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�r ' ~ APPLICATIC°1! FOR CONSTRUCT:��N PERMIT <br /> CITY OF EVERETT•BUILDING OIVISION � <br /> , 3200 CEDAR STREET•EVERETT,WA 98201 •259-8810 <br /> p DEMOUTION �COM8INATION ❑ BUILDIN3 O AAECHANICAI ❑ PLUAABIN(i ❑ SHiN <br /> PROJECT ADDRESS:_1f2����jr�kYti'.f�� 17�' F/F/1�j/�//}— <br /> �� <br /> ��p MN1110U�E55 <br /> �ais/�AMPFr °""'E <br /> p IIP <br /> //9// •�,.�m�E h, f.�,�o7f N�.. 9,P���P ��G�7''i;�.� <br /> ��� MMl 5 ('J!Y 71P p�qryE . <br /> /4�(R�Cc.�/ J'73/7 /Sf.�,C fv�/f l.t(,cDi.✓✓i<tF ,�,✓��. 9�'�7.L '`/�.��7J�.1� <br /> 'Zu�whcranoesK+�n w«�oo�ss cm % <br /> z�r rHpbF <br /> /11 CLFAr/ f Rvicc� PD• �eX 75— -�r��/,om�1/�/ c.✓.0.. ��.i`I.Z �.I�O��1�%J�E /'/'cL F/!J'��f7GGl1' <br /> +�,oE�tweaim�erw wui�ooness cirv nr wwNe surEi�nsE. <br /> �K�TR��TO� MN11100RE55 CIiY 711` PIIONE Sf�TELICENSE• -- <br /> RUMIGCON7RA�Td1 NMLAOOf1E55 CITY zIP PIqNE ST�fELICENSE� <br /> CONTII�GTMMCEOFMION(djC/ymlloS �_ <br /> H r��i HEATING SYSTEM: �1 GAS ❑ELECTRIC O_ <br /> o[eew�wow�ivowwntroor,wE.�vaveo . eowuerrensona�oc�wo <br /> i � �� <br /> a J�Cr� <-t.v1 S'f <br /> � I HEREBY CEHTIFY THAT I HAVE READ AND EXAMIN'e0 THIS <br /> ���� � APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS OF UWS ANU ORDINANCES GOVERNINI3 THIS 7YPE OF <br /> � WORK WILL BE COMPLIED WIiH WHETHEH SPECIFICD HEREIN OR <br /> IEMLUES�Pi10MOfPrKPEFTY1��sElOWORATLILH1MqCppIE51 NpT. THE ORANTINO OF A PEPMIT DOES NOT PRESUME TO aIVE <br /> �oT e�ax oF AUTHORITV TO VIOIATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REODUTNO CONS fRUCiKkI OH THE <br /> . PERFORMANCE OF CONSTRUCiION.THAT 1 AM AUTIIOAIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK fOR WHICH <br /> APPLICATION IS MADE AND t COMPIV N/ITH TME STATE <br /> v�ncKnuc i.o.rur.a�n CONTqACTOHS UW 1827 RCW AND 298200 WAC, <br /> S/9-lx�-oo �_ oao <br /> �,�,�„�����,. ,�� ,u. . R �..�'_...�.._ � � lS- 9!0 <br /> D�TE <br /> diYlU9ME5$IILENSElq. <br /> R.UM�MG MECHMIICAI <br /> N0. TYPE O�FlXTIIRE OR ITEM FEE NO. TYP�OF EGUPMEqT FEE <br /> WATER ClOSET(TOILET) � �_�6�� � <br /> ��� ' FORCEDAIRSYSTEMS � <br /> � UVATORV(WASH BASIN) � HEAT PUMP , <br /> , SHOYVER ' UNIT NEATERS � <br /> KIiCF1EN 31NK 8 OISP ; CLOTHES DRVERS � <br /> DI6HWASHER � qANpEFppp � <br /> . UUNORY TRAV ; WAIER HEAlER � <br /> CLOTHES WASHER i WOOD STOVE , <br /> � �R�� ' MEfAL FIREPUCE(WOOD BURNINt3) � <br /> DRINKINp FOUNTAIN ; FIREPUCE INSERT(WDOD BURNING) ; <br /> ��A��N � ' 6AS FlREPUCE � <br /> BACKFLOW PREVENTERS ; 6ASRlWGE � <br /> SINK(SERVICE—BAR,ETC.) �p�p�Np � <br /> FXFIAUST FAN � <br /> � � <br /> i � <br /> � � <br /> SUB TOTAL f ! SUB TOTAL f ' <br /> PERMIT S � PERMIi S � <br /> TOTALFEE f � TOTALFEE f <br /> FOH OFFICE USE ONLY: <br /> �AOMTSEf�kK REMSETlACN SIDESETMCN Pl�NC11ECl(HIIMBFR fEF RECE��fNO <br /> sa(vo� �� •.S <br /> usem� ioT�r�n VI�CANISIiE FEES VALUATION FEE <br /> ❑rEs ❑rw auimwr. � J/''� <br /> IIEqNT UMITATqN "o a owewra sxE or e�oart.i <br /> ��TS �/ Pl11MPiNG 1 <br /> OCCIIPANCY Iq Of SI(q(5 OCCUPM/T 1O110 l�SEMENf /�-� <br /> 6RO110 �� MECN�Mf,�L i <br /> •3 Z OYES �Np ' <br /> i <br /> FIRESPNINKLEqREO'0 RE�Sd1 �OdtiON�LMAN�HECK , � <br /> ou�cn ' <br /> FlRE NNIM REO'D RE115p1 <br /> ST�1E 011IlDINC 51111CNI1BC•E — 'K/j <br /> V/ / <br /> Trve a r.ovsr PL�N511PPnoyco�er CITV OF EVERE7T 1'IIBI�f.WORNS �� <br /> J1d LOCALSALES --�— <br /> ��/�I D�IE ZD TA%CODE IS J105 7oT�� <br />