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APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISIC'I <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257-8810 <br />DEMOLITION 1 COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br />IROJECT ADDRESS / 7? ! ti• MwnLt; :i•�A+, O/'•rE <br />11, t1 4LLACOIIE55 Ci1V <br />lalrT A7N.A-7(.'r1l.A-T GP. <br />1G/o GI-Elwwi[r <br />E"E-E.tFlr <br />f'47 n� <br />/« J.s7 . ,J4:7(� <br />ff 11Y11 YAa ACdK84 LIT, <br />jrl,.sr+r /s/u�•L.f.•E.. 2d/z coKArl <br />:V• <br />c4.vec-7y- <br />qgT( <br />9Br./ <br />!zr, v�tY • �i�s <br />VVEPCIInECTOPus*".. 4/.4AOd1ESS <br />CITY <br />2P <br />gIy1C <br />L il7e^,nt j <br />�• /Al /e wIIiIa! <br />p /I /,ABC/!�K A✓r ./•kli�i4u <br />7_iii4� <br />o.A� <br />op ajf Z.3 <br />' <br />GLw Ru CpRRACiW W4AGOGESs <br />LR•xce c•,..•!� 9B3 2 <br />CITY <br />M 4�i.v� vn.. <br />ZIP <br />wvue.t r4z <br />NgIE 5T.TE 4CENSE• <br />C•iwLLC! <br />9'�)7t- ILsJt!•/!57 /4.4N4A/ <br />4[ NANCAlCd1iPAC+d1 E YAt IMIC 52 <br />, <br />CITY <br />1. <br />PrgM <br />51.1E ECEIISE• ell !•9Py <br />LKEIbC- <br />coNmAcl PncE o[wawtLl <br />HEATINGSYSTEM: fIGAS nELECTRIC ❑ <br />MSCSIRE -VORK NO MONTE FO:RAOE EWOLVEO <br />CONTAC I PERSON YD PNd41q <br />/ E•M/i/E/ r'J <br />TM1gPO5m u5E d auadrq <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUF 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 IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296-00 WAC L <br />X / yw7yl v-r Oki <br />¢Gu aunPlKwd rrrottRrv4S0OPI BELMMA17WM IYTOCOPCEI <br />LOr ROCK a_ <br />B % 9Vs • l p /3 - o o a <br />PARCEL wm IARIN:n <br />CdISIRUL11ONlOAN lF1A[P. AOGI[59 ICI[%A'11C M14BEn <br />slcNuun¢ CA:[ <br />CnY PUC/¢SS IC(NSC IAA <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 ITOILET) <br />ABC— AHNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK L DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />i <br />GAS RANGE <br />SINK (SERVICE —BAR. ETC) <br />I <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL S <br />SUBTOTAL 3 <br />PERMIT S <br />PERMIT S <br />TOTALFEE S <br />TOTALFEE $ <br />FOR OFFICE USE ONLY: hlG2 40 <br />TROTH 5C1BACR PCARSEPIAC A DOE ulw. R ET4CKMKI@EP nF A I WCEPT.0 <br />USE ZOA <br />OT ARWI' <br />VACANT SITE <br />FEES <br />J <br />nns_ <br />REIGNT LI411.TIGN <br />Ci 4h[uVAi <br />41ELa I q^. <br />PIU.fP1E. <br />UMIS <br />- <br />ORWANCV W07cs <br />01 GON <br />OCCUP"T LOW) <br />BASEMENT <br />wC.W <br />OEEE <br />TIRE SNIPIALEP REDO <br />PE�90y. <br />ADOIiOH4 RAI1GIICK <br />O <br />i_ S �[OI V <br />011,ER <br />FIRE AURY PLOD <br />PLANS CITY C`F EVERETT <br />STATE ENEDN0 DIPDI4ADE <br />TY'PEa coNST <br />nmLc rATPrs <br />STELES <br />TOTAL <br />/`E <br />pATE j TAX CODE IS 3105 <br />