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PPL CATION FORCON UCTAN <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT. WA 98201 A259-8810 <br />❑ DEMOLITION ❑ COMBINATION <br />UILDIN;GG ❑ MECHANICAL <br />PROJECT ADDRESS: 71 ^ {..►�Q(5f1� 1Cpsa,C� <br />PERMIT <br />�* <br />,••❑ PLUMBING ❑ SIGN <br />1I /sue <br />/i�F!/7ili�s/Nl� ////��•�/la��n/�� //�T nnF�r�ALyy ����//(E Q4pprlwwt �����AABA ��I1�/�� ����,A[E��[I — <br />�J/_'_.fJl�e._IL7Vjetlacu* q%-?Ix <br />1 <br />Ax -as rnj18( <br />i 1E�11 4G <br />138 �A1[f-4miD 5ULi•1L f. SB�LF.LA <br />q�tL 3z5 Z�fs3 <br />•q(Hi[C1'i0••[1Y�GMI,EIIR\' UI N/M�IR�f 5�5 <br />CIrv��• <br />-- <br />rvgNl/1� <br />e_1I�yA�rE� 1•'. <br />VOA 7WNd C•NIDI' 1W 11tl 1R17� max. .flri'SY1ry-WA <br />y� <br />SIS UAL/ 1F/ice �1n�1� <br />GCNER4 LONIR41g1 ACgI—Ey55� CITY pr <br />M1N1E SIAEE ICtAISf• <br />���YY�I <br />--iialw4CI • ��l / <br />AfORE55 Orr lip <br />"FC -C,x cc:j;;C p�I MINESS <br />"NONE SEAIE IA:ENSE A <br />��YAK <br />4V -Br_ L1JfFl ININV. <br />PEUYRMGCOATRACIOO ANAL ApIX1t S5 Cnv ZIr <br />"IgYE SIAIE LSENSEA <br />cOM pc, 0' NM,, <br />.oa E ['J)' <br />HEATING SYSTEM: AS ❑ ELECTRIC ❑ <br />u^eeU <br />SWMMANO S, ARE IOQ AGES KO <br />V v <br />rUN1Ac1PLOSp1A;;; � hA)&4L y�� <br />YV [ <br />-hlr Ma <br />RdL1 N I <br />I HEHEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION A MADE AND I COMPLY WITH THE STATE <br />CI jO $/LI�F1�27�RCWAN0296.2BOWAC. I� <br />I►I'I',•ures`'T.(Lia'//nIyA11��- •Q <br />PbR,p,ouousE a eulo-Nr. <br />OLD MQI hI'MBL)LALE���i�. lAl• <br />It WE ORCRIPIpN W PROISRu IY ISIIOMII eftOW OR All TYAO COAX S) <br />LOT v'Z KLOLK a <br />WE <br />Lot it 2wc4 -I `OOgO <br />fMRLELT ID NIAMER <br />t�l 1.arZ-u2goy�i-oi8-cnc9 <br />C.oN51 ilpl <br />0 NUER. A[IlM1E55. 1E1E1YgNE MryeER <br />S TURE x w UAIE <br />CI W eUYNESS tICENSC NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIC—MMDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />_ <br />— <br />SHOWER <br />UNIT HEATERS <br />_ <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE IIOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />_ <br />URINAL <br />MEL-L FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />—�—_ <br />EXHAUSTFAN <br />SUBTOTAL S <br />SUBTOTAL S <br />_ <br />PERMIT S <br />—i— <br />PERMIT S <br />�— <br />_ <br />TCTAL FEE S <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: � yw%L':I- ) <br />I nON1 OIPACM1 <br />RI All Ir IIKIA— <br />(IAACA <br />r1ANcnEc1N11YR(n <br />flf� <br />11(LIIll NO <br />M' <br />nsL ZONE <br />101 AmA <br />L�ACA�.?SIN[ <br />FE <br />VALUATION <br />FEE <br />r(I. ❑ND <br />nlmmm�y- 17-7!J. rJ9 <br />I'D CJ '� <br />a L <br />MCIGIII IIUIr1nOM <br />NO UUWLIIING <br />$Ilk Of &DOI[I <br />L) 7 <br />IIHIIC <br />r111YUr.li <br />OCCDUnAHLY NJ lY 51(Y4I5 <br />1 CCUPANI LOAD DASEY/[NI <br />"KNA .CAI <br />❑MS NO <br />AMOKINAL MAN ON CO <br />—'�— <br />�fIflE SPRM4LR R[00 <br />RH50N <br />ONrtn <br />OAEAUOAl R[OD <br />Rf ASON <br />/1 <br />'„C <br />51q(ONIDINO SNRCNAl1(:[ <br />— <br />(/ ;j(� <br />IrF Of CONv <br />nANSArrllDvfDBr <br />CITY OF EVERETT <br />ronNK: NoNA1 <br />%! �" <br />G' I <br />LOCAL SALES <br />— <br />TOTAL <br />---- <br />— I� <br />UAO • 9� <br />TAX CODE 15 3105 <br />/ <br />