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APPLICATI� FOR CONSTRUCT�N PERMIT� <br /> CITV OF EVEHETT�BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERE7T,WA 98201•259-8810 <br /> ❑ DEMOUTON �COMBIN�TION �BUILDIN6 ,Y1 MECNANICAL �PLUMBING ❑ SNiN <br /> PROJECT ADDRESS: /C Z�- �J z i n�ol�(L. tf�'6Z=� <br /> ��2�n1 Cnn�c�=�/S3no tf9.2�cu2fY;.i�v. wiuri��o c.,/� S87 �S 3�lf-oZSZ <br /> pN�fP V���UA{55 Pfv l�� ��h <br /> lIN�41 u�K/LOR55 O�� l�o P�quF <br /> OC✓Nk12 . <br /> •ucµrzaoncesr,vm u���oaKss an —in. i+�art <br /> a W N��Z <br /> cr�en4cwin.c�rn �m.00mss cnr nr nwwe sn�F�cFusE• <br /> .C�.�,�.dJ _ <br /> 4ECN14�C4C)ONIfUC�01� 4�1I.�1�{55 fllY )1F 1���P�F 5111EL�CEM$f• <br /> �� /�[ Z <br /> MV4BniGCON11Uf,Iq1 4�R�CM65 O�� P� MqNE S1�fElICFMSE• <br /> .5 ooe <br /> cwm.0 mcc«wonK HEATING SYSTEM: AS ❑ELECTRIC ❑ <br /> '�i 7;)7 <br /> ascn�e[wonx u+o sou�nt rm�w[mvavco corvun n nsw•.n r�qr.t xo <br /> � � = IOU t£ /'�N1� /9L� Z�/J CaVLG� _ <br /> N/. NCC �L/ �' <br /> J%/t�1/ �Z/�a-. /!^'J /3'3�� �^"���N�2�"` . � ��EREOY CERTIFY THAT I N�VE RE�� �NO E%AMINED THIS <br /> ��PIICATION�ND NNOW TNE SAME TO BE TRUE�ND CORRECT ALL <br /> n sm ss or nuim�«: PROVISIONS OF UWS ANO ORDINANCES GOVERNING THIS TYPE OF <br /> V�3 LL� ^� WORK WIIL BE COMPLIEU WITM WHETHER SPECIFIED MEREIN OR <br /> i[c�iMxnmua�a � awveuan'wenKxiv.vtonE51 NOT. THE 6RANTINO OF A PERMIT DOES NOi PRESUME TO GIVE <br /> ior �� �i�w��_a /Z/=I�aI ��ni AUTHORITY TO VIOUTE OR CANCEL THE PROVISION OF ANY <br /> _ � OTNER SUTE OR LOCAL LAW PEGUUTING GONSTRUC710N ON iME <br /> PERFORM�NGE UF CONSTRUCTION.TM�T 1 AM�UTNORIZED BY THE <br /> OWNER OF TMIS PROPEFiY TO PERFONM THE WORK FOR WHICH <br /> � RPPIICATION IS MADE ANO 1 COMPLV WITH TNE STATE � <br /> rvictuum,n�ew CONT TOPSUW1027 QWAND296.QOOW�C, ! <br /> SS-36 �Ln oo cY� ar �� . �� � �� i <br /> LOMSIIIVLIIpIIO�nIfHM�1 M�p1F55 tfl[1'MCNEMIVI1E11 x � <br /> J-N//.i ..�.:s- �34n� s e o.,e , <br /> I <br /> �U'o VC L aL3..$ G.�LV3-�/)r.v /I^�aLA cn eusrrcssiccHscrro ' I <br /> PLUMBINO MECNIINICAL <br /> NO. TYPE OF FIKTIIRE OII ITEM FEE NO. T'VE OF EOUIPMENT FEE _ <br /> / WATEFCLOSET�TDILET) / NC-NHNDLOUNRS _ i <br /> BATNTVB PoRCED AIR SVSTEMS ' <br /> --r- <br /> � LAVATORY(WR511�RSIN) NERT PUMP <br /> % SHOWEB UNITHE�TERS <br /> / K17GHEN SIN�6 OISP � CLOTHES DRYEHS <br /> OISHWASNEN / MNGEl100D <br /> / UUNDRYiP�v / WA7EHNEATEf1 <br /> / CIOTHE5WA5NER —� / WOODS70VE <br /> / URIN�L METALfIREPLACE�WO0D8URNING) <br /> ./ ORINNING FOI1NTnIN / FIREPIACE INSERT�WOOD BURNING) <br /> / FLOORORAIN / GASfIRGPLACE <br /> / ORCNPLOWPREV[NTERS � GASFANGE � <br /> / SINN�SERVICE—OAR.ETGJ � GASPIfING —�— <br /> E%IIAUST FAN <br /> _ — �i-- <br /> SUBTOTAL S SVBiOi�L f ' <br /> PF.RMIT f PEPMR S �-- <br /> TOT�IFEE f 10TALFEE f �� <br /> FOR OFFICE USE ONLY: <br /> rncw�urn.ct nr.nsnn¢r sm�snp+cv nmarccxmnnrn nr nrur��o <br /> ''. Zo' 5 � '(r7 i '_: =1� <br /> c" - <br /> vs�Imr �o����^u v�Umsnr FEES W11U11TI0N FEE _ <br /> �' � `).�'l ' []Y[5 Q(Nfl 111Ftf�MC. p'� �� .'1 i <br /> Mf�G1�il�u�Ini�OM M�ppW[lliMO 5�t[OfBlW�il <br /> �`�'/ Vrvllt I 1'111V111M1 <br /> �t3� s,f Pno,� __-- <br /> c<corwc. �uns�rois occvr�M��o.o n�sEue�� uio�w�cu <br /> r.nwn � <br /> L_ ❑r[z �4vo -- � <br /> m+isna...rtnnmo n��uw �ounnvnin�aortc. <br /> --i--- <br /> mwn <br /> naeuneunroo �usrn <br /> s«�[ounnivr.smuunc[ _ /_ IF'/� <br /> }i� <br /> rvrioicovs� rinvs�rmwv�nnr�_ qTYOFEVERER rum�r,wonrs — ____ <br /> LOCALSALES <br /> 1T_u ,�,� �z/��15� TAX CODE IS J105 TOUL <br />