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APPLICATI�1 FOR CONSTRUC�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257-8810 <br /> �: DEMOLITION Ci COMBINATION i� BUILDING I-1 MECHANICAL f_1 PLUMBING ❑ SIGN <br /> PROJECT ADDRESS 'j a � , y,�- j� 1 <br /> �/ <br /> o+•���u u.nnoouEss �rtr iir w�arie <br /> ! <br /> �rv, �..,zT �-;rk7 ss:> rs `,�✓o >, IVF2.r� 9Bzo3 <br /> �crur�. uuuooncss nrv —av rronc <br /> anair[noao[S�cr�re inniuooncss cin riv r�ror�r. <br /> 7J-,'r.. �r ���r.:,. �'.LJ T�.�' �/3D3 /E {�' SY s' Sl.b//-n�s� [X�a �q,i"9C <br /> GuiEnn�coruaecran u�u�ooi�rs, cirv !m nuonE s�rEiK[r�s[. <br /> �_; ,.,/. ��. .Jc�.�. _ �rsyss5�y G_r.Jnl.yailoo9�n�. <br /> �.acn+rnu�co�m+.aoa �n ��uooncss arv rm v�rori� swn¢cusc. �/ � <br /> /�.`:.,1'L n �/�'.1Y�ra� C'.c �,:� ., t�.J.�b �Jn ,{ii�u5'" �iPJ3Z �s3 650 7a'S /��Sc�P,r I'r CC 4'�I/FS <br /> rwuon,,,couin.c�cn u�.i �ooncss an zin rnor�c sur[ucm;c. <br /> cor+rn•crrn�cEo�v�or+K � �� <br /> yJlJOG'— ��r �� � HEATINGSYSTEM: '�iG4S (IELECTRIC ❑ <br /> oescn:oswoi�+anosou�nevoorecenivavco corm rnEnsox�novuor�u�o <br /> tn.,,-, .�rl o! e�7 �a Tt � �,r,�, p p _ . cK.<,20 . os 7�4 G7s 7 <br /> -:r ,,d . l,. - c 1 , � .r �f�+E 4'cs 43S 4SS'> <br /> I HERE�Y GERTIFY THAT I HAVE READ AND E%AMINEO THIS <br /> vnovosmusc o� miowc APPUCATION AND KNOW TME SAME TO OE TRUE AND CORRECT.ALL <br /> PROVISIONS OF WWS AND OR�INANCES GOVERNING THIS TYPE OF <br /> I�~�I7 � ��� WORK WILL BE COIdPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> �ew�o[SCnirnor+a vrovEarv�s�avuroe�or�on�nncrrtv:omorts NOT. TNE GFANiING OF A PERMIi DOES NOT PRESUIdE TO GIVE <br /> iot 7 r o�xn o� ` �'� �/'/J �II AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STFTE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.TNAi I AM AUTMOF2ED BY THE <br /> OWNEfl OF THIS PROPERTV TO PERFOflM THE WORK FOR WHICH <br /> APPLICATION IS MAOE AND I COMPLV WITH THE STATE <br /> r.nCEi ux i o rmuoea CONTRA O S LAV!18 7 RCW AND 29fi200 WAC. <br /> OD�+I 35b0 00'7�; �� � <br /> co�u�nucn .v�onr�ipr�oce nooness.�eiew+one rwuo[n / .�..�_q i <br /> X <br /> sic uun[ ceic <br /> crtv evsv�C.c Jtcrrs[no <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE Ofl ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WAiER CLOSET(TOILET) h'C—A�HNDLG UNITS <br /> BATHTUB FORCE�AIR SYSTFiIAS <br /> LAVATORV�YlASM BASIN� HEAT PUMP <br /> SHOWER UIJIT MEATERS <br /> KITGHEN SINN 8 DISP CLOTHES DRYEPS <br /> DISHWASHER RANGE HOOD <br /> LAUNDRVTRAY • WATERHEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINFL METAL FIREPLACE�WOOD BURNING) <br /> �RINKING FOUWTAIN FIREPLACE INSERI'�WOOD BURNING) <br /> FLOOR DRAIN GAS FIFEPLACE <br /> BACKFLOW PREVENTERS GAS RANGE <br /> SINK(SERVICE—�AR,ETC.� GAS PIPING <br /> _ E%HAl15T FAN <br /> � SU�TOTAL 5 SU�TOTAL 5 <br /> PERlAIT 5 PERIAIT S <br /> TOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> VPObI5Ei0Ad REARSCtB�CM SiGC5Ci0a�M ptqNCHCCRInI 6EP fE[ RKE�PiIq <br /> �'a Z o y' [,'G/� �- CAO,{ ;'� � <br /> usezo/v5 � �o*urenJ C waHrsnc FEES VALUATION FEE <br /> (�� '� � C JZ'� f1YE5 /�:O bI1n0111G <br /> 1�[IG�IfUAIiGIroN � NOO�p�vEIIING SIZEO[BLp]ii � � <br /> U111i5 ( T <br /> � / 6 5 f. �LUM9:NG i <br /> p��pnAIICY IOC�SICaES CCCUPANftO�� B�SfA�E11i <br /> r�0� / M6iUWGL <br /> ^YES LR�O <br /> (OiCiVPV�xL[qPEO FE�SGN AODO10N4PUALe6tl <br /> mnen I <br /> �iAenuaunwo r+[�sor� _� <br /> suie emimrvc sunoaur.e <br /> i <br /> .weorcor�sr rurvs�vcnovmov CITVOFEVEflETT aueicwonns ` <br /> T � p LOCALSALES <br /> _ .�C, o�reJ S� TAX COOE IS 9105 707AL � <br /> ) <br /> � <br />