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� - <br /> QPPLICATi� \J� FOR GONSTRUC'V °ON PERMIT <br /> CITY OF EVER[Tf • UUILDING DIVISION <br /> 3200 CEDAFi STREET• EVERETT, WA 90201 • 259•OU10 <br /> f'1 DEMOLITION f� COMBINATION I-I BUILDING I-I MEGHANICAL I'I PLUMOINO f I SIG <br /> PROJECT ADDRESS J��/� /� /� �i� '( � <br /> �o en M�a�ouness �Z ci�. r�r r��we <br /> .�N1'�fY1CS ,�n� �. V��J 6NST• 3o. �_���is�r�a� �,eo� �or�-��-�-5o(.,v <br /> TENNIt unaenunEss cav im PI�(riE <br /> ARCIIIIECTOROESICNEi1 MNIADURE55 CIfY HP PIqNE <br /> a <br /> OENER�LCONifUC70t1 M�I�11pUf1E55 GIIY �ip PINN�E 9����_�N:[Nfi� � <br /> s►�w�C �� ►�4o�r_ �fL�1n1�N10�7nK <br /> MECl/ANICALCONTMCTOR MNlA0DRE55 GIfY )IP PllplE S� 1Fl�C[M5F1 <br /> VLUMBIN6CONIHACTOR MAILA�OAE55 GIfY 11P PIqNE S�AIEI�CENSE� <br /> _ • <br /> CONIRACT PpICE OF WOfIN ' <br /> HEATING SYSTEM: T�GAS f I ELECTRIC f l__^ <br /> OESCRI6E WORK ND SWAPE FOOT�OE INVOlVEO � CONI�c:i�En50N�NU 1`uO11F NO <br /> tfek� t��,?�O �A,v�,l•� t.�r,��,�� �_ JIw1 �R. \:.p �'t�.11��50f� <br /> IS'7�� �--� Ji ,�� P� RLf� / V Va•1 ^ �(��� <br /> � C�'���U � �n�Pa-V����. I HERE[1V CERTIFY THAT I HAVE i7EAD ANU E%AMINf.0 iNl' <br /> APPLICATION AND KNOW THE SAME 70 OE TRUE ANU COHt7ECT A1� <br /> PROPOS�ED�U�S�E�OFBUILOINO ' ,, �..} PROVISIONS OF�AWS AND ORDINANCES GOVEf7NIN(7 THIS 7YAE O' <br /> ��"`�" ��� �7 ' 'C� � WOFN WILL BE COMPLIF.D WITH WNE7NER SPECIFIED HEREIN O� <br /> - LE�ALDESc(rypir=IONOFPIIOPERtt�SHONTlUELOWO�iAIIACNIWOG PIE51 NOT. THE �RANTINO OF A PERMiT DOES NOT PRESUME 70 Orvt <br /> LOT v`� aiocK oF AUTHORITY TO VIOLATE OR CANCEL 7HE PpUVISION Oi AN <br /> r� � 1 OTHER STATE OR LOCAL lAW REOULAi1Np CONSiRUC710N OR 1111 <br /> L- l �` � �� K ��EZ O�- N S PERFOpMANCE OF CONSTqUCTION. iHAi I AM AUTNORIZ[D DY lln <br /> OWNER OF THIS PROPERiY TO PERFORM TME WORK FOR W11iC� <br /> APPLICATION IS MADE AND I COMPLY WITH Tf1E STAIt <br /> PARCELTA%I.O.NUMBER CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> CON RIUCTION L06N LEIlDEfI RUIXiESS.IEIEPNONE NIfy111F x <br /> ^ �i -a��qti <br /> — ) SiGNniunE u��E <br /> , �,D•,�Uxd�✓�IV! 'rv�� �rT� �� J�� CIfYBUSINf.GSLH:FNSENU <br /> PLUMBING k MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FI%TURE OR ITEM FEE <br /> WATER CLOSET(TOILET) � NC—NHNOLO UNITS—H.P. —'_ <br /> ' 2 BATHTUB ; FORCEU AIR SYSTEMS—0 T.U. M E.A }_ <br /> 6� LAVATORY(WASH BASIN) � FIEAT PUMP � <br /> SHOWER ' UNIT FIEATEHS—D.T.U. M ' <br /> r KITCHEN SINK 6 DISP � �_ GLOTHES DRYERS � <br /> DISHWASHER �— VENiILATION FAN ;_ <br /> LAUNDRY TRAY ; f7ANGE 400D � <br /> —� <br /> CLOTHES WASHER � �_ WATER�iEATER <br /> URINAL ' WPJU S70VE L <br /> DRINKING FOUNTAIIJ � META'.FIREPLACE(WOOD OURNING)_ <br /> FLOOR DRAIN � FIREPIACE INSEAT(WOOD OURNINC) ` <br /> BACKFLOW PREVcNTERS ; GAS FIREPLACE �_ <br /> SINK(SERVICE--BAR,ETC.) ! GAS RANOE <br /> ' OAS PIPINO � <br /> � ExNAUST FAN � <br /> � ' <br /> — i ' <br /> —L ' � � <br /> � __��� �'�T� <br /> I � <br /> sue Torn� s � suo Torn� s ' <br /> PERMIT f �— PERMIT S � <br /> TOTALFEE S ' TOTALfEE f ' <br /> FOF? OFFICF_ USE ONLY: <br /> FpONTSET9FCN REARSETOACN � SIOESEIOA PUNC11 CNNUMOEfI �EE PFGE�Pf�q p <br /> �,�-� 1 S .S� �D`J��� ��'1��� ��CL�J <br /> usezor+e LO7AP vncnr+rs�ie FEES VALUATION FEE <br /> 3� ��C� �vFs n Ho swiwua 87 y7j � .) '>�i <br /> tIEIONiLIMITATION NO.OFOWELUNO SI�EOFOLp��f.l. '/I <br /> � UNI?5 I IJ$O 5� LIvw4 �' plVM01N0 ffaY <br /> ^- ' 7oi S CiACA4.= — <br /> Qa�CUuP NCY IqAFS70WE5 OCCUPANTLO�D BASEMENf MECII�MUI � � <br /> K 3 2 N��> nves � I <br /> F�PE AIMM REO'0 f1EASON AUOIIIO�UL MAN LIIECK <br /> V onicn 1 f/.�%�1% � <br /> FIRESPRINI(IERHE�'D REASON <br /> ` �� SIAIE ONlUR10 SUIIGII�fqE �/ ���, j <br /> �.� <br /> TYPEOFCONST, PIANSAPPf10YE00Y i� <br /> CITY OF EVERETT runur,vronKs <br /> J� LOCALSALES — <br /> �-l-� onTE 2 Z 9� TAX COOE IS 3105 70TAL ^ � / <br />