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�. . . _ __ _ .r-r+nr <br /> � <br /> APE�LI�ATIOI�D FOR CO�lS7RlJ►C1r10N PEF��VEI'�' <br /> _ 1 D SV.1 � <br /> CITY OF EVGRETT • �UILDING DIVISI� . <br /> 3200 CEDAR STREET • EVERETT, WA 9�201 •259-�810 <br /> e <br /> 1-1 DEM01_ITION CI COMBINATION � BUIL�7ING ❑ NIECH/11JICAL f-I PLUMBING fl SIGN <br /> PROJECT ADDRESS � ;� <br /> � ' �� � , _.- c� I - ; � ,.1�,,, <br /> owr+en Mncnooness r.:rr � zm rnoe+e � <br /> 1 ���-L\� ��'i � � � � A rl✓i. L �ueT��.- /�J/? l.f'/D ' l :! .1� ' ;7 ? J �� <br /> 1'�\ :. ` ✓-'� r" -�� �__vl+� N y <br /> 1CNA;li MAIL��UIlE55 CITY ZIP PIIONE rl <br /> �i <br /> nf1CIIIlECTOf10E5IGNEf1 MAILAUL'PE55 CIIY ZIP PIIONE �' <br /> � <br /> GENEf1ALCONIf1AClOp 61AILAUOIlE55 CIIY ZIP PIION! SIAIELICEN3f� <br /> �iAn�L- �a `. ✓eu��.=iC'_ I��y��yl' T_ �ru � "f <br /> MECIIANICALCON7f1ACTOf1, MAILACDRESi CIIY ZIP PIIO�I[ SiNELICENoE1 P� <br /> PLVMOINGCONIf1ACiOf1 MAILAUOf1E55 CIIY ZIP PIIONE SI4IELIGEIi',:e� ��� <br /> f� <br /> GONiMCi POICE OF WORK `� <br /> HEATINGSYSTEM: �IGAS rIELECTRIC CI___ _-- <br /> orscnme wonK nr+o sounne wmn�e wvo�veo cor+tna rensor�nNu ruor+lNo. � <br /> �!,r�,,� t;%�,� � ; t�r1 .`. ic • .% S `� 1nl� r. �. r .�l �r-: _ 9 <br /> I U � �-' �,� i-"I I ',-, S- :S7po c`_ , 7 rcc, <br /> I HERCOY CERTIFY THAT I HAV° HEAU AND EXAMINEfi THIS ;. <br /> S - t1 �' '«�.cti c�, APPUCATIUN AND KNOW THE SAME TO 9E TRUE I1�D COHRFCL ALL <br /> PROPOSED USF OF OUILDING � q "�— PROVISIUNS OF LAWS AND ORDWANGES GCVEFlNING THIS TYPE Of- � <br /> ;,,u� I� n„�- I y / � �i cl e,�c%- b'JQRK WI�.L BE COti1PLIED WITH WHETHER SPECiFlED H[REIN OR ��, <br /> �ecn�vescmriwr+orrnorEnn�suowNoeiowonnrrncnTwm:�aiesl NOT. TFIE GRANTING OF A FcRMIT DOE3 iVOT PRESUUF ?O GIVE <br /> tor_�_oiocn or �' �V"r (t ,s�._k u�� AUTHOFITY TO VIOLATE OA C�NCEL THE ^ROVI810tJ OF ANl' � <br /> (�' � OTHEN STATF OR LJCAI LAW REGULATINId CONSTPUC:fIGN OR THE <br /> �jC:r�=�% /'�"riF�I� PcFlFORtDANGH OF CONSTRUCTION.THAT I AM AUTHOHI'LED BY THE <br /> ' -- OWNER OF THIS PROPERTY i0 PERFOR"A THF WORK FOR WHICH <br /> APPLICATION IS MADE AN� I COMPIY WITI�I THE STATE- <br /> rnnce�rnxi.u.Nm.+aen -- GONTRACTORSLP.W i027RCWAND.P6.2U0WAC. <br /> S�c.�I �� - c� v c'>- C� ��G� � ) !