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APPLICATION FOR C�iNSTRUCTION PERMIT��/,�}� <br /> CITY OF EVERETT•BUILDING DIVIS�ON r/� <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257•OB10 ���_J--- <br /> !7 DEMOLITION ❑ COMBINA710N ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING CI SIGN <br /> PROJECT ADDRESS 230 n )� �J <br /> 7 / <br /> ONNCR ) �J^J y11 L�OIX�ESS CIiY ZiP fY�ONE <br /> ��'t.�-�/A� /� <br /> IENANi YA4ADIX1C55 CIIY 1 KKC <br /> •ap�llECiq�M5K1N[R 41il�LME55 L�(Y IP �YlplE <br /> GO�CaµC041R1CtOP WM1�W�[55 CI1V Z'D R1qK 9�1ELILU6[• <br /> UC��V:iPI'L�G ^4IDP �AMI�� E'� OiY ZI1' NIONL SIAiClKf115C• <br /> n ����e ad <br /> v�uu�cann�c�an u�i��o�i[ss crtr xw n�wrv[ sui[�k�irs[. <br /> Cp1""'"iPPiLEO°N°a" HEATINGSYSTEM: ❑GAS �]ELECTRIC ❑ <br /> oesuacc ww+K�uo scu.ac�ooucc iM:avco coxuc.rcn,w�uro��r�a,c w <br /> I MER6.;1 CERTIFV THAT I HAVE PEAD ANO E%AIAINED TNIS <br /> APPLICA710N AND NNOW THE SAlAE TO OE TRUE AND COPRECT.ALL <br /> ar:nos[ouse a�eun�u+o PROVISIONS OF LAWS AND OR�INANCES GOVERNING THIS NPE OF <br /> WORN WILL �E COAIPLIED WITH WHETHER SPEQFIED HEREIN OR <br /> tfG4Si5CP1V110NCiPRO�EPiY�SqNNOEIOWOR�t1�L1111WLOFiES� NOT. THE GRANTING OF A PER'AIT WES NOT PRESUME TO GIVE <br /> `Q �a � AUTHOHITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTMER STATC OR LOCAL LAW REGULATING CONSTPULTION OR THE <br /> PEPFORMANC. OF CONSTPUCTION.THAT I AM AUTMORIZ[D�Y iHE <br /> O'NNER OF TNIS PROPERTY TO PERFORM THE WORK FOF WHICM <br /> APPUCAiION IS AIAOE AND I OMPLY WITH TME SIATE <br /> r�nc�*uior.vua[n CONTRACTORSLAYI1B27H 1 .96200WAC. <br /> co�6irotliontO�NlflroER.AD011F55 rR[RqNENJue[R _�� � <br /> �11AI11�[ OAIE <br /> [ilv BUS'��:LS IKE�bG hO <br /> PLUNBING MECHANICAL <br /> NO. TYPE OF FIxTURE Ofl ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CIOSET�?OILEp A C—A HNDLG UNITS <br /> BATMiUB � FORCED AIR SVSTEh15 <br /> LAVATOFV 6VASH�ASIN) HE.�T PUM11P <br /> SHOVJER UNIT HEATERS <br /> NITLMEN SiNN 8 OISP CLOTMES ORVFRS <br /> OISHVJA3HER RANGE HOOD <br /> LAUNDf V TfiAV 1YATER HEATER <br /> CLOTHESI"�SHER WOOD3TOVE <br /> URINFL AIETAL FIREPLACE(WOOD BURNING) <br /> ORINKING FOUNTAIN FIFEPLACE INSEPT pY00L DURNING) <br /> FLOOFi DRAIN GAS FIPEPLACE <br /> DACNFLOW.PREVENTERS GASRANGE <br /> SINK�SERYIGE—DAR.ETC.1 GAS PIPING <br /> El(HAUST FAN <br /> SU�TOTAL 5 SUBTOTAL 5 <br /> FERIdIT 5 PEPMIT 5 <br /> TOTALFEE S TOTAIFEE S <br /> FOR OFFICE USE ONLY: <br /> inC�rt5E19¢+ PPRSLID4w S�OESCfB4K PWICNCCKNOV9E11 fCE RKCIPivO <br /> �;�i�a�E �arnn[� v�curtsnc FEES VALUATION FEE <br /> �res ���' euuow.�. <br /> uPcrrtuuiulpi ��O�Kl4rG SitcO�B�WT <br /> RU48�NL <br /> �{�„i.ippp� �GCi51Jof5 CCCVV4N1lC+0 B�SC4ENi 4CCN.W'.00. <br /> �..mv <br /> ❑res n�w <br /> �$YJI l l(.W K FlN1 C11�.(J( <br /> f'.i45Gn�nyyERPC00 PE�5011 <br /> atNrn <br /> ��r�i�uauncao acrsa+ <br /> si.ic auuows suw�u+cc <br /> i�i�crca�s� n�us�om+ov[oer CITYOFEVERETT rue�awones � <br /> LOCALSALES <br /> �„�� TAX CO�E IS 3105 TO7AL <br />