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' ' ,4PPLlCATI�1 FOR C�DN�TRUC'�ON PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259•8810 <br /> ("1 DEMOLITION C065BINATION fl 9UILDINO f'1 MECHANICAL �l pLUMBING fl SIaN <br /> PROJECTADDRESS /�/�J� I�� 7i1�P . IJJ�. .�IP ✓��'�" <br /> "J�J i <br /> owr�[n uuinop�ess cirv tm r�ror�[ <br /> I�e.kc�� i�,�,�,4�� i �c i�a, ��- a - c� I <br /> ,crur�, �—Mu—,.opnr�s ci.. :io r <br /> nrlcrnRcronpEsicNEn Mul,Np+E55 cm rir vNOqE � <br /> GENEBLLfAN�O�Cipl uYL�OMESf CIIY il1' %q1K 541ElICENSEr <br /> �(1JJ`nOG� �i.Iv�U ; i �7��e ��ICOE-}�1���( <br /> �}y-�YEd1�N�K^'I0.C1`O4NIp�A(C�lM��/� �M{4UOOPESi f.IIY IiP�/� FIqNE 7] S.q�.l�EI4CFN$E� � <br /> 1 u �1 1\QL7Y�MIL� '` '11W11E5��� • ���1���I�),r�-�/// f1��5in1EtICEMSE�� <br /> CONIOA�i PItlCE OF Yp11N <br /> HEATING SVSTEM: I- GAS f1ELECTHIC fl <br /> OESf,IUBE Nq$MIAq FOOi WVOIVEU � CW111 q50NAMl NO <br /> 1 nt <br /> �I���� �� Cl'lU� /Vl 1�'+-IfX1� _ i 'V���'��� <br /> � I HEREBY CERTIFY THAT I HAVE READ AND EXFMINED THIS <br /> rnoroseou a c qrq APPUCATIpN ANO KNOW TIiE SAME TO BE iPUE AND CORRECT q�� <br /> ➢ PROVISIONS OF iAWS AND ORDINANCES(iOVERNINO THIS TYPE OF <br /> WORK WILi.BE COMPLIED WIiH WHETHER SPECIFIED HEREI�! OR <br /> ieanioescmmia�arvnorenrc�awvmeeirnvmen �i coviesi NOT. THE 6RANTINa OF A PER'flT DOES NOT PRESJME TO GIYE <br /> ior�etocr or /ATHORITY TO VIOLATE OR CANCEL THE PROVISION OF RNY <br /> ,�A Q Q GiNEH STATE OP LOCAL LhW REGULATINO CONSTPUCTION OR THE <br /> PEflFOflMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> � OWNER OF TMIS PROPeRTY TO PERFORM TME WORN FOR WHICH <br /> APPLICATION IS MAOE AND I COMPLY WITH THE STpTE <br /> �i�nCFtUx10 e[n CAMRACTOHSI W,1927RCWAND2962WWAC. <br /> ��-���- lo-r <br /> LWSTMICtldll0 LfNOEN,MM1E55.tFlE%IfMEM' lEfl <br /> X <br /> s�arv . o�� <br /> LItY BUSNESS ll[FNSElq <br /> PLULiBINO IAECHRNICAL <br /> NO. TYPEOFfl%.^:REOp!^►I FEE NO. iYPEOFEOUIPMENT FEE <br /> WATER CLOSET(TOILET) P/C—MiNDLG UNRS—H.P. <br /> BATHTUB �ORCE�AIRSYSTEMS—B.T.U. M E.A. <br /> L IAVAIDHY(WASH BASIN) M:iAT PUMP <br /> SHOWEP UNITIIEATERS—B.T.U. M <br /> KITCHEN SINK 6 DISP CLOTHES DRYERS <br /> DISHWASHEfl VENTILATION FAN <br /> UUNDRY TRAY RAh�E HOOD <br /> CLOTHES WASHER � WATER HEATER <br /> URINAL WOOD STOVE <br /> DRINNINO FOUNTAIN METAL FIREPLACE(WOOD BURNINO) <br /> FLOORDRAIN FIPEPLACEINSERT�WOO�OURNINO) � <br /> BACKFLOW PREVcNTERS GAS FIREpLACE <br /> SINK(SERVICE—BAR,ETC.) GAS RANGE <br /> OAS PIPINO ' <br /> E%HAUSTFAN �— <br /> i <br /> T <br /> SUBTOTAL� s suoTorni s ;�_ <br /> j PERMIT S PERMIT 5 <br /> TOTALFEE E TOTALFEE E _�_ <br /> FOR OFFICE USC ONLY: <br /> rnarnsem�cK � ae�nsE�n•tx /e'f'2;,� smEscro.ca ru�uitcxr1uuntn r[E �ecEmtxo <br /> z J __ '�-nk, s a <br /> us�novt � �oun¢e WUNISIIE FEES VALU�TION FEE _ <br /> f<-- 3 % j�� urCs n rvo awmen ` _,�✓ <br /> uncrauurt.noH �warowcwrro sueo:ei i � <br /> Q UNIIS r�� M111.101NG <br /> 2U • W�0 571J S.f• <br /> WNP�NCY xpIX5lMlq OCLUPAN�IOeU B C4ENt / ME��������� O� <br /> G�OUP � Q <br /> ��3 _� fIYES VVO <br /> iINE 0.MM FEO(1 OEASON �IXHIION�I q N1 O�FCN <br /> on�cn <br /> nncSrnnMitnnean n¢+sa� —�/�+�-�—� <br /> SIeIE�I➢IUnK.5UnC1�MGE . y �ry// <br /> _�_y� <br /> rrreorr.owsi rinxs�rrnov¢oor CITYOFEVERETT rumx:w[m+s <br /> LOCALSALES 2O ;_ <br /> �ui�—j TAX CODE IS 7105 TOTAL <br /> ---'�-- -lU14�---- �— - ----- ------� - <br />