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APPLICATI& FOR CONSTRUC&N PERMIT <br />CITY OF EVERETT - BUILDING DIVISION <br />02M CEDAR STREET - EVERETT, WA 98201 - 257-88113 <br />DEMOLITION COMBINATION )( BUILDING MECHANICAL PLUMBING SIGN <br />nu1M-q CO.1MCiW ..Is <41 n .-rt!a SI.M'"l . <br />UWIP l vNCf p w0w <br />/ — <br />HEATING SYSTEM: -: GAS 11 ELECTRIC " <br />IXSCPIXECK#�(pt' NIPr10 <br />w26tivtt er- 760sq.ft <br />CO\1KI nhLVr ul; nfYt Y] <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION WO KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISION!, OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COUPLED 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 296200 WAC <br />X <br />.•.ohovo us[ a Fln0al0 <br />Ilnu u6cnalgKIY IYXRKI. I1. Kww aulv4 MOCWH <br />wl l-ES aac. a <br />.-01$-0= CODA- LaT 14jN Ler S+{S 30.21•CK• <br />Lt7�i�0005.Lm3+A•C„1`a5-�,�I <br />vucu lA. Io rYv. <br />LOT -1±fl-5 a1-d5' 001 -o0o7 <br />L LW 511MA:If)ry1VY11(rl44yY1ll llll.MN L1lIM <br />F.'i.r.'WV pS1I <br />c"1 tu1M \l 11I MI N <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />F[[ <br />WATER CLOSET fTOKETI <br />AC-AHNDLO UNITS <br />_ <br />BATHTUB <br />FORCED MR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEATPUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK S DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />---- <br />_ <br />LAUNDRY TRAY <br />WATER HEATER <br />�— <br />CLOTHES WASTER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />--- <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT RW000 BURNWDI <br />FLOOR DRAW <br />OABFINEPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE - BAR ETC) <br />GAS PIPING <br />EXHAUST FAN <br />SUBTOTAL S <br />lUE 1p1AL { <br />PERwr s <br />ttwn { <br />J— <br />tOiAlf[E s <br />TOTAL FILE { IFOR <br />OFFICE USE ONLY: <br />07-0 _', Z 3 . o <br />III(11.1 MIA.cry/1F <br />wYM.Yr. <br />�c�� <br />nwc.I • I. <br />VAl UA1KH1 <br />rl•WLI\ <br />wctnw <br />uM 2pKT <br />N(MilY01 r <br />\OI AwS ..[SINS H11 <br />.00pWRMI NIFO abSb <br />-%�� <br />V . Iaot'�}I <br />IYA.f1I.lUW� YrrM <br />C <br />4M.•�OD <br />mrR <br />.M <br />S �/)�_ <br />P.R\\.n <br />v <br />I.1.yN <br />\•/LEIS' <br />narl Pal CItYOFEVERETT <br />/a�� LOCAL SALES <br />MIT / TAX CODE IS 710S <br />_. <br />SranMWY/Vw•a <br />n�cawa <br />MAL <br />