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�'k, , APPLICAYI�! FOR CONSTRUC7�N PERMIT�� <br /> � CITY OF EVERETT•6WLDING DIVISION <br />�°�`� � 3200 CEDAR STREET•[VERETT,WA 98201 •257-BB70 �T <br /> L' <br /> __�,"�dt� DEMOLITION �-: COMBINATION i i BUILDING ;-: MECHANICAL PLUMBING - SIGN <br /> .�{^'�' PROJECT ADDRESS � <br /> �. � � Zy zS 39 TI-� STr�.�( I <br />�1�' , e�.�n r.w�a�n[ss `� urv ' ii> prron¢ ! <br /> ��a S� J��, � — <br /> !CANt M�M1��ORCSS �ILY ZN PIIONE <br /> 11''�:'�r'`'� /� 6�/ <br /> Jni1lCLOPp.,.dlCq NAIL�OOPE55 LiIY jIP FNpryF. � <br /> :4[.C��«CONiReCIOR 4Wl�O0P[55 LIIY Zla %KK1E SiQEIILENSE• <br /> _�Ewt�D <br /> �'we{.. - .cC�+rnec*on Mni��D�acss �nr iiv �� rr�one � Sie�c�ker�sE• <br /> `'s?,�„l4nsp �3ko3 SI`lITN A�ULE �U�EP�T Wl� 4z5-�Oj. SWF�-l1�rtloeBPA <br />. .. .. �111..L� M"�S h'{����C.IF'L �-5' /Q'1`� — '' <br /> ' ..�;rancrvncccrv:onK / I <br /> ' p6 HEATING SYSTEM: ❑GAS G ELECTRIC C � <br />- - _ .c�:�.ucrnereerwsou.nerootecuHvaveo �arn.c�v�asw+u+ov�wrverq � '. <br />�,r:rt.�:. .'__ I1 <br /> i <br />�:fi'�� - I <br /> � � I HEREBY CERTIFY THAT I HAVE FEAO AND EXAN,INED THIS <br />� ��r�� '.uouseorewmwc APPLICATION AND KtJOW TME SAME TO BE TRUE AND CORRECT.ALL <br /> -j PPOVISIOIJS OF LAWS AND ORDINANCES GOVEHNING THIS iVPE OF <br /> WOPK WILI �E C01dPLIED WITH 1M1'HETH2R SPECIFIED HEFEIN Ofl <br /> �t! �� i rscmanor�aaaoacettis�av:rvnE�owo��*t�cnm�otowEs� NOL THE GRANTING OF A pEF1d1T DOES NOT PRESUME TO GNE <br /> �°���� oioce or AUTMORITV TO VIOLATE OR CANCEL iHE PROVISION OF ANY I <br />������ OTHER STATE OR LOCAL LAW qEGULATIYG CONSTRUGTION OR TN; i <br />' ��'� �' PERPORMANCE OF CONSTRUCTION.TMFT I AfA AUTHORRLD�Y TME <br />`��'"..ti��� OWNER OF THIS PROPERN TO PEflFORh1 TME YlORK FOR YtHICH � <br />�'"'1-�'` APPLICATION IS IAADE ANO I COMPLV WIiH THE S1ATE <br />�����`� '�'auxioHuue[n CONTRACTORSlqW1827RCWAN0296200WAC. <br /> A��ri'$� -_ <br />'���{' '.'SIPURIO'1lOPNlE�NE0.A0DPE59,TELEPNOHENUMBEP <br />��� SiGN�i11FL pl,i[ <br />�. � 1 <br />. CItY�UiI1:F:`vIICCN5C110 <br /> � PLUMBING MECHqNICAL <br /> .g,_ `i _I10. TYPE OF FI%TUNE Ofl ITEM FEE N0. TYPE OF EOUIPMENT FEE <br />,�.�. � � l'/ATERCLOSETQOILET� �(;—hHNDLGUNITS <br /> a.�{C` �ATHTU� F CEDAIRSY TEMS <br /> '�.� + LAVATORV�WASH BASIN� HEA PUMF <br />�����a � SNOWEP UNIT EATER <br />����~�£� I KITCHEN SINK d DISP CLOT 5 D ERS <br />�"�� I DISH1'lASHER RANGE 10 <br />'':��3 <br /> . LAUNDRYTPAY WATERI - ER ' - <br /> Mj�'tk CI.OiHESVlASHER WOODS JE I . <br />���, � URINF� MET�L FI �,ACE(WO00 BURNING) � <br />��y;',�. DFWFINGFOUNTAIN FIFEPLA EU ,EFT�V�OOU�UFNRIGI <br />�� � FLOORDRAIN GASFIR PLAC <br /> �ACNFLpW pqEVENTEFS GAS Rn GE <br />''^'+^' , SINK�SERVIGE—�AR,ETC.1 GAS PI ING <br />��„�j t �1J.�1'TF/t l � EXHA T FAN L _ <br /> `'� e S C <br />�r.. ,� <br />. ��p� -- <br /> '�I Sl1BTOTAL 5 SUBTOTAL S ' <br /> � PERh11T 5 PERMIT 5 <br /> TOTALFEE 5 TOTALfE'_ 5 <br />�( FOR OFFICE USE ONLY: CJbO -OO <br /> fPO�IIS[ip4CN OGFSElOACL 5iO[SE10<CN pUHOi61tNU406i I[E RECEIP}NO <br /> 1 <br /> usizon[ i,orv.r,�n vec+Hrsrt FEES VALUATION FEE <br /> mes n rvo omiowo � <br /> . . .���n ivartnrar+ rvo ev owuu�u.; srzE or o�a:n � <br /> wms <br /> ttuueirva <br />�.��` � '.iipFNCY iUW51Ca::5 GCCM�MLOAO dASEBENi IAECNWK4 <br /> I ❑YES Olq <br />�'�� . SPqu1RLEPPE00 PEASON IDOItpNqPIANCNECN <br /> _ OiHER I <br /> �141ARA1PE00 PE�5011 <br /> SiAIE BN:DiNG SMCHNGf <br /> ��eorcac:r vwis�vcuoveuar CITYOFEVERETT voo�cwonhs I 'v <br /> LOCAISALES <br /> . � � TAX COOE I$7705 TOTAL � <br />