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�. — <br /> APPLIr:AT10N FOR CQ�ISTRUCTION PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> U DEMOLI710N II COMBINATION `j� BUILDING L] MECHANICAL rl PLUMBING ,Q SIGN <br /> PROJECT ADDRESS <br /> o�/i�1 S c I�'r►i A� � � ioq�� sr. s�, �V�.��,WA. <br /> owNen M�ILpODIlE55 r.irv �� G m� ri��. <br /> rt��a� ��.{�ro�r.�y la,�n�+ av� ��.�v��e�rr, wa. �824� 33']-4�0 <br /> iFN�NT M�II.�ODRF.55 cnr m T vi�ouE 6y4..79a„�j <br /> wt+r��+�N.sr►-��L��t��ea.t_ �,vitJc�,�}����� wd. 9aio1 -- <br /> nnem*rr;ronnesir,r�rn rnenennness cnr �ir rnouF �8�� <br /> �iT'",�1�,_iJ�af HALI. A�l�-f�f�i.�420G?�-4D_fi_AV�,f��i2�r'�WA. %8203 -- <br /> GFNf.ft�l f,ON1I1�f.ibfl Mnll�DI1pE55 ulY 71f PIIpNf. Siqif I IffflSF� <br /> �Ol�����.1 �i������ ���� ����� �YFIC.�� �i VVQ . �8 _ <br /> MFCIUNIf.AI f,ON7f1�f.lOR MAIL�bbf1F55 CIIV 71C � p110NF Ft�if I If.FN$F• <br /> Nbt� k4Jdnl1�1 <br /> PIIIMPI CONIMf,T(Ni M�II.�DlME55 ❑It' 21P PIIONE SI�IFUCFNSF� <br /> �ISI..I�Wt.I ' _ _ <br /> ccx��n I i`f11CF Of KY1nK <br /> ,,�y mpj��� _ HEATING SYSTEM: I I GAS f I ELECTRIC I I <br /> IMSCPIBF WORK AND SOIIOqF.FOpTAGE INVOLVEO CON1ACi PPRSf)N 6NP 1'l1pNF NO <br /> D y �'�1�lCG2�R� <br /> ��tC,��o�r��� .�-o� �'�'� P, - 33���� <br /> �^�� ,� J �� �E 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> rncmoscnus�or e n.drx; �'�'- APPLICATION ANQ KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> �� �.� S�/�q n,/ /�� PROVISIONS OF LAWS ANO ORDINANCES GOVERNING TfiIS TYPE OF <br /> � c�" 6'Y'y WORK WILL BE COMPLIED WITH WHETHEH SPECIFIED HEREIN OR <br /> iec i SCRIPTIqlOfPIIOPEfITY�SHOWNPELOWIXIAT��CHiWOL0�IF5� NOT. 7HE 6RANiING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �ot pL0(:K or AUTHORITY TO VIOLATE OR CANCEL THE PAOVISION OF ANY <br /> OTHER STATE OR LOCAL!AW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> � APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br /> FMCEL T�%I D.MIAI9ER CONTFiACTORS lAW 1827 RCW AND 296200 WAC. <br /> 57�32-001--fX�I—UODrp (Y [ �,n � 7~��ri/� Z-Z—�(o <br /> CONSiRlICT10N 1 O�N IFNOER.AObRE55,iFlEl'HONE NUMPFf1 <br /> S - ORIf: <br /> #���� <br /> CIiY BUSINF.55110ENSC NO. <br /> PLUMBINO MECHANICAL <br /> NO. TVPE OF fl%TURE QR ITEM FEE NO. TVPE OF EWIPMENT FEE <br /> WATERCLOSET�TOILET) � A/C-AMNDLQUNITS-H.P. � <br /> BATHTUB � FORCED AIR SYSTEMS-B.T.U. M E.A. � <br /> LAVAIORV(WASH BASIN) � H'cAT PUMP � <br /> SHOWER � UNITHEATERS-B.T.U. M � <br /> . KITCHEN SINK 6 DISP ; CLOTNES DRYERS i <br /> DISHWASHER � VENTILATION FAN � <br /> IAUNORY TRAV ; RANGE HOOD � <br /> CIOTHES WASHER � WATER HEATER � <br /> . � <br /> URINAL � WOOD STOVE ; <br /> DRINKIN6 FOUNTAIN i METAL FIREPLACE(WOGD BURNING) i <br /> _ ---_,_ <br /> FIOt.R DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE ; <br /> SINK(SERVICE-BAR,ETC.) � GAS RAN6E � —�- <br /> ' GAS PIPING ' <br /> � EXHAUST FAN � <br /> --�— <br /> i � <br /> i i <br /> i <br /> _-_ —�_ <br /> i � <br /> SUB TOTAL S � SUB 70TA1 S � <br /> PERMIT $ � PERMIT S i <br /> - - -_r— <br /> TOTAL�EE E ' TOTALFEE $ � <br /> FOR OFFICE USE ONLY: 7� <br /> fltONfSFTPRf.N RF�05FTP�CR SI�F.SffPnfR f1�NC11FCRN1I1.1P1 fPF �fCFlPINO <br /> � /O � O �"7�� /053 .33 <br /> u5E 7IwF i nt nne• vnr.nui cnF FEES VAIUATION � FEE <br /> .�- � ��I 1"'�es -y�iR: ----/�-,�/--- 2/ -- --4 -q- - - -----�--- <br /> � unnon�r,_S..K..._/_.d?, /�c� ZS J 1'� ---- ���f_i�l'.(1 <br /> i�ElGhl UMpp11ryN NO Or UWELUNG SIZE Of p106�11 - -�'- - <br /> S� UNIIS N � �Tn PIUMOIIJG � <br /> lJ� _ -.__-"____"-_-'.'"__-__"__'_' _. _ _._.___ ._'__�_-_ <br /> OCQp`AN('.V 1�n(4 Ginmf c p(:(:Ilt'AN11Mp R�CF/1Fr11 � <br /> CltOtll` 1A1�IIn�11C�1 � <br /> / . . __...__-_.�--_. _ <br /> 3 � II�FS i �n -___-___"_""_"_ __ .__-__ <br /> '--..— _ nDlnllnnnl �•I ny I:nt Uv � <br /> fI11E�y1�qMOFOI�.-_-- �Iif45pN . _-"_"_' " - "_. ._. _-'_"'.� ._. . <br /> / ES ���/�q/�C� -------- nnirn -------------- i <br /> rmrgrmNKirnaFnn n�nc�N -�-------- - <br /> ---- .. .._.. _------'�--- <br /> I/ sinir nun nwr.<�in�ai+nr,c �I�. <br /> /i/ � _ .._ . -- --'- -IJ:� <br /> ------ -------------- ---.. _ <br /> �vrForrnNsi rinNsnrnnvvnm CITVOFEVERETT i•����i��'w�,i+K� � <br /> � �n I LOCAL SALES - --- -- ---- — -_----- _ _ - J-- '--- <br /> ✓ _ „q�. f1 1� .q y TAX CODE IS 3105 ioiAL _ _ � I <br /> ---P=z --11-Lr�� <br />