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APPLICATI� FOR CONSTRUC7�N PERMIT� <br /> CITY Of EVEHETT•BUILDING DIVISION <br /> 9200 CEOAF STREET•EVERETT,WA 98201•257-8810 <br /> f.l DEMOUTION I� COMBINATION f-7 BUILDMIO f] MECMANICAL fl PLVAABMNi f� &6N <br /> PROJECTADDRESS��` <br /> 1\ �4/S H�WiT/' Adr` EYt�2c•7T �✓•4 98�0/ <br /> �p u.awoicss orr zs r�va S•J '39oe <br /> �� Ni[y/P3 3/S LOc.i57 ui•sY L✓�/Nl.�/O W/�' �3G "/i1S'7'7[•7004 <br /> �Eryy�� u.a�oWf.ss t�rv zo n�u�E <br /> �ALNf1CLip1IX5�SXR 4��LNMRCSS CII� I�' 111pME <br /> 0[1EP4LLNIRI.L�OA 41i�q111E55 CIIY T�' AIPC S1�tE11f2N5E• <br /> � im n/ <br /> M[ N�NS40JNiP41pf1 M�M1�WPC55 G�fY }q , /I A�pK SIMCLKfNSC• <br /> (1/1/+� _ <br /> qU46MGCp11RGGlp1 M�1�W11L55 LrtY AICM. 54�ClFLNSI• <br /> CONiR�CI M4E M <br /> ���j — e HEATING SYSTEM: fl QAS I�ELECTRIC f� <br /> niBcwO�R�rmSou�n[roo»C[0.+uv[n � L' ca���[�rtn5a�nronrorArq <br /> w A � <br /> /�/srxc� %�" DiZr�dT�i fo�c <br /> Sru2� � HEREBY CERTIFY TNAT 1 M�VE READ AND ExRMINED THIS <br /> �DS�v/�T/G Ps%lP05E. F20NT �p��CAiION ANU NNOW THE SAME TO BE TRUE AND CORRECT�LL <br /> rnoiroua usc a nuuumn PROVISIONS OF UWS AND ORqN�NCES OOVERNING THIS TYPE OF <br /> �'L-Tif/V N'ORK WILL OE GOMPUED WITN VI/IETHER SPECIFlED HEREIN OR <br /> IEGKUE5GAR11ONC��Y101'fN�Y�51qY/NtlLIOG'P���1�LNOVOLMIl5) NOT. iHE GRMlTING OF�PERMIT DOES NOT PRESUME i0 CIVE <br /> io+ MaR .a AUTHORIiY i0 VIOUTE OR CANCEL TNE PROVISION OF ANY <br /> OTIIER STATE OR IOCAL UW REOUTATIN6 C(MlSiPUCTION OR TME <br /> 1 PFRFORMANCE OF CONSTRUCTION.TMAT 1�I�AUTNORIZEU BV TNE <br /> OWNER OF THIS PROPERTY TO PERFONM TM:WORK FOR WMICN <br /> APPLIC�TION IS MADE �ND I COMPLV WITM TME STATE <br /> v��Ei v.n o xwe�n CONTRACTORS LAW 1827 R/C�W AND 2Yfi.Y00 W�C. <br /> -(o59-QZ (/{/// <br /> CpI51PVL�qNIO�NlCNM11�Up�L55.1L1[A�qKMIMBCF I ��'�%���/N� / �� ��-����� <br /> xuunc a�E <br /> � <br /> CIIY BIISMFSG IICFMSC 1q <br /> y���0 MECN��NC�L <br /> Np. T'PE OF FI7(TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER ClOSET ITOILEi� NC—A'MNDLG UNITS <br /> BATHTUB FORCEO AIR SYSTEMS <br /> UVATOHY(WASI/OASM) HEAt PUMP <br /> SNOWER UNIT MEAiERS <br /> NITCNEN SINK 8 DISP CLOTMES DRYERS <br /> DISHWASHER RANGE NOOD <br /> InUNDRV THAY WATEP NEATER <br /> CLOTHESWASMER � WOODSiOVE <br /> URINAL � METAL FIREPIACE(WODD BURNING� <br /> DRINKING FOUNTAIN FIREPUCE MSERT pY00D BUFNIN6� <br /> �LOOR DRAIN GAS FIPEPLACE <br /> UAGMFLOW PPCVEIliERS OAS RANf.E _ <br /> SbVN�SERVICE—�AR.ETCJ GAS PIPMG <br /> EXHAUSTF�N <br /> SUBTOTAL S SUBTOTAI S <br /> PERMIT S PERMIT S <br /> iOTRLFEE S TOTALFEE f <br /> FOR OFFICE USE ONL'/: <br /> i1roNi5E19�cY. n[�'s[IB�Cx SAESEie/{x 1'L/.Nc� I.MMBEN RE a[cEFiMO <br /> 1 � � <br /> useloui io��nEe vec+vrsnc FEES ��lU�M1M FEE <br /> nr[s n rro W�io� � <br /> Ncqi���nenuia+ r�naownimo sizcorxooi� <br /> uHn s 2 b f3� riw�ra <br /> pCtuNxtr rqnsonts ae�rne�itow a�5[u[N� ureX�NiLa <br /> arquv O q � <br /> p � mcs Y(Mo <br /> rnEs�unMttnnEan n[�SON MPTqN/y�1AMP�Ecn � <br /> N� o,�a <br /> �w[�ununcoo n�uurv <br /> �J s*�tE nu�drq suuLYunoE <br /> irr[orwxst nu�s��rv,�}coor CITYOFEVERETT �i�+�z . ! <br /> I � ' / ��� LOCAL511LES <br /> V � �V o r � /2 � ZI�on TIU(CODE IS 7105 TOT�� � <br />