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APPLICATI� FOR CONSTRUC�ON PERMIT <br /> CITV OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259-P810 <br /> I� DEMOLITION f 1 COMBINAT�JN BUILDINO fl MECHANICAL r 1 PLUMBING f 1 SION <br /> PROJECT ADDRESS 'OZOO — ZS� f{VCny� S E.� EVCrb'H" �{gQO$ <br /> owvrn Mui�oonEss citt rr r��ovc <br /> Evene.'FI' Seheel Disfiic�' 4730 C.16 s. �verifl- 9a203 339-422G �Je{'f Meore� <br /> lEN/.Ht �+ M�IIM%IIIF /�j f.11�j�p PIqAE <br /> — �/ h9 vi �,c�l,(�C�Z <br /> � c i rcroaoe_.,NFn u�n�noaEss crtr ,•r nw.�F � <br /> CNJJ ;t« z�zz c.16 � a� E�er f+_9s2o1 2s'-lS�o �M�k.� NiuEers� <br /> f.luFMlcOri�nef.1M �,,,"�i��qIDEss .p I — f�nr n p rnUY[ c�q[�I[lvSF. <br /> 's.�u'/�i�%'/-/L-kh"�/ �/ (lC'C.h —�1��n,J <br /> C ICONIR<f.I011 M9l�M1OPE55 ItV �C ONE SI�iFIiCFN$E• <br /> �i���zl�o.� `�//9� <br /> r�vupiuucorvlaer.lrn uu�eplMEss ir � n rr�one xu�fuceMss. <br /> cor�rn�crn gir..Eorwrm� <br /> 1 9 �7� <br /> tS'I'imw� . HFA7ING SVS7EM: f i GAS �i ELECIP,;C t � <br /> U[$CPIBFWORN�I�pSOUf1EFO0i�GE`NVOIVED �.!, CONIACICF�S �Nf)1'I�pN�N <br /> • R Gsee. ��nssfie ww�er a� / i'- � e lU�c�cerson Z59-ISGO <br /> Pip�n.�� �ro n wrnt sya � wn , <br /> TD �Iq/(�IGi A� /'y✓/rG� � HERFBY CERTIFY THAT 1 HAVE READ AND E%AMINEO THIS <br /> niroirossoasorpmiwyc � APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT qLL <br /> S(:IIOOI PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> i[e��oescninnorvwrepn¢arvivqvmeemwoa�n¢Hiwpcpripsi W�RK W���BE COMPLIED WITM WMETHEF SPECIFIED HEREIN OR <br /> NOT. THE GPANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> mr qiocn or AUiHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> . ��' OTNEP STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THF <br /> !�' PERFORMANCE OF CONSTRUCTiON.THqT I AM AUTMORIZED BY THE <br /> �� �! OWNEF OF THIS PROPERTV TO PERFORM THE WOFK FOR WHICH <br /> / N�R`.` �� APPUCATION IS MADE ANO I COMPLY WITM THE STA1E <br /> aeetEi ux iD i�iueEq� I.. WNTRACTORS LAW 1827 RCW AND 296300 WAC. <br /> i�' ��/ '�j � <br /> covsmucnoH�o�r�icvosn.umnes..�aerr�arvsMiuxrn z�//Y6�/LstA�.sa�/1. 3�Z7-98 <br /> SiGNAiVPE D��C�� pp� <br /> J <br /> CIiY 9U4NESS l ICENSC NO <br /> PLUMBING MECNRNICAL <br /> NO. TYPEOFfl%TUREORITEM FEE NO. TYPEOFEWIPMENT FEE <br /> WATER CLOSET(TOILETJ N/C—pMNDLG UNfiS—H.P. <br /> BATHTUB ; FpRCE�AIF5Y5TEMS—B.T.U. M EA. � <br /> LAVATORY(WASH BASIN) —..---'—......."'---""-"-- � <br /> NEAT PUMP <br /> SHOWER UNITHEATERS—B.T.U. M <br /> KITCHEN SINK d DISP CLOTHES DRYERS <br /> DISMWASHER VEMILATION FqN <br /> LAUNDRVTRpV RANGEHOOD <br /> CIOTHES WASHER WATER HE.ITEF <br /> URINAL WOOD STOVE <br /> _ ORINKING FOUNTAIN METAL FIREPLqCE(WOOD BURHING) <br /> FLOOR DRAIN FIP�P�ACE INSERT(WOO�BURNING) <br /> BALNFLOW PREVENTERS GAS FIREPLACE <br /> SINK(SERVICE—BAR,ETC.) GAS RAN6E <br /> GAS PIPING <br /> E%HAUSTFAN <br /> _ SU�TOTAL 5 SUB TOTAL S <br /> _ PERMIT 5 PERMIT S <br /> _ TOTALFEE S TOTALFEE E <br /> FOR OFFICE USE ONLY: <br /> nmurvrmnca w-nnsrrMC.N S�pt5rlpetM rlu�Gu[fNNUpnrn rfr nFC.Flrlqp <br />' iicnn.:r -- i���nnie vec��nq�p FEES VALUATION FEE <br /> �'YC$ I'.NO T <br /> 1111�1f11Yf. � ��� <br /> I�LICIIIIIMI1�11nr1 r�pql�WllllNf c11[OfP1U:/11 <br /> IINIIC � 1�1114111NC � <br /> IH.111f4N1:Y N��(Y)11`0.(i IX:CIII�qHll0lf) P�GF4fNf —� <br /> C.11(11 � kfC11�NIC.�L � <br /> n-�n N „�. ,��� ' �///� <br /> 111 PI�I1N�1f0(1 � Ilfqtn`V, RINHIInY�I�I�YCI�lCX 252 �Lt/ <br /> �li} �"St4. nmrn � —�-- <br /> r�nrmnwx(irnnrnn n[ncrn� — <br /> 7L / ,E''<)/�,. srurooimnmsunnunce ^ '��� <br /> �rrrnrrrv:ci — rinvs.rr � �inv — --- — <br /> '7 4J.LL <br /> i�f a CITY OF EVERETT runuc wnn.c , <br /> �'�+i LOCAL SALES ----- ' <br /> _ uan . �0 • �V` TA%CODE IS 3105 TOTAL _JI�I _ �7/i <br /> GlL7� _✓V <br />