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APPLICATI�1 FOR CONSTRUC7�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVEFETT,WA 98201 •257-8810 <br /> � DEMULITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING SIGN <br /> PROJECTADDRE S /.0�53� /9 ,.� A,�„ S� <br /> ff� <br /> o�+��+c�t, / /�i��ooncss�! �K�ci�rv z�N �y AbuE 7��� '` � ,J <br /> �.:.,�,KP� ��!' dc•� f�Dl�d1�� �Jv�✓O-� Lo�z+.-5L�7JXJ6 <br /> if,�,p M�rtIpCPE55 GiY Zli PNONE <br /> . ,;ertCC10i1pE5�GNEP 1AARf00HC5i LRY 'i� PHONE <br /> GENCG�CU�I1RACtOR 4PM1�DDN[SS CilY 29 P40NE 36CJ'� iAiELIGENSEi <br /> �`�a.t� 1�!`o�ctr'� U�A rf'� ��k_�3/ /�laH� �.�Ltr� �'/6�Bus ofSAlO <br /> u[Cna�CO�IiP�C10R MuI�DOPC55 Cltt ZIP P�IONL G1A1El4EN5F� <br /> PLU�AIIPliCOl11PPLip11 MML�DDPE55 b1Y .I� PIICN6 Si�1GLICEIR[• <br /> conr. c�=nKecrwo�� HEATINGSYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> � '7 S'Da �` — <br /> et5r.�mEwoKu+oso`nrjer�ctw�vm � ������SA"D '�dU(�'.�P� <br /> 'r" <br /> 6a�. l�o.� s' Gf �. ( T a � S <br /> %�� k a� � �Y I HEREBV CERTIFV THAi I MAVE FEAD AND E%AMINED THIS <br /> 4PPLICATION AND NNOW THE SAIAE TU GE TRUF.AND CURRECL ALL <br /> cnavps¢o use ar ammu+n PFOVISiONS OF LAWS AND ORDINANCES GOVERNING TFIS TVPE Of <br /> N��-✓�f� S�Y�/.�J6IFt S�G�� � WORK WILL DE COMP�IED WITH W�iETHER SPECIFIED HEREIN OF <br /> iecuoescainno��o�anorcarv�svowxoc�owon�nacNrv�ocwies� NOi THE GRANTING OF A PERMIT DOES NOT PRESUMc TO GIVE <br /> i�r oiaK p� AUTMORITY TO VIOLATE OR CANCEL THE PRQVISION OF ANY <br /> OTHEF STATE OFl LOCAL LAW REGULATING CUhSTRUCTION OR TI'E <br /> PERFORId.CNCE OF CONSTRbGTION.THAT I AM AUTMORIZED BY THE <br /> OWNER OF TMIS PROPEi.'Y TO �EFFORM THE V/OflK FOR WHICH <br /> ��'�9m/c�.3/oo APP�ICATION IS ldA�E AND I COMPLV WITH THE STATE <br /> v�nCE� wv i D rvreeea CONTRACTOPS LAY7 1827 FCW AND 29G300 WAC. <br /> /`�ZS'd.s-_ /0 3(- � - � ��l ��k�- ��P�O/ <br /> coHsrnuc���r�M1iE�ifoonEss.ic�Evxor�er+uMocn X <br /> sir.:umncO3�,L j o���— <br /> cnr nusw[ss��cexss ra <br /> PLULIBING MELHANICAL <br /> NO. TVPE OF FI%TUR�. 7P ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATEfl C:`15ET ITOILET� A�C—A'HNDLG UNITS <br /> BATHTUB FORCED AIR SVSTEMS <br /> LAVATORV�WASH BASIN� HcAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK d D�Sp CLOTHES ORYERS <br /> DISHWASHER RANGE MOOD <br /> LAUNDRY TRAY WATER HEATEP <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL �+1ETPL FIREPLACE(WO00 BURNING) <br /> �RINKING FOUNTAIN FIREPLACE INSERT(WOOD BURNING� <br /> FLOOF ORAIN GAS FIREPLACE — <br /> BACKFLOW PREVENTEiS GAS RANGE <br /> SINK(SERVIGE—BAF,ETC.� GAS PIPING <br /> E%HAUSTFAN <br /> i-- <br /> SUBTiiTAL S SUBTOTAL 5 <br /> PERIAIT 5 PEaM1T 5 <br /> I TOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLY: _ <br /> fBONIS[i0¢K � �GP+RBACn' SIDESC�C�CN PUNCNE INDuB �/ �EE // PECEIWINO <br /> ' J �O <br /> Cib /F __ <br /> usEza�+r � iornn[� �+texrsrte FEES V L ATION FEE T_ <br /> �- J�vcs neo aunr.w; � <br /> ��e�cww�i�� , aiiJ o�ucurta sizeoveiocTi ' — <br /> �/rr r �iw; <br /> OLCU�'O�CV �OGiSIDG[5 OCCUPANil0A0 BASEMENi ���pNq�L I <br /> GPOOP — <br /> ❑Y[5 O NO — <br /> RRESVRV1nLfRP[00 !�[AiON AOCIiICNiIVUNCHECR —� <br /> Oi11Ei1 � <br /> Lu�[44(IMPcOp �EASON <br /> SNtE 90M10111G SI1NCtlLRGE I <br /> nve o�corisr vur�s�arn ov dTY OF EVEflETT aueik woaas <br /> LOCALSALES <br /> D�iE . 0'I TA%CODE153105 TO7nL <br />