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.�FROM�CITY OF EUERETT BLDG�T 10� 2067677Sd3 MRR 22, 1994 L'SSFM p246 P.02 <br />� <br />APPLICATION FOR CONSTRUCT�JN PERMIT �✓� �I <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />_ .... _ I � <br />HCATING SYSTEM: GAS U ELECTRIC U ___ j <br />BUILDING DEPARTMENT ---•- --� --- - - � � <br />259 8d10 � <br />I I DEMOUTION_ i I COMBINATION _ I BUILDING �IECHANICAL � I PLUMBING i i SIGN � <br />U �.y F F!M��lYCe` CitY Im �hUtlt <br />/��'7/I�� � ����% rI <br />J �,I�J '�.17{�.�-Jdla_LJLfLI��%���i.�—�Si'C'rc Ff'.__�GI—_.Q2,r�.��J�..""_'"—"'__I <br />fr�l �.� � rqll AII(IRr$$ C4Y LIH MUIfF <br />.. . .. .... _ __.. ._ __'_ '. .. _._ _....._' '_"_ <br />AO'lli LG}OIIUCGh:'.Cfi 1.•All4DDR[5: f:'I�' 7O FHONL � <br />!L <br />j S <br />__�_ . . ..."'__._'___"_'___...._. . _....._�_____" � <br />GV:tIIA./C�VN111pC1U11 NNI�DDOC•u'. GT� 2i^ PI�OHE EIATCtI:.f�1Sf• i <br />_Lt11_—_...__"_'___'____ . _ I <br />�GM�vIC�:GCN7�lACt• 1 �I:�DJI�tG5 —..C�Tv �I^ PIWNE $tATCIIC:ilSC� I <br />��uu • �i _�l.tkQ1.�._1��i�1_`�K�tiZl�9sic.� ���s ��o� ��c�/�L�co7��-; <br />PLVIAOINUCU911U.1U11 N41LAL1 IIGS5 C�.1• 21P YN'JNt .� I�LICCqS f <br />���' '""'"""'._��. _._._..." "'___'� <br />;;or �m��c�r/r�n,¢\t�Y v' icn <br />_J.L�SL�I �'--'�—".._ . . -- <br />ui�,c�noF WUO AFUFOVMiCf�q+�G=�NYi�:YlV �u�� £ <br />i r�SXt.ti�1 �l5 tk,��'l��c�ce.. ..� - <br />�._c .�s lo`� ��.) � o�`z _..�-��� <br />�FnaoS �� �SFoca nniNc� —._._�..... .. .. ...--- <br />�� <br />L�L G�.---------------�-------- <br />iFnni nrsrni>ri�nrraorrarv�su.^.wsoc�owonnrrncunvocorrtei <br />�or. . . 7�a;K c� ..... ._..--'—.._..... . <br />�I.Ff.Fi TAXIf1 NIIMpff• <br />CAiNS'011.^.Tldi LW N Lb�UFF cDbFfF9. iClCl'HIXic NUY6E�l ___' <br />LAVA(ORY �WASI I <br />SHOWER <br />DISHW�SNEfi <br />LAUNDRYTRAY <br />� � CLOTHE5 WASHER� <br />UHINAI. <br />DRINKiNG FOUNTAIN <br />BACKF�UW PREVENIFHS <br />ROOP DRAINS� RAINLEA�ERS <br />SINK (SFHVICE,PAR, FTQI <br />FOR OFFICE USE ONLY: <br />1fq916'CitlFCY. I HtAq; <br />UuCIOHC •-.-�.'� <br />iwi Cf CO'lST-- <br />;;:� a o�e::-- --- <br />OCCUF'ANf,V1Gh0 <br />RCAGON ._.-_.._—' <br />R11�KG bY —'--- <br />TOTAL $ <br />MIT $ <br />I lU1 AHt� <br />NO.UF5IUP�CS —" <br />rinC SraMK�.Lm; n[oo <br />I�IIfAUII`AFpUU - <br />�l A'IS Af PlOYtD BY <br />I <br />�.i YES ! i NO <br />rer+�n. �ac�art�n.,.i:via <br />!..J YES l i NU <br />MG1041 LIMIIq11U': <br />CITY OF EVERETT <br />LOCAL SALES <br />CCNuw re:�SUu:N6 PMOtik nU � <br />�i,�.►'W—� �( �5- 7� f2� i <br />I NEREBY CERTIFY 7HAT I HAVE (iEAO �ND EXA�AINED TNIS <br />APpUCATiON AND KNOW THE SAME 10 BE 1 HUE AND CURREC7. ALl <br />PHOVISIONS OF LAWS AND ORDINANCES COVFHNINC 1HIS IYPF UF I <br />VJORK WILL BE COMPLETED WIRI WHGTH[R SPECIFIF.D HF.RF.IN OR <br />NOT. THE GflANTING OF A PERMIT GOES NOT PRESUMC �O GIVE I <br />AUTNORITV TO VIOLATE OR CANCEL 7HE !'HOVISIUNS OF ANYi <br />OTHER S1ATE OR LOCAL LAW REGULATING CbNSTRUCTION OR THE � <br />PERFORtdANCE OF CONS7RUCTION. TNAT I Ald AUTHORIZED BY THE <br />OWNGR Of THIS PROPEHTV TO PERFORM THE WUNK FUk WHICH I <br />APP ATION IS MA�E �IJD I COMPLY R'ITII TIIC STATL � <br />CO H CTOHS LAW tB.27 HCW AND 29P.200 WAC, i <br />� <br />ii. t(�: gJ�l, �:��� l � <br />f.rt�'HC:I:Ffi51�ff��E✓.lJ•_..... . . . ..__....�_.._lulf_lJ'��L.�/ y% i <br />TYPE OF EQi <br />A?C� A+HNDLG UNITS- <br />FORCED AIR SYSTEMS <br />UNIT HEATERS—B.T.U. <br />GLOTHC-S DRYERS <br />VENTILA.TION FAN <br />RANGEIIODD <br />WATER HEATER <br />WUODSTOVE <br />METAL FIREPLACE �WC <br />fIREPLACEINS[PT <br />NEAT PUMP <br />GAS PIPING <br />----' . '- _'-.— � I <br />. - - � <br />> � <br />-- "'.. . _ , . _ <br />� <br />---- ...�. _ _.� _ j � <br />suororn� c — ��O _I <br />_ PERtd1T S � � <br />TOTAL FEE 5 �%� I <br />El/1LDi1JG <br />PLU,:OING .�.. <br />M1iLCI ��NICAI <br />RDDi11UN�L VIAN CHECH <br />�THER <br />51A11 Ulul DINC SIIRCHARGE <br />PUBLIC WONKS <br />ND <br />i <br />_. ' _. <br />. � _ <br />