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� <br />,�. <br />APPLICATION E�OR CONSTRUCTION PERMIT <br />CITY OF EVEf1ETT • BUIIDING DIVISION <br />3200 CEOAR STREET • EVERETT, WA 98201 • 259•8810 <br />I I DEMOLITION f I COMBINATION � BUILDING I 1 MECIIANICAL i I PLUMBING ( I SIGN <br />PAOJECT ADDRESS —� � <br />��b� �o/J�aJ✓ <br />nwr�rn �IAllRM11FS9 rnr m� rni +r �sj_1103 <br />��1-f 1-bLY�I�IG� AU'i"�-i�l¢IT^( �jl oi GOL��( /��I� . r'O. $t7)C I�-r-r <br />.__.._.-__.�c.-------�--......—._- �- --•-••-- <br />4HNlI YAII ADpIf55 l:Ilr )IP PIIONK <br />�r1IY \� <br />�__ �w- s <br />eflr,piRr,lOOUiSrc;qfn._..-._ MNt�M�nF55 _—.. . .. --•' �nr " '""ln:........._._. �•n��ql' ��jJ�'zii�iiOV......_...___"_' .. <br />��F{ , t-1�H -� l-SALL AtQGf-4 (-t�cr�,, 420'o F�S'('f" �Y�., �V%1��CT �le2o�-✓ <br />----�- _._... ---. - - _--------------� <br />r,rnrnni crnnnncv.i Nnll �OPIlf55 . .... �.ilr : p' I4lrtlli <inn nr� n<r � <br />t�br Ic�-{�'JvYt�( / C /3 <br />� --�--------------...-----...--- -----•--•-------- <br />��rr-uernr.ni r.rttnna:uttt uni� eMmFcs rnr ;m rnro+r cinir �irr�icr � <br />,�or �ow �c • <br />-- -- -� �--------------�-----....---��-------�---..� ------ <br />rliiunwr,r.o�nna:tnn unnniymcsc rur �u� p11011F stnir�icveiev. <br />tilc7Y' K1�lOW1�(. <br />---------- ----........----- ---�----...__------ -------------. --- <br />r.nNmnt:� rmct n� wrwiK <br />__ _'___"'.... <br />_���"�t%%G�O.00 �f)� (q_��-'(p HEATINGSYSTEM: �GAS I IELECTRIC I I _ <br />IMFCMIIFV1011N�IJbC�N1�f1FffXp�pFINV(HVED � ...._._- cnninr.irrn5uunnnrun��rnn --'- '-'--�-�'-"'---�---"'-' <br />�l� {��� g�}��� �,ye I IIEf1E9Y CEf1i1FV TIIAT I NAVE READ AND EXAMiNED 7HI5 <br />�•���+�•�5�����c �� ni��ii��� --�-�v! ����"�""' APPLICA�ION A�IfI KNOW TNE SAME TO OE Tf1UE ANU CORf1ECT ALL <br />f`IIOVIS1pNS OF I.AWS AND Of101NANCES GOVE�iNiNG TI11S TYf E Of <br />-.__ WOf�K WILL Of: COMPUED WITII WII[THER SPECI�IED HEREIN OR <br />ivnni nrscnmurxanrrnrxrmr�srormprtowon �eia iwncnn q, NOT. TIIE (if1AtJTINC Of A PEf1MtT DOES NOf f`RF.SUME 70 �IVE <br />in� � mrn:K or__.J�C'�}j��_ AUTIIORITY t0 VIOUTE OR CANCEL iHE PROVISION OF ANY <br />07HEFl S�AIE OR IOCAL lAW REGUTATIN(3 CONSTRUCTION OR THE <br />_ __ PERFORMANC.E OF CONSTFUCTION. THAT I AM AUTHORIZED BV THE <br />�� ^ "� OWNEi7 OF TIiIS PIiOf ERTY TO PERFORM THE WO(11C FOfi Wli1CH <br />APP�ICATION IS MADE AND 1 COMPLY WITII THE STA7E <br />rnrr.