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APPLICATI�N FOR CONSTRU•lON PERMIT <br /> CITY OF EVEP.ETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •25¢8810 <br /> I�I DEMOLITION f I COM3INATION Il BUILDING MECHANICAL 1l PLUMBING I1 SiGN <br /> PROJECTADDRESS I�iio �GC.�(Qa'�II2�' I-4VYA1�,1e �l,�l� 5'T� � � <br /> :J <br /> OWNER 4.VL�Od1E55 QtY 2T IMq�[ . <br /> P�w;�u,ce G�„rra� m�iczi c�„t�� <br /> ���Iw� wniuw�ru rnv nv nqrt � <br /> LUist�m Wasl���in� Med�i:.l Ce��t�r 13�J Rtr.Ga.�feller �n�ue �vG�eH WJ H$201 4a5• �.��- a4aL <br /> /.IMaR111:11pI�X:V1iM11 4MINI1119':•. 1:11• IR' 1'I[VX�. <br /> GEM[N�ltIXlfMLtd1 4NLMq1[SS GfY IM' 1Yq11E 5111ElILTNSE• <br /> MECN/�MG.LCN.�UCi0t1 YNLWqIF.55 GiY ZM %pNE Si1TEUCFNSE� <br /> un,�� S,ast,�s �. ia�� Sw KI�Gbt i,��S:� iw 4�a�Ne �iki34 au 4�+:�Aa�a UUIi�Sin�R8 <br /> MUMOwGCdHMCipi W1ILMME�S J GM1 IIP p�qy[ Si�fEIICFNSE� <br /> ��„�:,,,w�w,�� � IO (Y o. �'' -- <br /> HEATING SYSTEM: L"1 GAS ELECTRIC fl <br /> �[SL11�OF.WJIIN NN iqlMi.f WTbE WVOlVEO CON1�1Ct K115011Nq1 AipiF.Np. <br /> �U i � s r is���s i f II ie65�c �o� s �fo <br /> i �� 1 HEREBY CERTIFV THAT I HAVE READ AND EX�MINED THIS <br /> rnorovou�[a ninip APP��CAT10N AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISiONS OF LAWS ANC OflDINANCES GOVERNING THIS TYPE OF <br /> WORN W'll.BE COMPLIED NATH WHETHER SPFCIFIED HEREIN OR <br /> IEGAL0E5CPiPi1p10FPROPEPIYISNOWNBEIOWQ \IlACM1KVLOAES� NOL hIE ORANTINO OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ioi e�ax or AUTHORIT;' TO VIOLATE OR CANCEL THE PflOVI510N OF ANV <br /> OTHER STATE OR LOCAL LAV!REGULATINO CONSTRUCTION OR THE <br /> PERFORMANCE 4F::ONSTRUCTION.TMAT1 MIAUTHORRED BYTHE <br /> � OWNEH OF iH15 PROPER7Y TO PERFORM THE WORK FOR WMICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> ri.ncc5*a io.xuuecn CANiMCTORS UW �PCW AND 296200 WAC. <br /> y�85-ay�-oii•a�oi � ��3�5 - av�- u�i- oiov ����at� �� la � 00 <br /> CONSTRUCTp1lONIlEN0E0.�W11ES5.TElEP1�ONFNUuOER % <br /> wx�raE �'jr�. I G�, wre <br /> � an euswcss ueanse uo. <br /> PLUMBINC MECHRNIGIL <br /> NO. TYPE OF Fl%TUPE OH ITEM FEE NO. TYPEOF EOUIPMENT FEE <br /> W�TER CLOSET�TOILEn NC—MINOIG UNITS--H.P. <br /> BATHTUB FORCED/4RSYSTEMS—B.T.U. M E.A. <br /> UVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNITHEATER7—O.T.U. M <br /> 1cITCMEN SINK 8 DISP CLOTHES ORYERS <br /> DISHWASHER VENTIL�TION FAN <br /> LAUNDRYTRAV RANGEHOOD <br /> CIOTHES WASHER WATER HE�TER <br /> URINAL WOOD STOVL <br /> DRINNING FOUNTAIN METAL flREPIJ�CE(WOOD BUFNING) <br /> FLOOR ORAIN FIREPUCE INSERT�WO00 BURNING) <br /> OACKFLOW PREV[NTERS U/S FIREPUCG <br /> SINK(SERVICE—UAR,ETC.) OMS RANGE <br /> (�AS PIPING <br /> E%MAUSTFAN <br /> SVO TOTAL 5 SUB TOTAL f <br /> PEFMIT f PERMIT f <br /> TOTALFEE f TOTALFEE f <br /> FOR OFFICE USE ONLY: <br /> f1t0.�lSEiPKN IIEMSETp�GN Si�[SEIOKN OKGt E00�3 P[F PFCEiMHO <br /> uieiart i0lenu vecurtmrc FEES VALUIITION FEE <br /> f1Y[5 fllq OMOwf: <br /> IICIGIIiIIMIiATIOH NOO[WI[WN6 $ISEfIfOID(!fl <br /> unirs rtuwwn <br /> ocwrux:r xon�irn�s occurnn�iow a��ucM� u����yMµ j <br /> onour <br /> nvrx n rm <br /> nnEra�nuncon nFn,aw �onrwru.�niwa<a <br /> o�NEn <br /> nn[sriuHKi[nneao nEncw <br /> ar�iE owan S�mc�wqE <br /> �rr[orr.ovst nnNSMnqvconr CITYOFEVERETT nxxrwmsc <br /> LOCALSALES — — <br /> c�rt TA%CODE 15 3105 TO7AL <br />