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FEB-27-01 TUE 05:37 Ph EVERETT PERMIT SERVICES FAX NO. 425 257 8857 P. 02 <br />C <br />APPLICATION FOR CONSTRUCTION RERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERM. INA 98201 A (425) 257-8810 14Lm <br />2 DEMOLITION ❑ COMBINATION O BUILDNG� MECHANICAL PLUMBING ❑ SIGN <br />PROJECT ADDRESS 5 $ 3% t7J, �� 3 r A dam____ <br />( <br />/. <br />)vn, nP <br />H1DPF55 <br />G''T <br />ZIP <br />PI(XE <br />/J�/.PJ/Jd]__�Ar/iL <br />ILIUM "' <br />MAII MDnr55 <br />CITY <br />711, <br />/ <br />N OAi <br />----_--•C <br />_.... __-....�.In_ <br />InCnrTCT C1I�C [''+'G'.p+ <br />Miq Aonnr.SS <br />tr. <br />r.lu•.( .._—._._._. ... .._. .._..__ <br />��-� <br />LFro INL CQNUiACfgR <br />Mnq ADOnE55 <br />Clh <br />7,P <br />nl q%E S(A4IK:CNSF • <br />+FCIM,:ICAI CONE Ar.TOA MAIL ArOAES5 CITY TP P,,W STATr LICCNSCI <br />�111111}r.RCQI:1RAf.T(ri Mall eTXIRE59^-�- CI Ti 219--•���•YH^r,i •1 51A•(LIC[NSCI <br />:ANIAAC PRICE Or rfinK <br />"�_ _•--_ __ _._.. <br />HEATING SYSTEM: n OAS n ELECTRIC_ C7 <br />ue�I <br />c.cT'rePslr+��ore nl,olro <br />r: u7Py A.vl r.->,nrF .00l.voL�W <br />nJ <br />t' i .A.. <br />Ar�r� <br />C? <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />c, n p f tolle <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND OnDINANCES GOVERNING THIS TYPE OF <br />ORK WILL BE COMPLIED WITH WF6THER SPECIFIED HEREIN OR <br />-� <br />I ro , O uqC or rLIm,O <br />COn%tJ71 /A TO C./tP of. elllp^/L <br />rG <br />—^GCS) <br />CUL DQSMPI ION Or MOM RTY ISI $OWN OCLOW pl ATTACO oTw <br />Cc <br />VjOL THE GRANT OF q PERMIT,DOES NOT PRESUME TO OWE.r.• <br />._.�-__ nL(r.A _, ___ Or <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STAT R LOCAL LAW REWJLATING CONSTRUCTION OR THE <br />PERFORM OF CONSTRUCT N. THAT ; AM AUTHORIZE) BY THE <br />_�..__..__._....__.... ...._._ _.____.._.. ._..-_.. <br />_.. __—. <br />OWNER O HI$ PROPERTY PERFORM THE 'NCRK FOR WHICH <br />APPI.ICA N IS MADE D 1 COMPLY WITH THE STATE <br />CONTR ORS LAV1 IE.27 W ANO 8.200 WAG. <br />MRrrL TAX 10 In IMPLR <br />'--' <br />:O4�T(HI'lIOryp LOAN L[NIKR. AP014SS. iClCn11UNC NVMpCTI <br />X <br />CRY BUSINCSS LICCNSC NO <br />MECHANICAL ---•---_...._...-__- <br />ILUMBING —_ <br />--- <br />-NOy _ TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />F_EL _ <br />_ <br />WATER CLOSET (TOTET) <br />•_�_ <br />_ <br />NC-MiNDLG UNITS <br />fiATH 11113 <br />_ <br />FORCED A'R SYSTEMS <br />LAVATORY jVJASH BASIN) <br />PUMP <br />SHOWER_UNIT <br />_HEAT <br />HEATERS <br />KIICI-IEN SINK A DISP_ <br />�_ <br />CLOTHES DRYERS <br />__ <br />DISFIWASHER <br />RANGE HOOD <br />_ <br />I <br />-- <br />LAUNUHY 714Av--1-��- <br />IES WASFIER <br />WOOD STOVE <br />-� <br />- <br />_CLOTI <br />UR7^lAL <br />G. FFOM� <br />OHINKINUNTAIN _ <br />_ <br />METAL FIREPLACE (W300SURNINGI <br />FIREPLACE INSERI (WOOD BURNING.) <br />- <br />FL009 DRAIN <br />If <br />GAS FIPEPLACE <br />BACKFLOW FHLVENTCRS <br />CAS RrNGE <br />-- <br />SINK (SFRVICE -- BAR, ETC.) ^'_,•_ <br />_-1—� <br />GAS PIPING <br />EXHAUST FAN <br />' <br />i <br />— <br />---. _.. ----- <br />--- <br />-_— <br />_- ~�_—•_ SUB TOTAL S <br />SUB TOTAL S- <br />P_FRMIT 5 <br />PERMITS S_--�— <br />.. <br />TOTAL FEE- F <br />FOR OFFICE USE ONLY: <br />Iholo3-oD I <br />