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� APPLICA'i�N FOR CONSTRU�ION PERMlT <br /> CITY OF EVERETT•'JUILDING DIVISION <br /> 32C0 CEDAR STREET•EVERETT,WA�JB201 •259-3810 <br /> f-I DEMOLITION COMBINATION �l BUILDING fl MECHANICAL �11 PLUMBING fl SIG <br /> PROJECT ADURESS� <br /> 5�-f I� 13�' Av�- 1>J. f,v�:V t��� <br /> om�¢n uui�ooness nrv :m rua�e <br /> 1�.��<<� �at,�:� i �.� i��qr�e-��I�(-�-uw�.�;���M. �4,�,R�Z �-o� <br /> i[rurit •�uoonr.ss cin rm ruor�e <br /> ♦r�erm¢rom.�¢sin�rn Men eonness arv rm r��o��e <br /> eEum�ico�nn�cron rauuouness orv zm ruorrt s�e�eucErse. <br /> � N.�kr o ���u�n��� �ll-r ��,1 �:� ab�,e_ M��zoFl�r�StCtl <br /> - MEclleutcelcoulMGlon uuUt%1n(55 f.�n Iir r��auE SrerEUCExsE� <br /> � ' �-� F .f � �P.O. 8x� ?,��n,�i«D�St eUc���,9�4��3 -yll �UL�4-'rM o�lo�18� <br /> ru e�+,cwmucion uuuewness cm nr r��omv sureuc:rrse. <br /> ���.��s ��, ���7�r ioti� �1.5� u�'� �'�a�8 33��iy� �� � �i� <br /> � coern�c�rmceorwonK i <br /> HEATING SYSTEhS: 1VI GAS f 1 ELECTRIC fl <br /> o¢scni0EVp11�pr+osouenevoou Eirnmv o corn�mnrnsannnnruor�rdo <br /> ILX . f� ' , � Z � <br /> G �tU - �G'I . I <br /> �S I C, I Z� � HEREOV CERTIFY THAT I AVE READ AN❑ E%AMINEO THIS <br /> APPLICATION AND KNCW THE SAME TO�E THUE ANO CORRECT ALL <br /> PnoPos[o USE 0�,qmuxntt���p, pqOV15101lS OF LAWS ANO OROINANCES GOVERNING THIS TYPE OF <br /> K-lat l' WORK WILL�E COMPUED WITH WHETHER SPECIFIED HEPEIfl OR <br /> �tceiocscmrnwrorrnorcnrc�s�om�o[mwonr.m inwocovies�, �n � NOT. TIIE Gf1ANTING OF A PERM11iT �OES NOT PRESUME TO GIVE <br /> io��oiocK — or ' �� � AUTHORITY TO VIOLATE OR CAMCEL THE PROVISION OF ANY <br /> 1 ,, �� _r OTMEP STATE OR l000.L LAW REGULATING CONSTqUCTION OR THF. <br /> � CYQ(CL �V���� ��� UMLi I � l�� - PERFOPlAFNCE OF CONSTRUCTION.THAT I AM AUTHOR2ED 9Y THE <br /> �� OWNER OF THIS f'ROPERN TO PERFORM THE WORK POH WHICH <br /> APPLICATION IS MAOE AN� I COMPLY WITH THE STATE <br /> �encEt*eMio �u�BEn CONTRACTORSLAW1B.27RCWAND296.200WAC. <br /> LON511111Ci1ON10 Nl[�IDER�IMIIESS.�FIEMIqlFINMBfII� X � � " ���C/ '� <br /> SNill �011 fAIE <br /> QITbUSINE55lICCl�S(b0 <br /> PLUMOING MECMANICAL <br /> NO. TYPE OF FI%TUflE OR ITEM FEE N0. 7YPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—MINOLO UNrtS—N.P. <br /> BATHTU� FORCEDAIRSYSTEMy—D.TU. M E.A. '— <br /> —i—i <br /> �_ LAVATORY(WASH OASIN) HEAT PUMP _ ' <br /> SHO W ER UNIT HEATERS—�.TU. IA ' <br /> � KIiCHEN SINN d DISP CLOTHES DRYERS ' <br /> � DISHWASHER I VENTILATION fFN _ <br /> UUNORV TRAV R�NUE MOO� <br /> � CLOTNES WASHER I �vATER HEATER <br /> 11flINAL WOOD STOVE <br /> URINKINO FOUNTAIN METAL FIREPIACE(WOOD BURNING) <br /> FLOOR ORAW FIPEPLACE INSERT(WOO�DURNING) <br /> �ACKFLOW PREVENiERS ' GASFIREfLAGE � <br /> SINR(SERVICE—OAR,ETC.) --�- GAS RANGE —'— <br /> 'JT. G�S PIPING i <br /> � E%HAUSTFAN <br /> T <br /> I SUO TOT�L E ' SUB TOTAL S ' <br /> PERA7IT E —� PERMIT S —� <br /> TOTALFEE E TOTALFEE S �— <br /> FOR OFFICE USE ONLY: <br /> rnornsFin�c� � nunscro.t.y�� .s�u¢scio.cx / n+nruccx�n�unrn rcr ncccmr�io <br /> �v <br /> us[iurrt C 101ePEA veceH�v�¢ PEES VALOATION FEE <br /> � J IIYES f100 011ilfliNf• ,�S 6v6 ) � � � <br /> /.��� <br /> IIEIGIRL141U110N / 110CFOWEll1116 SIZEOfBIIXVtI � <br /> IIIIIIS pl11Vp1YCa <br /> �� �555 4Lw S.F. j <br /> ocwreucr rnwsinm[s occurer��iao e�srucv� �Ec��+�����i • I <br /> cnour Z _ _ <br /> R�3 J. �i�es i� <br /> vms�ununean nrnsn+ urwuoruin.r�artr,� <br /> omen � <br /> nnFsrnniwimn[an nr�sor� <br /> s��cnunnn�r.si�nouncc —�� '� <br /> nrForcrnrs� rinvserrnwcosr CITYOFEVERETT runurwonx� <br /> —r1- LOCALSALES ---— . — <br /> V'h1 n+�i 5�12�97 TA%CODE157105 7ornL _ _ 'il' � � <br />