[i rnx i raiunrn � �--"-` CONTRACTOfiS I.AW 18 27 ACW AND 296200 WAC. <br />3�(�a oo/ o 00 0�0 <br />fONSI1111C11fH11011NIfNPf11.�pIN1E$S.f��E�110NEMpIpF11 Y An� lA� ��I�.��� <br />_ "_" ___ __.. . _ Sif11NIInE _ lT�� pMf <br />TVPE OF fIXTURE OR ITEGI <br />WATER CLOSEi fTOILETI <br />LAVATORY <br />KITCHEN SINK <br />TF1AV <br />FI.00R DRAIN <br />BACKFLOW PREVENTERS <br />SINKfSF�iVIrF-AA[7 Ftf:l <br />f.IIV IIUSW[551 M:1 fIFC Ilp <br />MECHANICAL <br />NO. _ TYPE OF <br />rvl. — rvnnulu vn11.1— I�.Y. <br />FOFlCED AIR SVSTEMS - D.T.U. <br />' UNIT HEA1EfiS - B.T.U. M <br />" �— _ <br />i CLOTlIES DRVERS <br />. ,� _ <br />� VENTILATION FAN � <br />� -�— .__ —__. <br />� RA±JG[ H000 <br />__'i.— '--� <br />� WATERIIF.ATEFi <br />: WOODSIOVE � <br />-- ----.._ ---'-.�....'- <br />_ _ SUBTOTAL E � <br />'-- '-- PERMIT E- --------�'-.. <br />- — _ TOTAI FEE 'S "- ------ -- <br />FOFi OFFICE USE ONIY: __s <br />n�mu snnnrlc nrnn cp�ner.k anr cnMr <br />Ilcrin� O ..'—_ InIMF� vernru'� <br />__..� �'__.... _. L$ <br />��1'�f:ll� ItM1I �PDH NO pf I�Wf.IIIHp CVf Of pl I 1"� <br />K r�l �n�qg ��.�w <br />R2]IMN\ <br />� ... —!S __...I.. <br />IIf �cI W <br />�� <br />91� � nf ncnN ----'. .�. <br />IYfff�li'f11� I'IPq:��'1'IUNfI� <br />..,. � - -- JM <br />L <br />FIqEPLACEINSEfiT <br />FEE <br />�.1� <br />--- �— <br />_" ____i_ <br />cns nnNr,E � <br />��� .. . 4 <br />� cns ririnic � <br />EX4IAUST FAN � <br />----_'_"-- -"--�-- <br />� <br />--'--------'- -'-- -�-- <br />� <br />� <br />- -'---._.. _._.....--'-------'.- .- ".----..� .. __ <br />' -�--- ----'�--- <br />"--. <br />SUFl IOTAL E ' <br />.. ._"'_"'___'_--_ ...'_. "_'_—'i"'___ <br />�'Ef1MIT S � <br />� -'---..--.'.-----�.'- -----'---- <br />707A1. FEF E ' <br />--'_-".. ._.' -- -"._...-'-.'--.. _ _....___ .._�..'--' <br />rrr <br />--- - _�__ . _. /���_ yd <br />FEES VI1lUAiION <br />i�nu �mrnnr._.�_ •._ . _�� <br />C I•I�IPl�iqr} <br />1��n�n��nrn� <br />q� ..._.. . . . <br />. •. M•I�III���IA1 1'1 nr�� 111� v <br />O111T . . . . . .. . <br />:IAIf PI1111114�1`����� II�II(:� ....-.... <br />CITYOP'EVERETT rrnur�v�nie� I <br />LOCAL SALES -� - - -- - �- <br />�� <br />FEE_..__. __. <br />� <br />%y�. i sJ <br />H i� � <br />.. _. /... .. ... .. <br />�5 3 ; 00 <br />