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�l.�PLICATI� FOR CONSTR!i1C7�N PERMIT� <br /> ��D� ,� �� � I I CITY OF EVERETT•BUILDIIJG DIVISION w rr <br /> 1 � � 3200 CEDAR STREET•EVERETT.WA 98201 •259-8810 � <br /> (l D[MOLITION �COMBINATION fl BUILDING fl R�;9�riANICAL I- PLUMBING fl SIGN <br /> IPqOJECT ADDpESS j��Jg /?-�� /�J2 � //��� <br /> � l' <br /> omien ueneoon[ss r.m zm ruonc <br /> �IAc,�—,cn l�omes L.�e is�,���3�+�,e�l- -J r �- � ,?�4�c,L�l.�����a�an -o�ei <br /> i[ruur u�n enon[ss rnr ar rvi oue <br /> �nOntFcroRnEsicuEn wilenoOFss [nrv Iir rucup <br /> -iFe SK„�y�ch�,°c4� 40 ����� QIc1�r i'S S�je��a_.C���h,.�iE98c,��_(ac,��=F.�_7a3o <br /> LLNCI�.+lLO11���CIM IAMlA0l1f1E55 (�IY lll` f'illlllC 511f(IICEN$E� <br /> IU 1cc, E�me� \ SAm�. _ _�11�-TC.o� a43K'a- <br /> rncomruuicornnnnon i�en��onsss ;.rtv �m rnoi,. sv.rpimexs[� <br /> ��Inl�7 pl��rn�;n��jn91ti S\- S -Ji r 1-1 �U� Gfr?Gk_C34(.,) 33fi- I�I`6r..i451B�T5Pl.�(' <br /> 1`IIIIA9INGGOIIIRPf�pq M�II�f)Olif55 LIIY II� f'I�O:E l $lAli-IILE115E• <br /> ��������n�;n��c�c,�331n S ns �L�_�ihasZFS��3,��4_4�u�?ur�Sk�l��ss� <br /> co�o a rn r,[ur wone <br /> �I � -��'�nn _ HEATING SYSTEM: �QGAS f I ELECTRIC f I <br /> _� <br /> ucswm¢won ownunerammeivvavm =oirt�c�nnsnn.nnrnonnio <br /> �s..4�"��j " � ltn�i- �ni�inhnii�.��Tuc. Lf �SL`I—�.�.L1.f_�f—C�� � �[� ����7(le( <br /> �unr>_��ge�_ls'F�n�� � �a„�i F� �b� �aG n���l�-r,a��� F k�4 ?,ln� '��— <br /> ���QmQsi. � ��`�`_ �1r �V I HERE�V GERTIfY iMAT I HAVL flEAD AND E%FMINED THIS <br /> r--��� APPIICAiI',N AN�KNOW THE SAME TO�E TFl1E AN�CORRECT ALL <br /> ^'r�norosm us¢or nmmn�n � PROVISIONS OF LAWS AND OROINANGES GOVEHNING THIS TYPE OF <br /> 3]PG��p_Yl�-i f� 1 �\S�C �L,Q I(1��7 WORK V:ILI.DE COIAPLIED WITH WHETIIEfl SPECIfIED HEREIN OR <br /> �e,etossrninuouarrno�cnrv�vrovmm�awonerounwocari[si �OT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> io��aior.e or ° �t� AUTHOFiI'Y TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> p /� 1 OTHER SiA�E OR LOCAL lAW REGl1LATING CONSTPUCTION OR THE <br /> �IO�� l'�C �PfC�,I l'C P P K_ �PCn(CiP l'� �(� PEflFOR1AANCE OF CONSTROCiIOH.THRT I AM AUTHORIZED BV TME <br /> n OWNER OF THIS PROPERTY TO AERFORM THE WORK FOR WHICH <br /> Yn1��Q CJC I'�Cl�c GC�pS a9� -:�Q� CONTRACTORSIIAWhIBP]RCWAND29FO200LWq��ITH THE STATE <br /> �encEiuvior�uMocn ' <br /> coesiwcnauioeriicrmen.nooness.�eic^�wrveimuosn r I�l.(C��;,��l�l ���('�I,(/'� <br /> si.u��unc C'. .aL{'�1/ � o.ic <br /> � Il <br /> cirv ovsnessucrosuia <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TUqE ON ITEM FEE NO. 7YAE OF EOUIPMED!T FEE <br /> WATER CLOSET(TOILET) A/C—A/HN�LG UNITS—NP. �, <br /> � BATHTUO �' _ FORCEDAIRSVSTEM:1—OTU. M E.A. ' I <br /> LAVATORV�NlASHBASIN) HE4TPUMP � i <br /> �. SHOWER I�NIT11EA7ER5—D.TU. M <br /> � KITCHEN SINK 8 DISP �, G.OiHES�RYERS <br /> y OISHWAaHER V[IIiILATION P�N <br /> LAUNORY TRAV ' _� RFIvGE HOO� �i r no�.:.� I <br /> C�OTHES WASHER �—�` VlATER HEATER <br /> URINAL W 000 STOVE <br /> DRINNING FOUNTAIN METALFIREPIACE�WOOD DURNING� <br /> FLOOR�RAIN FIREPLACE INSERT(WO00 BURNING) <br /> �ACKFLOW PREVENTERS � � GASFWEPIACE � <br /> SINK(SERVICE—BAR,ETC.) —�— GAS RANGE I <br /> � GAS PIPING <br /> E%lIAUST FAN — I I� <br /> �—_ '_ _�__ <br />� — SU�TOTAL E ' — SU�iOTFL 5 — , . <br /> PEflAVf S —� FERMIT 5 �� I <br /> TOTAI FEE f ~— TOTAI FEC 5 <br /> —1_ <br /> :OR OFFICE USE ONLY: � <br /> mnrrtscmncH n�enx�'m�cx sucsem�r.x nwcurrw��uunni��----- rn nrcnrirm ' <br /> �o �o � ��ioG 3o ii�ia� _ <br /> us[zor¢ io�un• v�cuu5i � --_'____FEES _"__" VAWAiION _ FEE _ __"' , <br /> � �= ES 1 i Ntl 111t11 i � <br /> �J �J <br /> �eianu�riouo� r�n��nwrt��m sururuuti-�'n -- _"_— �57�]32 _Ld�•/ �`7 . <br /> .�J �vu� � 274� S.h Udi.JO + �i � � _" �QB DL � <br /> �So S,E GatACE . _. -- -- - �� — -- �—. <br /> occureucr rroM�mts a'curvrnio.n II��SfAl�lll � M111 If 1 <br /> n,o � -- —�--1�� �"D <br /> _.3 U�i ��.�. - . _.._ ____ <br /> nne�unt�ntan �ni-eso�� — �uunmrair�.ncrt�.n <br /> nn�n�—_ _ " _._" __ ___" . <br /> nnesrnir�xitnnenn nr.�rn --- — <br /> siei[nmini•:�-�sunr,nnnoc (p I p <br /> nrenrcorisr rinris�rnimrnnv CITYOFEVERETT �•i�miceion.�. ; <br /> �JI�" LOCALSALES — - ---— ---- ----'- <br /> —___ '_y)_,— <br /> ��,�� q/z3/qv TAXCODEIS3105 rorn� — - -- t- -1 '3'>-�"-a- <br /> ----�--- — -- <br />