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JUN-26-00 MOM 03:47 PM EVE PERMIT SERVICES FAX NO. 42 57 8857 P. 01 <br />APPLICATION FOR CONSTRUCTION PERMIT <br />�* <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 •257.8810 <br />IOLITION 1.1 COMBINATION [l BUILDING r MECHANICAL Li PLUMBING T SIGN <br />Nl <br />/FCNF '•tECiK CF[YAC:I Vnvn—Llx:Y. C.rt. >:'A Mom' <br />CF+SPACIaiAnaON � NYLNOG45$ CILT T> NICpC LT1T[lL[1rt!• <br />a.: Ts—i ?Tia HEI AT1NG SYSTEM: ❑ GAS n ELECTRIC <br />=d-.{Ld-I--i_LL=z_.—.—.-- <br />r <br />"sCr. i,i \':OKAY [a:nFC fuDrr\^C pIPKO _ 1 <br />ccNrreTrEPiar ANe nNrs No. <br />.. <br />`—_�TS^LEI �IifLr L i%OT 1A�i1]�I /N •/L <br />y� <br />�_i.. <br />1 HEREBY 1 HAVE READ EXAMINED THIS <br />•� � <br />BE TRUE AND CORRECT. ALL <br />NANDK KNOW TRUE <br />APPLICATION AND KNOV! THE SANE <br />�,ns..•—.nu:L ax'mo� <br />PROVIS:OVS CF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />C <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />L[c.L accm•uon Qrrwxu,rr s'[v:N n. o.r o••rT'rl leo cmtsl <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PFIOV151ON Or ANY <br />OTHER STAIE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />TIIE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM ALI IIORIZED BY <br />--'-- --- <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITII THE STATE <br />OONI _-Tons LAW IB 27 RCW/A�ND 296.2M WAG. <br />eA;�LLucm Nlx.t <br />CMS1P\KTLrLO+N I[nUf0.MUI1G55. [[L[I'YpL MN6fP <br />X <br />SCN+TV PF <br />PLUMBING <br />MECHANICAL _ <br />_ -------- <br />__— <br />N0. TYPE OF FIXTURE OR ITEM FEE <br />NO. TYE OF EQUIPMENT FEE <br />--�— <br />WATER CLOSET (TO!LETI <br />! <br />_ <br />A'C— X`HNDLG UNITS <br />'— <br />_ <br />BATHTUB <br />!WASH BASIN) <br />_ <br />! <br />FORCED AIR SYSTEMS In. <br />HEAT PUMP <br />_LAVATONY <br />SHOWER_ <br />THEATERS <br />_ <br />KITCIICN SINK 8 DISP <br />i <br />CLOTHE$ DRYERS <br />CLOTHES <br />—_ <br />I <br />DISIi1YAS1iER <br />+_ <br />RANGE IIGOD <br />�— <br />—1—"' <br />LAUNDRYTRAY <br />WATER HEATER <br />- <br />CLOTHES WASHER <br />i <br />WOOD STOVE <br />I_ <br />_- <br />I URINAL <br />METAL FIREPLACE IWOOD BURNING) <br />-DN•\KING FOUN GIN <br />1 <br />FIREPLACE INSERT IWOOD BURNING) <br />!_ <br />FLOON DHAIN <br />i <br />GAS FIREPLACE <br />— <br />BACKROSY PHEVCNTERS <br />! <br />GAS RANGE _. <br />GINKISERVICE— BAR. ETC.) <br />! <br />GAS PIPING <br />EXHAUSTFAN <br />I <br />SUBTOTAL s <br />i <br />SU3 TOTAL S <br />PERMIT $ <br />I <br />PERMIT S <br />TOTALFEE s <br />—� <br />TOTAL FEE <br />FOR OFFICE USE ONLY: <br />tFnr*:cre+LM IIEM ssm+Lt ifE <FTeKN PLANQ¢c11 M11mW Ice A[CLmTNO <br />o[e TO+ <br />LOT <br />LOT• <br />F ONO <br />YAWATION <br />T— <br />fC1TUM+TON <br />111M1+ <br />W <br />L II[WvK!\uM1DaS <br />rLms N <br />OAQN ry .w.P IINrt: <br />OCCiT9U2FAAO• NwTL <br />rcTsrtSIs <br />LOa <br />Ono <br />[C..L <br />_FEE <br />AodmN• LTI+FNEQEIC$ <br />+NF-tNa PV-a <br />1i,E NI.APM ACED <br />F[A$+, <br />afnVl <br />_ <br />I _ <br />FG:Cr <br />srnm eunanJ suncwANaL <br />--- <br />wnik+rorrs <br />I TOTAL �___ <br />T.FS Or caeT <br />Iw,sAwPov[u e. <br />CITY OF EYENETT <br />DCAIL <br />A TAX CODE IS 3 OS <br />