br /> PlVM9�YGCONI{UCiOR M�ILPUDN[55 LIiV 21V pNOtIE Si1iElICEN'vE• <br /> - 6�.k P u.,bw� <br /> conrancirnc[o�woun ���^� � — <br /> i X HEATING SYSTEM: ❑GAS �S ELECTRIC ❑ <br />$$�, ue,caie[wanK�Hoso��acfaor�eeirrvavco coiµ�craE sain�:or��nraun • <br /> Nel.a Co�.,.; r. S 5 ���.k. (r11�(�ko ��kacev�CFb �4as) 330-'fS,3% <br /> ��ue <br /> 1 MEREBY CERTIFY TMAT I HAVE READ AND ERAMINED TMIS <br /> aeoaaseo uso ovawioia; APPLICATION AND NNOW TNE SA�dE TO�E TRUE AND COPRECT.ALL <br /> S�� PROVISIONS OF LAWS AND ORDINANCES GOVERNING TMIS TYPE OF <br /> WORN WILL BE COMPLIEO WITH WMETNF9 SPECIFIE� NEREIN OR <br /> i[euoescr+i�nar�ovvaw[arris�owve6�owon�.n••��.rvrocovies NOT. TME GRANTING OP A PERMIT �OEe NOT PRESUldE TO GIVE <br /> toi ^'� e�ocx or AUTHORITY TO VIOLATE OR CANGEL THE PROVISION OF ANV <br /> (� OTHEF SiATE OF LOCFL LAY!REGULATING C0�15 fROCTON OR THE <br /> � S 1 3 � - 9� PERFORMAI.ICE OF CONSTRUCTION.TNAT I AM AUTHORIZED�V THE <br /> OWNER OF iH15 PROPEiiiY TO PERFOFM THE WORK FOR WHICH <br /> APP�ICATION IS 1dA E D I COlAPLV WITH THE STATE <br /> �u�c[uAcioru ue�, CONTRACTOR LAVl1 2] AND^.96200WFC, <br /> .��'.SD a-�G��O �/, S' � 0 � <br /> c staucnor+ioer cruo a.ecoui 5 t iEcrw�+erw+�oen / J <br /> �co���o� �a�L � �aL� laa \ as 13 X��,.,�A� w*[ <br /> ��g� arv cvsivEss�¢uaE r <br /> PIUMBING MECMAN!CAL <br /> NO. TYPE OF FI%!IIPE OR ITEM NO. TYPE OF EOl11PMENT FEE <br /> WAI�RCLOSET�TOILET� "/ AC—A'HNOLGUNITS <br /> BATHTUB ' RS FORCEDAIR SVSTEMS <br /> 3 LAVATORY�WFSH BASIN�!/ HEFT PUMP <br /> � SHOWER / 7 UNITNEATERS <br /> NITCHEN SINK 8 DISP � � CLOTMES DRYEHS. <br /> � DISMWASNER — RANGENOOD -- <br /> LAUNDRVTRAY / WATERHEATEP - <br /> CIOTHESlYASMEP . 0' WOODSTOVE <br /> QS UPINFL ldETALFIREPIAGE�WOODBURNING� <br /> .('J DRINKING FOUNTAIN FIREPLACE INSERi(N'OOD BURNING� <br /> �' FLOOR DRAIN '� GAS FIREPLACE <br /> � BACKFLOW PREVENTERS Q�' GAS RFNGF. <br /> D' SINN�SERVICE—BAR.ETC.) GAS PIPING <br /> $ EXHAUST FAN j ' <br /> I <br /> i <br /> SU�TOTAL 5 S TOTAL 5 <br /> PERMIS 5 PEP.MIT S <br /> TOTALFEE 5 � TOTALFEE S <br /> FOR OFFICE USE ONLY; -�( �+ <br /> r���irs�r�o g��,,, uaZi`o.c. siocscs.c« rv«n c.Huuacn rce aecemrno. <br /> L/G3- 023 !9 <br /> us[zonE iorsnc , v�t�rv*Srte FEES VALUATIOM1 FEE <br /> 2 2 ��{8.� Pncs n uo ow�o�rvc "�5 u. -j/�- <br /> ucicruuUrteirox rroorowu�nr, szeavoioali — - <br /> 2b ' "",� � SYl+ 9� 5.,: °`°°a"� _ <br /> CLCV1'�NCv 4CCf4GF25 CCCtIP.V1itO�J o�SEMENt y��ry�N�Gt <br /> G11 I1 ^ <br /> f,� �'� ( eres — <br /> ��PESvn++nlEnnEoo FEeA)x �OortqN4ruNcrvFcx <br /> O1MEP <br /> fIRE�LIR4PFJ0 PLASJN <br /> SIn1E BNlO�NG SURCNNGE � <br /> FJacorcowt �un5eavaweoor CITYOPEVERETT ruxiqwoaes <br /> LOCALSALES I <br /> � /�/ p,iE.3 ZD// TA%CO�E IS 7105 7o7AL _ <br />