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APPLICATIO� FOR CONSTRUCT�N PERMIT <br /> �/�/• CITY OF EVERETT•BUILDING DIVISION � <br /> "a�DC, " Y �<< <�J �200 CEDAR STREET•EVERETT,WA 9�201 •259�8810 <br /> �µ (I� <br /> fl DEMOLITION COMBINATION fl 6UILDING I I MECHANICAL i 1 PLUMBING (1 SIGN <br /> PROJECT ADDRESS r�j�� �;{L,Q�JF N� G/�� <br /> onwI��rt,nt ^ �+.iunoonsss -� an 1 aIr� '�������r�iro�ne���� �������, /.�- 1 \� <br /> �nuiit � ���nn`Dnrssl�'Ci1�J IJC1'��1P�1n'�""�l�(P�-`" �1tlAJ�/�XJL��-��•S6l11�1�c{�J.�� "G��O� <br /> �PCII11fCt041pE51fi11Cli .��II111p11E55 LI�Y lll` 1'110f.F <br /> ll]��ttt��V�Ct.,l�.�l'.S�_S��4_b1LL1Q����1��,s��i�c�1G2�3=�L�u��'.��SL��.� ��, C �`E3G <br /> cE��rnuconmsarn umeoun[ss air :m mnr�e aurtucnrse. <br /> _lUi�1c� E�ame� U-(� Sflmr-. �'�'IETC.O� ��l3FS'�- <br /> r.�sc�ci+icacnwnr.ion `u+nennnrss nn nr ruone si+rFurrnse� <br /> �121�z�rnb��3�_�Lla`i+'��F�L-�f�r_�4� '�1� �Ik�Q�C34c.:L33s-1�1.�5�s1,94T5P�S�l� <br /> r�uuowecoinwnon uui.�nuness a�r +m vuoue l sureuc�r�se• <br /> �k-�1�4`n`-5-�'-� 33 � S. ;�5 � . �g��i_�3.�-�i-�llU�1AG�'C -1�1�`_i� <br /> mrn ctmicr:ovwanx <br /> �� � a� HEATING SYSTEM: �QGAS f I ELECTRIC f 1 = <br /> oescniee wanK�r n souens roouce nrvavco corn�n rrnsor�>im rnorie no <br /> �s.�" `���,�,i�l���c�u5�r��c. � `rnci,-��_�cac(_�r�;1�e._Ns���zunr <br /> ���nri� F�� SI�J��r r��,.�`�3na 1=I I b��4i2�3LL'S��M\ �k-4 -aS�S��— <br /> 1�Z1SemQr�} ���p�uy� h(:0,� I HEREBY GERTIFY TH�T I IIAVE READ AN� E%AMINEO TMIS <br /> �-� NPPLICATION PNO K1lOW TME SNIdE TO BE TRUE AN�CORRECT ALL <br /> vrroro5couscar mmm��o �� � PROVISIONS OF LAWS AND OROINANGES 60VERNING iHIS TVPE OF <br /> ��.PG�l�O"y�{-'C� � 5'YLS�G �LICIIL�y� WORK WILL �E C01.1P�IED WITH WryETHER SPEQFlED HEREIN OR <br /> ieeuoEsciaruorio�rnor[nrv�sirowneE�o�wau1_nauuwocarics� NOT. THE GRAN7ING OF A PERMIT �OES NDT PRESUME TO GIVE <br /> m� 5CI oia:r; or r��nS� � �tis+ AU7HOfiITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> p (� OTIIEH STAiE OF LOCPL LAW flEG11lATING CONSTRUCTION OR THE I <br /> �IO�� G C mPf('�I� l'C P P k PCO(CIP l PEFFORlAANCE OF COIlSTRUCTIDN.THFT I AM AUTHORIZED 0Y THE I <br /> OWNER OF THIS PROPERTY TO PERFORM TME WORK FOR WMICH <br /> (� �a ' C _ APPLICA'ION IS IdADE AN� I COMPLY WRH TNE STATE <br /> Vnlurn� ro9 1'�C � \CiC� CONTRACTORSLpW182]RCWAN�296200WAC. <br /> r.ncei u.i o rmuacn � <br /> cor�s�aianorno.r��vmsn.�o[rness.mcm�w�enuuaen 1 ���Qi�l�`��.��1.-(L'1Llli <br /> s�au�unr oe�� <br /> �F�� ����� �K <br /> f,ItY OIISINf SS I ICEt6C NO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE Ofl ITEM FEE N0. 7YPE OF EOUIPMENT FEE <br /> ��7 WATERCLOSET(TOILET) A/C-lJHNDLGUNRS-H.P. <br /> � BATHTUB ' FOPCEDAIPSYSTEMS-B.TU. M EA. ' <br /> LAVATORY(VIASM�ASIN� � HEAT PUMP �— <br /> '� SHOWER UNITHEATEA$-�TU. !A <br /> KITCHEW SINK h�ISP CLOTHES ORYERS <br /> J`t �ISIIWASHER � VENTILATiONF�N <br /> IAUNORYTRAY _� fi/+NGEHOOD `�('�'��[�❑ ' � ' <br /> —T <br /> CIOTHES WASr 1 �_�_. WtiTEFi HEAT[R <br /> URINAL _�_ WOODSTOVE <br /> DRINHING FOUNTAIN METAL FIREPLACE(WOOD DURNWG) <br /> FLOOR ORAIN Flfi[PLACE INSERT�WOOD�URNING) <br /> BACNFLOW PREVENTERS `� GFS FIREPLALE <br /> SINK(SERVICE-�AR,ETC.) <br /> r G4SRANGE <br /> GAS PIPING <br /> E>:HAUSTFAN <br /> SU�TOTAL S SU�Tl1TAL b <br /> PERMIT S � PEPMIT S <br /> TOTALFEE S �OTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> rnonrsvm�ce nunr.r.rn<c+ sinexr�pecn ruucuro:r.uu�rn «r nccnruro � / <br /> -.�� , . � � ��/S �U ll77aY <br /> us[mrn: imuio � v�ruusnf FEES VALUATION FEE <br /> _—"" _—___— _—T <br /> �� . iirEs i��e�n nunonu: _ ���iZ /9>[� <br /> � — 'i <br /> �wcm uwuun�i ��o or nncuv�u si:[o�nia:n _-- � <br /> unns 27od J:A Uvut4 {' rurunvm ' <br /> 4- ,S�GHR.JGE ----- � <br /> wcurnucr nnoismm�s xcurunio.n n.se��vm e�raurnu� <br /> onnw• ' _ _ _ __—____ --' <br /> �'-3 u9 ii,Fs iw.f, - - <br /> nnEeune�nson nr�sox rtH�ua�uinn�o�rex <br /> _ mm�i '-_---_ __ <br /> nnrsrm�inrnnrnn-- nresnrv - ------ — <br /> x�eie nnn oivc sunoun<.e <br /> l <br /> . ____-._____ _•— <br /> nrfnrronsr Mnqs�rrn.�,�tpur QTYOFEVERETT rumir.xrNins � <br /> _'__ <br /> �i LOCALSALES ---- -' ---- ---'-- <br /> �„�� TA%CO�E IS 9105 TorA� I <br /> -N—. _ _ _9 z 3/��--------- — - -- _, _.._ _ ... -- _---�-- <br />