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+__ �_� � ~��� �4 y ,_ � � f���� �,� ' <br /> r � �, ., � � . s�k > . � a,, t��. <br /> „ .� ': �.,,, � ',ti�: * ��..�_ .�" �, v . <br /> As ; �.._.� .�. <br /> APPLICATl� FOR CO�ISTRUC�N PERIVIIT//���� <br />���'�'�'�' CITY OF EVERETT•BUILDING GIVISION �/ <br /> "'"'-' 3200 CEDAR STqEET•EVERETT,WA 98201 •259�8810 <br /> t ; ; I l DEMOLITION fl COMBINATION G�BUILDING I-7 MECHANICAL i I PLUMBING f�l SIGN !1� <br />�, . �� �� PROJECTADDRESS <br /> � zc, ti tii =� sr �, ; <br /> � ownER uuLMpi[Ss L�tY Sir r��pr�c <br />��91�p?i::. I�� <br /> +�+� �QncS d Ei6ec.. 6on1�w.. (ZOH NI°' ST' E_�p-n 9bzol 2S2- SL7S <br /> IENANr uut WOPE55 f.�ry )in rnpp� � <br /> I <br /> A�6MICCiORCf51W1ER MNlAOIXlE55 L�iY pn rypryp � �� <br /> BLUERIBBONSTEELBlOCS IN�� BLuCRSllzu�.c� a <br /> ccr¢n.ucdrtruc*rn urn�ow�ess 1721-CRIVERSIDEU!'.IVE"` rir riwr.t s���EiicrH:,�. �, <br /> MTv;YERNON,WA. 9ffi73 j�'�� <br /> 4ECHMNCAICONiPAG}pl MutMp1E55 (i [; ._ � . :Itv PP PIIp1E $GtEIILfMSE� I <br /> (RIILqM6LONtp�L}pp M4LAINMiE55 Clrv Ii� PiqqE SUlFIitENSF� � <br /> , ?„2°' �; <br />`.;., . �orrtuCiowLEOCNp�x / / ' " <br /> HEA�ING YSTEM: IIGAS fIELECTRIC. fl <br /> r + . �� <br /> yf13� ��`+��BEW�.'(1x1Np50U�REtO01AGEmVOlVEO L[kl��CittN50NnNI1C Np �.T <br /> r�.dJ ;� �, :i4x36 o F Gq A c I <br />�r v _"aGN SI /� �' �� <br />} '4 = c��y � I HEREBY CERTIFV TNFT I HAVE READ AND E%AMINEO THIS <br /> Lz APPUCATION AND KNOW THE SAME TO BE 7FlUE AND CORRECT ALL � <br />,��w �n,pqstouseoreurtprx� PROVI510!JSOFLAWSANDORDINAN�ESGOVERNINGTHISTVPEOF � <br /> WORN WILL BE COMPUED W.iH WHETHER SPECIFIED HEHEIN OR ���"� <br /> IEWLpESCNIRIp10FRtJPEf11Y�5lqWNpE�pqp�epGCMiNOLOMES� NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br /> w* eiocK a AUTHOFlI7Y TO VIOLA7E OH CANCFL TNE PROVISION OF ANV ��� <br /> OTMER SiATE OF LOCAL LAW REGULATINC�CONSTRUCTION OF THE I j <br /> PERFORMANCE OF CONSTqUCTION.TMAT I AM AU7HORIZED BV THE <br /> OWNER OF THIS PROPERTV TO PERFORM TME WORK FOR WHICH ��'� <br /> G Z � O O � OOI ' O APPLICPTIOk IS MAOE AND I COMPLV WITH THE STAT[ <br /> v.v¢EUM i D.NUUBEn �ONTRACTORS LAY�1827 RCW AN�296200 V/AC �y� <br /> � � <br /> CONStP11GTW 1OY11EN0EH.�W(VE55.iEl[R�p�E INMBER � <br /> x by�,+) r•z-s� �� <br /> s�7�run[ (/ w�r � <br /> _I3S77•oc�-ao-a� � �� <br /> CIttpV9NE551¢[NSCNO � 1 <br /> PL MBINO MECHANICAL I � <br /> N TYPE OF Fl%TUPE OP REM FEE O. iYPE OF EOUIPMENT FEE <br /> WATERClOSET(TOILEn P/C—AMNDLGUNITS—H.P. � � <br /> ATHTUB FORCEDAIRSYSTEMS—�.TU M EA �- I <br /> LA TORY(WASH BASIN) AT PUMP � ',, <br /> SHOW[(1 UNI EATERS—�.iU. M <br /> KITCHE INKdDISP CLOTH ORYERS , <br /> DISHWASH � <br /> VEMILATI FAN <br /> LAUNDpVTR RANGBIIOOD � i <br /> CLOTHES WASH WATER HEATER <br /> URINA� WO00 STOVE ��' <br /> DRINNING FOUNTAIN METAL FIREPLAGE( BU ING) �'� �+ <br /> FLOOR DRAIN FIREPLACE INSERT(WOOD RNING) ��� <br /> BACKFLOW PREVENTER GAS FIREPLACE � <br /> i: <br /> SINN�SERVICE—OA .ETC.) GASRANGE (��� <br /> GAS PIPING � <br /> E%HAUST FAN „-" <br /> � <br /> j,� <br /> Y <br />`. �i SUB TOTA� S SU�TOTAL E � .�r <br /> PER611T S PERMIT 5 � � <br />� �� TOTAL FEE f TOTAL FEE 5 <br /> �:� FOR OFFICE USE ONLY: <br />��`'^ ff10NI$FTBACII pEMSF.iP�CN � <br />'.yi � _ / / � SIOESEIBAL � 1'IANCIIRNNIM�FO fff ^'�/J�5 RFLflPfNO �.ry <br />..� ji GL� � � l_ � . � /J/ I � <br />��� �:�-s% us[Ip�� ` toreaee veeer��S��F FEES � VALU�TION FEE k � <br /> fIYES fl NO ONlfn•:f. / /v� � — '`� <br /> IrtICillillYiTpN// �1pipW[W!q $IIEpiBIIXVfI 1 i <br /> y SF. rwuowc � .� <br /> O;C��NLY MOdSIpqS CCCUP.VIiLOI�p B�Y4ENt 4ECNI�MICI�I I "�'� <br /> � � f1Yf5 ;�O ���'� <br /> (IRF.MM4RE00 nE�Sp� Md110Nl.lPIANC�IECM i <br /> OpIER ' i <br /> fIRESGqNRFRPE00 REASG� <br /> SfA1E0VIlORM5U11CNAfM.E �[ �i{/ �f 'i.�j <br /> iY?EOiCONSi VtANSM['ROVFOBY �� � <br /> CITVOFEVEflETT runur.vronxs <br /> -� � LOCALSALES <br /> _ - n�icS�I��J TA%CODEIS3105 TOTAL <br />