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�: <br />�:, � <br />�_ AP�PLICAT14�g FOR CONSTRUCT�N PERM�T <br />�a16fir CITY OF EVERETT•�UILDING DIVISION � <br />;�P_� 3200 CEDAR STREET•EVERE7T,WA gB201 •259-8810 <br />'��:.. � 'f 1 DEMOLITIOH ❑ COMBINATION ❑ BUILDING �MECHANICA,�L�,2 �PLUMBING ❑ SIGN <br /> w�. PROJEC7ADDRESS:_�{ZS L{5`I��` h'i.. CJL�� �.11e�-� WC Q��L <br />"'�e . Eq l '(i1(c.L�u lolO� F��IC� c ralm�milc U.JCt 'll�h I�nU <br /> { S�� IIP PIyN�E <br /> ,[QCJ .� _ <br /> ifr.ull Y4l�LpRE55 GIY <br />��. I IIV PIIQryE <br />�G ' I ♦��CinRCi0PpE51GNEN YAlA0qIE55 Lib )i� PIqNE <br />� ' �5'� r.ipEflµCONlp�Clpf1 Mul/.OpFESS Cip lil` RqNF 541E1IC[NSF• <br />`CjI�F:,� <br /> 4[Ctl1NR4CQYIPAC�Ofl NNIADDRE55 ��ry <br />'LY'-I� IIP VIpNF SAIE IICENSE� <br />�'ir�� <br />�Mdy.�' � GCON KI MULA00FF55 C�rv <br /> I�� f�110NF St��F LICFNS[• <br /> [ONINACi i111�E CE NdIN <br /> HEATING SYSTEM: ❑GAS �LECTRIC ❑ <br /> c�x m[wvw�Nosnu�n rppiw¢wvavee can�crv�nsor�u�or�rouewo <br /> I.v � 0 � <br /> nddtn dra:n,wa r U� wr 4�- <br /> _ c �n� r , <br /> I HEREBY CERTIFY THAT I lIAVE READ AND EXAMINED THIS <br /> viqrrosco�f<x ew�wr�c APPLICATION AND NNOW TNE SAME TO 8E TRUE ANO CORRECT AlL <br /> PROVISIONS OF LAWS AND ORDINANLES GOVERNING THIS TYPE OF <br /> wu ih u'L �1/tC . WORN WILL OE COMPLIED WITH WHETHER SPEQFIED HEREIN OR <br /> lcc�iocscrvrna,xr m[nrv�yqvmeElo onsro.culnp�qaEs� NOT. THE GfiANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ��� �� a AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTHEF STATE OR LOCAL LAW REGULATING CONSTRUCTION OF TH' <br /> PEFFORMANCE OF CONSTRUCTIOII.THAT I AM AUTHORIZED OV 7H <br /> 01YNER OF THIS PROPERTY TO PERFORM TME WORN FOR WHICh <br /> APPLICATION IS MADE AND I COMPLY WITH TNE STATE <br /> ru+c[i*�i o.r1uuoen CONTRACTONS LFW 1 B 2]RC W AND 296.200 WAC. <br /> �Jt J�y� ��[I-� r1 1//��„/ <br /> CO115IRUL�IONIWHIENDE11.Ap�1iE55.1ElERANLNUYBFf1 � /M � Ll{/llL' '(� /A �_�^ <br /> X �L' JVVlI ��// ' I <br /> __ SIGH1111PE DAI[ <br /> LIIY 009xE55lCENSC NO <br /> PLIIYBING MECHANICAL <br /> NO. TYPE OF FI%TUHE OP ITEW FEE t10. 7YPE OF EOUIPMENT FEE <br /> WATER CLOSET(101LET) A/C—MINDLG UNfTS <br /> BATHTIIU FORCED AIR SVSTEMS <br /> LAVATORY(WASN BASIN) HEAT PUMP — <br /> SMOWER NIT HEATERS � <br /> NITCHEN SINK d OISP CLOTHES DRVE:iS <br /> _ DISHWASNER MNGEHOOD " <br /> LAUNDFlY TRAY WATER HEATER " <br /> CLOIHES WASHER WO00 STOVE - <br /> UqINAL MEfAL FIREPLACE�1VOOD 8L'RNING) <br /> DRINKING FOUMA W FIREPLACE INSERT hY00D BURNING) <br /> FLOOR DRAIN GAS FIREPLACE <br /> BALNFLOW PREVENTERS GAS RANGE <br /> SINn(SERVICE—BAR,ETG) GAS PIPING <br /> EXMAUSTFAN <br /> SUBTOTAL S SUBTOTAL f ;p�J <br /> __ PERMIT 5 ,�J � PERMIT S <br /> TOTALFEE 5 _ TOTALFEE f <br /> FOR OFFICE USE ONLY: <br /> fOp115F�p1LF 11UPSFiO�CN Slp(SFID.�CN qANC1�1CC-�KM�I}40C11 l !�F pFf.E�I'INO <br /> ]� J�> <br /> �sE��f �o��nF" v"��s��E FEES VALUIITION FEE <br /> ❑vES ❑NO 01Att`�Nfi <br /> IIEIGIItIIUIf�110N HOCfOWEWNG SIZLOfBIOG/fl <br /> IINII[ <br /> vwue�uG <br /> CCCUV�H[Y IqpSIM[S OCCUV�NIIOAU 6�SEYENf YFCII/.MIC/.l I <br /> G11Wp <br /> ❑vF5 ❑NO <br /> iliiESPWNxLEflNEO'0 nF�50x WqIbN4ReNC�rtCM <br /> _'_�i--- <br /> OIHFP <br /> Rl1ENJJIMflEO'� IIF�iON - <br /> SI�IE BUIOM(I SV11CI4M.f <br /> tmeorcpisr ruuserrnwtoev CITYOFEVEREI'f ruour.wonKs <br /> IOCAL SALES ------- <br /> o.�c T��X CODE IS]105 TOTAL -- �1� <br />