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APPLICATIOA FOR CONSTRUCT.ON PERMIT�}�► <br /> CITY OF EVERETT• BUILDING DIVISION �/� <br /> 3200 CEDAR STREET• EVERETT,WA 98201 •259-8810 �C��'�" <br /> fl DEMOUTION fl COAABINATION fl BUILDING f 1 MECHANICAL i ' PLUMBING f 1 SIGN <br /> PROJECTADDRESS 2,�`Q VI�W GfL�S� �IJiC S•W • CJi l�+�71 <br /> %�'�3 <br /> owrven Maaaooness cm zir r�wr+e <br /> Zof.n ����Y 9T29 'DEL �l�MPv GJ�.i�Zf 9�2�£�s 3j7-,�j��7,L_ <br /> IENPNT MAl1.ApORE55 GLY IIP PIIONE <br /> ARCNITCCT OR OESIGNGR MRII ROORE55 Cltt JiP PHOhF <br /> �A�.n,G� ��SSar 3i23 Frt¢�i�ev� kJ�� t_ S �'-�-�r�. 9�Ia2 �Zoc 32Z• 2�z ( <br /> GENEliP CO41f1�CiOR ^1 MA� p 55 Ci1V :iP PNU4f SIAi[IIC('NSG• <br /> ',Q/ .��1C1<� �fi�i � �11 L�/ � <br /> NF.I:HANIC�LCON7RACi0R MMIA�DRF.55 �i�7� f910N[ StATELICFNSE� <br /> PWM6INGWNiRRf,TOP MAI�ADORE55 CILY ZIP PIIONE STAiE1.ICENSE� <br /> WNT�ACT PRICE OF V/ORH �� <br /> � �(�O_ o00 . HEATING SYSTEM: GAS f 1 ELECTRIC f l <br /> DESCPIBE WGRK RNp 50 PRE FOOtPGE INVOLVED CO4iAGt 4'GRS(1 �Np PIIDN[NO <br /> 2 Sr�czY �-�a,.S� c,.l cxZ- 1�hcP�w.EN-r �-�J -- <br /> t� p ca�' �• G/� kG� �� KV� -359 <br /> / 72v I HER _CERTIFY THAj_1-ii VE READ AND E%AMINED THIS <br /> ,Lb�� - g3�t9 l�NG . I`E3G 4N�iN ��p7 Gh'ip� APPLICATION AND KNOW THE SAME TO�E TRUE AND CORRECT ALL <br /> anoros use oF om�oiNc PROVISIONS OF LAWS ANL ORDINANCES GOVBRNING THIS 7YPE OF ' <br /> ��NG� � (�aln���.'t ��Jt01� �- WORK WILL BE COMPIIED WITH WHETHER SPEGFIED HEREIN OR <br /> LEGALOESCIiIPTtONOFPBOPERttISNOWNBELO\40RATTAGHI\VOCOPIES� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �oT eiocrc or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> ��� (� j G���() PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPL;CATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCEITA%I D.NUMBEF CO T CTO�iS LAW 1827 FAW AND 296.200 N'AC. <br /> U22oo �Z �poG- vc�o2- � //� �/ p( <br /> CONSTROCTONlO�NL[NDER.AD�RESS.TEIEPHONENl1MBEB x ,V.,�/ —' � S'�£C7 . � 7 l���/J' <br /> 51 N tURE OR1E <br /> CIN OUSINLSS LICf.NSC NO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI7(TURE OR ITEM FEE NO. TVPE OF E�UIPMENT FEE <br /> WATERCLOSET�TOILET) � A/C—AMNDLGUNITS—H.P. ' <br /> 'L BATHTUB � FORCEDAIRSYSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WASH BASW) � HEAT PUMP <br /> SHOWER UNIT HEATERS—D.T.U. M ' <br /> � KITCHEN SINK 8 DISP - i CLOTHES DRVERS i <br /> I DISHWASHER - VENTILATION FAN <br /> � LAUNDRY TRAY � i RANGE HOOD ' <br /> T <br /> 1 . CLOTHES WASHER WATER HEATER <br /> URINAL ' WOOD STOVE <br /> DRINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR DRAIN FIREPLACE INSERT(WOOD BUqNING) � <br /> BACi(FIOW PREVENTERS ; GAS FIREPLACE i <br /> SINK(SERVICE—BAR,ETC.) GAS RANGE <br /> 3 GAS PIPING <br /> E%HAUST FAN � � <br /> i � <br /> � <br /> ---r— <br /> SUB TOTAL 5 � �Uq TOTAL 5 f <br /> PERMIT S i PERMIT 5 <br /> TOTAL FEE $ TOTAL FEE S —� ' <br /> FOR OFFICE USE NLY: <br /> fRONTSFT(1ACN � RB�fiSf-TpACN �iDESETURfK PI�NCIIf.CH MpFp �FG /Q �FC[IPiNO <br /> � f ; ; % 7 l,�77 _ <br /> ;;,�: <br /> us�ioNe � �, � iornr�n vn�sire � FEES YALUATION FEE <br /> �� i�v�s �, Ho nunmH�: /(0 733 �J� <br /> n�ic��ruui�7ti r+oocowr.i�c siz�orm�xrti � <br /> 33�`i Sf C�viu4 ! riun�oiNr. �� <br /> � 2� S� GA�P4� �-- <br /> OCCUP�NCV Np pf S��Ri[5 IX:CUP�Ni L04U BRSEMENt 0 � <br /> GIIO.IP � � MfG1�NILAL _ " <br /> 11Tkti fl NO <br /> ,c-s u , Z N a --- ��{�;� <br /> �mr:nLnnM nEon nrnsoa nnonio�+ni.ri nN c��r.CK <br /> mnen <br /> rinesrniNKiFnnFon r+rn�oN • <br /> ' srmr.nunoi�+csuncunnr.e � <br /> ivrcorr,or+sr vinNsnrrnoveonv CITYOFEVERETT rum�cwnn�s 2O�_— <br /> JId LOCAL SALES -- -- � , <br /> �' TAX CODE IS 3705 TOTAL ���'�' • <br /> �'/�/ nnrE � 7 S — — — �..�_ .: <br />