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, � r� <br />APPLICAt10N FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT • BUILDING DIV�SION <br />3200 CEDAR STREET • EVEFIETT, WA 98201 ! 259-8810 <br />f 1 DEMOLITION f 1 COMBINAtION fl BUILDINO MECHANICAL t 1 PLUMBINGI I I SION <br />PROJECT ADORESB -. <br />�5o OL4MP�� ptv� Ev�� �� �gao'?� <br />E'1111 KfD11E59 <br />MICM�ECTORDESI6NE� MII�MIME55 GIiY 711' 1'IKMlF <br />OENEII/�LCdlIIV1C1011 MMI.I�OIM�E55 f.liv 711` 1'IqNF. SI�iF.IKFNSE� <br />GEC�H—�+N�ILA�L L`'ONiRI1Cip1 M�K I1pIM1E53 f.IfY 7I1` 1'IqNE SIAiE IH:F.NSF � <br />—Y+G. ,� __ —' <br />I'LIIMEMOCONIRI1CIp1 MM.AOfM1E5$ QfY 71n 1`IIDNE STIVELIf.FNSE� <br />rrtfn�c n <br />•x <br />ieo�i oEscnrran a rna�i <br />tor e�ocx . <br />(� I,.�� _ f1�h - <br />lENOER.l1U1M�E3l. TElEA1DHE MIMIIER <br />UVATORY <br />8 OISP <br />CLOTHES WASHER <br />URINAI <br />DRINI(INO FOUNTAI <br />FLOOR DRAIN <br />FOR OFFICE USE ONLY: <br />rne»�rxeTn� ne►n! <br />��uurt inwraux+ <br />OR ItEM <br />PFRMIi S <br />iorenr� <br />rro ar ovrFun+a <br />IMI�C <br />ri nNs <br />b�lE <br />HEATIN(i SYSTEM: (iAS I I ELECTRIC I 1 __ <br />r.or+uct rFnsor+�nnrvrt»�r rx� �A�� <br />^ V1e�� <br />� ��. o��� <br />1 HEREBV CERTIFV THAT � HI1VE REAO AND EXAMINEO THIS <br />APPUCATION AND KNOW THE 3AME t0 BE iRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES OOVERNINO tHIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETNER SPECIFIE� HEREIN O� <br />NOT. THE ORANTiNO OF A PERMIT DOES NOt PR�3UME TO OIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OtHER STATE OR LOCAL lAW R�QULATINA CONSTPUCTION OR iHE <br />PERFORMANCE OF CONSTRUCTION.1HAi I AM AUtHORIZED BV 1HE <br />OWNER OF THIS PROPEqTY t0 PERFORM TFIE WORK FOR Wf11CH <br />APFLICATION IS MADE AND I COMPLV WI1H THE STATE <br />CONTR RS LAW tE27 AND 286.200 WAC. <br />% <br />y�, ,o —��— � � <br />SKpUTIM1F. ��tF. <br />pIY e1191NE55l�CENS[ ND. <br />FEE N0. TrPlOFlOUIPME <br />� A/C—NiMOLQUIJIT9—H.I <br />' FORCED Alil SVSTEMS — B. <br />� HEAT PUMP <br />t UNIT NEA7EPS — B.T.U. M <br />RANOE HOOU i <br />—r--- <br />WATER HEAtER � _ <br />WOOD STOVE ' <br />METAL FIREFLACE (WOOD BURNIN6) + <br />-- _+_—" <br />FIREPIACE INSERT (WOOD BURNIN6) y_ <br />OA9 FIREPLACE � <br />OAS pANOE ' <br />`---- <br />OA3 PIPINO ' <br />EXHAUST FAN _I <br />SUB TOTAL S <br />PERMIi f <br />TOTAIFEE f <br />S�OF.SFTRI1f.N PI�Nf.11Ff.NMlMllfll Irrr nrr.rmiNn <br />� �L� --- - - ---- <br />VI1f.�Nt $IIF FEES VALUATION FEE <br />'___"'___"_____ ____—'_ "' <br />. .------ �- -- T -- - - - <br />IIYE$ II NU � <br />nwu,wa <br />sitFormnom --�---�-------- ---�--------_..._—�__... <br />� <br />PI I IMOINfi <br />'"__ ___.__ __._____' ______...___._ "__ ...._"_.__.____'..... <br />f1115EMFNI I�1ff11�NIf.M � .. <br />__'_ -_'____ "- '_"'_" —'""__"_'_ � . _ <br />IRE$ 11 NO "--"-�------ �----- � <br />— ' �OINII(�Nnl PI�Nf.11ff.lc � <br />--- _.' _'—__—__ __ ___ —. _ �. _ . <br />_ -- � <br />OII�C� i <br />____. .' _ � . __'_ <br />—___'—__'—__ -- — � <br />� <br />Sl�l[ OIIII OINfI SnnC11nf1aF � <br />'"_' ".___"—__'__."'___"—_" " '_"_'"" .__ _" __ ____ _ . � _ <br />�CIT1/ OF EVERETi rum ir, wnnea � <br />LOCAL SALES - -- __ __. __ _._. ___. __ -- _ _ � <br />TAK COOE IS 9105 TotAL � <br />