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APPLICATI� FOR CONSTRUC�N PERMIT� <br /> CITV OF EVEREtt•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259-8810 <br /> fl DEMOLITON (1 COMBINATION BUILDINO (l MECHANICAL t 1 PLUMBINQ fl SION <br /> PROJECT ADDRESS , <br /> l, � " <br /> 'z� � � � l�.^P � �� �%L/1 ,� �r_ <br /> OWNFn Mu1e004F55 c�rv br p�pv[ <br /> 3!'iAAE�/� 57EA%ENA��t/UCHfIEH lo{BcAKEsa�e tu�evr 9Pzoi (zab) z59�y�// <br /> n'xeMl 4u1MM65 r.nr n� nwqt <br /> 5A�11E rl S /�F30✓� <br /> ��m+rn on�Msmvice u�n uwncss arv rm r�are <br /> KqT'HLEEA/ ScuES 5�2 �1A�PL� 5•E• EYEkE7r 9g203 (=0��25'-5z9/ <br /> crMan c'rn/nn�nrn u�1neotn1 [nss n p (� nrv I nr nrovi s�ucucr.�sc. <br /> K � f1 � � IO�l I�1. 1�Sel[A'e'�9 WG Il[eAt�� h}:/�:��ny'�- ft.i��frwe�c�5 ��r. � �/'7�5 <br /> �14fd��N�C4f0'11Mf.iq1 M9l�M/�F55 tlIY Irt' 1 � 1 fM1KWF [l�llUQN<(• <br /> P1114PNGLq11PKip1 441ANN1[55 LItY IIV MqHE 5���(��F45f• <br /> CON�fUC�1`II�Cf O�M'If�N <br /> — HEATING SYSTEM: p(GAS �IEIECTRIC II <br /> �rscmnf won.um sou�nr rooi�cc ivvavco cor�i�n rrnsov�r�o nrorvr� <br /> ' r <br /> � <br /> 1 HEREDY CER7IFY TH�T 1 MAVE READ �ND E%�MINE� THIS <br /> nprosfous[or mmpra AP7LICATION AND RNOW THE SRME TO BE TRUE RND CORRECT ALL � <br /> PROVISIONS OF LAWS AND OPDINANCES GOVERNING TNIS TVPE OF � <br /> WORN WILL BE COMPLIED WIiH WMETIiEq SPECIFIED HEREIN OR � <br /> tee�iotumruwarr+ia�cnnivaenxiowrnenaH�wocmesi �.�pT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GVE <br /> io� ��aK a_ AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY � <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE � <br /> � PERFORMpNCE OF CONSTRUCTION.THAT 1 AM AUTNORIZEO BY THE � <br /> OWNER OF THIS PROPERN TO PERFORlA THE WORN FOR WHICH <br /> APPLICATION IS MRDE AND I COMPLY WITH THE STATE 1 <br /> rencFl*u io rvP[n CONTRROTORS LAW 182]RCW AND 296.200 WAC. <br /> i Z ' 2"�J - l�b ` n ///� q <br /> covs�mic�wN�ou.��r�oFn�rmrss.�rirMmxcuwwn /IA.(X���lii%'.�'1 ���3b- /J <br /> �N�iu�e— �� o+rt <br /> CItV WGNCSSIICfM�f 1q <br /> PLUMBING MECHIINICAL <br /> NO. TYPE OF Fl%TURE OR ITEM FEE NO. T'PE OF EOUIPMENT FEE <br /> � WpTERCLOSET�TOILEi) NC-PA7NDLGUNffS-H.P. <br /> BATNTUB � FORCEDAIRSVSTEMS-BT.U. M EA. <br /> LAVPTORY(WASH BASIN) MEAT PUMP <br /> SHOWER UNITMEATERS-OTA. M <br /> KI7CHEN SINK 6 OISP CLO7HE5 DRYEHS <br /> DISHWASNER VENTILATION FAN <br /> LAUNDRYTRRV AANGEHO00 <br /> CLOTNES WASHER WATER NEAiER <br /> URINAL WOOD STOVE <br /> DRINNING FOUNTAIN METAL FIFFf'LACE(WOOD BUPNING) <br /> FLOOR DRPIN FIRFPIACE INSERT(WOOD BURNING) <br /> OACNFLOW PREVENTERS GAS FIREPLACE <br /> SINN(SERVICE-�AR.ETC.) GRS RPNGE <br /> GAS PICING <br /> E%NAUSTFAN <br /> SUUTOTAI 5 SU�TOTAL E - <br /> PERMIT 5 PERMIT 5 <br /> TOTALFEE E TOTALFEE S <br /> FOR OFFICE USE ONLY: �J, %j} <br /> n�nu�snnu�. , nrensrJn� � �ntsttnS � n�va�r nMrvnrn rrt / � nrcrm�rvo <br /> l�' � <br /> n�riov�� � io�uie• vec�wsR FE 5 W1LU11TION FEE <br /> ��_ ��rrc ;��no ninin�vc Iy/3�{ ��J / �DI I:JC <br /> ��ur.rin�nuiov r�aauwnmq cvcwmocni q <br /> -.� / ar:qs r r�awmr. L� 1 <br /> !/Z SF ___-- <br /> i i(FI�+A(v N�IV SI�q15 t%:l:lll`AYI lOaO PA[E4EN� 4fC11�4H'�l I�;-- <br /> F��� inrs �i�ro - � - <br /> ^ Z / Q <br /> �e�� unanron____- nr�cm1 uxxnnranwu�rc. <br /> ou�rn _'-- __'"- <br /> 7mrcrnivn�fnnron - nr+�ov <br /> suir ao�in��K s�moun�:c � <br /> n�roirnva rinrs�rnm;wm CITYOFEVENETT � <br /> iv�ei�,.-w�.n..� ; <br /> N' LOCALSIILES ------- - --- ---- � <br /> i TA%CODE IS J105 7o7�L _L�� - <br /> .�/ -.i/___._ w�t L'1.�� S — —.—_ i- <br />