� _ - <br /> cowsinucnorvicnr+ier+oen.nooness,iEiernor+er+un+oen — � X � _,/,a ;JT� .;-�;;��' - ' /;� ' � <br /> sicNhmnE nnrE <br /> ' CI7Y OUS���E55 LICENSE Nq. <br /> PLUMBING MECHANlCAL _ <br /> NO. TYP��OF FIRTURE OF7ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> --r— <br /> �. � WATERCLOSET(TOILET) � NC—NHN��LGUNITS—H.P. ! <br /> BATNTUB ; FORCEDAI�SY�TEMS—B�.U. M E.A. ; <br /> � lAVA70RY ('NASH BAS�N) � HEP.T�UMP � <br /> SHOWER � UN:T;��EATERS—B.T.U. M ' <br /> KITCHEN SINK&DISP i CI.O-fNES URYEFlS � <br /> DISHWASHER � VENTILAT!ON FAN ' <br /> LAUNURY TRAY _ �_ F4�\NGE HOOD �_ <br /> Cl'JTHES WASHER WATEf11�EA�ER ' <br /> "— � l^lOOD STOVE ' <br /> �iRINAL � <br /> uRINICING FOUNTAIN i NiF.'iAL Flf!EPU�CE(N'UOD BURNING) i <br /> FI.00R DRAIi. � � FiRLPLACE INSERT(WOOD BURNING) ' <br /> � BAGKFIOW FHEVENTERS ; GAS FlREPLACE _� <br /> SINh(SEFiVi:E--BHR,ETCJ ! GAS RANGE ' <br /> �— <br /> -- � � GAS PIPING _ <br /> � � EXIi�UST FAN �_ <br /> —— -- � � <br /> _ , <br /> — � � <br /> � _—� <br /> — — — —'— i <br /> � <br /> SUB TOT/+L : � SU�T07AL $ i <br /> PERMIT $ i PERMIT S � <br /> TOTALFEE $ � TOTALFEE $ ' <br /> FOR OFFICE USE UNLY: <br /> Ff10NT5E704CK 1 R[��SETO. SIOES jQ K �LANCIIEqNtIUl.Iflf:fl FEEh L necr:mrr+o. <br /> �� ���h � � '- '�` . �. ,� ) <br /> II /rCJ' � <br /> VSE20NE � liornnen vncq�rsne FEES� VAWA710N FEE <br /> �_ �IIYES ❑ NO 97 66 /�•,jJ i5� <br /> OUILDINO [ <br /> IIEIGIi1LIMli IG � I..� Of'UWLIIING SIZEJOFOWG/I.I. � <br /> UNP., I v�l SF L���N�i S' PLUMOING � <br /> � - sp Gnaa��, I <br /> � <br /> O"GUPARCY NOAFSIOfllES OGCUPANILOAD OASEMEN� IdEC11ANICAI i <br /> G OU� �— <br /> �3 M�1 2 � nves � � <br /> FlfiGALAfiNf1E0'D IIEASON �ODIPON�LPLANGIIEGN � <br /> i <br /> OIIIEfI � <br /> PIf1ESPfIINI(lEfi0E00 f1En50N <br /> ST�TEOUIl01NO5UfiC11AI1GE � ���.,� <br /> IYfEOFCO�lSC PV�NSMPlIOVEDUY CITY OF EVERETT I rocucv�nnKs ' <br /> J�� LOCAL SALES �— <br /> _TiT-�J o,�ie UIZ�� �1.5 -il1X CODE IS 3105 I TOL�L ____ _�_ I <br />� _ � • <br /> - ' �- _— L,F . '' _�- _�' f!�`'� tF .. z......- .'"x n�et �i�� w ..� ry .c <br /> ...� 4 ���..nx.,,�`+. � �,... -- r"'� <br /> �.v�.. zR3�� x �dW` P k� /" <br /> , ....._..,,. '+n `Ti"'�'0" _...�.. . .. . .� .. , , . ,�. . i.u.'Fr e:r�-- . . <br />