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AI�PLICATIf "� FOR COPISTRUCZ � DN PERMIT <br />CITY OF EVEFiETT • BUIL�iING DIVISION �/ <br />3200 CEDAR STREEI' • EVERETT, WA 98201 • 159•8810 <br />❑ DEMf]LITION � GOMBINATION ,/❑� BUILDINU O MECHANICAL O PLUMBING ❑ SI(iN <br />PROJECT ADDRESS:� f(� 3� 1' �, S� � � V'�L�,I �' I f�oi U g <br />�En�xr uNl�00RfS5 fllY )�v PnONE <br />�c,� �c c.� N W I tq I 5 14 a.�d A�. A!!t; Sk �/OU /•�,Joodr'� � �Lt, �G t[ �1 �/ 90 O �� <br />•RLMi(CIpIDE5�6NFR 1MNIMORESS Li�-� Ii� 1I PHONF rN.���.qq�vv�I� <br />OE� 111�CrrY Of�v` � M��I�D�f1f55 ��'O ��Iv�+���/�� ��G ��-TiUHF , CI�iE110EN5F ,V' <br />OF VI011K <br />MSNUc%i pY�, — ��o�I Sq � <br />ANO BIXI�HE fOOTAOE W VIXVED <br />1)cs+ 44 ��77 4tPF, as nuan�rrl aao►w S 6�v.at <br />iea�ioexwrrwwarnorenrv�s�awNeeiowa+�n�c�� coriesi <br />�oT 2 uoe� _ � a �•f � <br />1/trQ�xru,, l3 0� Pl� P 93 � <br />n,�r-1;,�,. �� � 34�0-oou- 032 -�lo <br />ION/lENOER. <br />. �.,.,n�,wA 4&�6 <br />WATEN CLOSCT (TOIL <br />BATHTUB <br />LAVATORY (WA9H BA! <br />SHOWER <br />KITCNEN SINK 6 UISP <br />DISHWASHER <br />UUNDRV TRAY <br />CLOTHES WASHF.R <br />URINAL <br />DRINNING FOUNTAIN <br />�J:7_1:1� <br />N4MlEfl <br />HEATING SYSTEM: �OAS ❑ ELECTRIC ❑ <br />�r�Q/�/�n[� ^ Y IN�J'�'� ��o a59 ". ��.Q � <br />R:� 1+.tnosor� a.mb a4� o�-?�f <br />I HEHEOV CERi1FY iHAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND N�'OW THE SAME TO BE TRUE AND CORRECT ALl <br />PROVISIONS OF LAWS AND OADiNANCFS GOVERNING THIS TYPE OF <br />WORK WILL DE COMPLIED WITH WFIETHER SPECIFIED HtREIN OR <br />NOT. 7HE 6RANTINO OF A PERMIT DOES NOT PRF.SUAIE TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTIIER STATE OR LOCAL LAW RE6ULATINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. Tt�AT I AM AUTHOFlIZED BY TNE <br />OWNEq OF THIS PROPERTV TO PEHFORM TNE WORK FOR WHICH <br />APPLICATION IS� DE AND I COMPLV WITH TME STATE <br />CONTf�2T9Aa l/NV 19.27 HCyy11ND ?96200 WAC. <br />��S' J�Z�p �����SMFSSL:ENSCNO � � <br />MECHANICAL <br />FEE NO. �VPE OF EOUIPMENf <br />�. � � O'a A/C —� MiNDLO U�JIT$ <br />%; O O FORCED AIR SVS7EM5 <br />t, HEAT PUMP <br />i! UNITHEATEf15 <br />PERMIT f <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />iPONTSFTB�CM _ � HE�115EIB�CM <br />7. �' <br />usetou — � / ior�n � <br />Rk�0u1 L�MII�i10N MO Of OWEllINO <br />� � UNRS <br />OCGUP�NC� NOMfIMES OLCUPeNIl0�0 <br />Gf1IXIP <br />3d1 Z _ <br />fIRESPPINNIERREO'0 �E�S(M! <br />Fl(1E AtARM REO'0 AF�SqM <br />MEfAL FIREP�ACE i <br />FIREPLACEINSERT <br />GAS RANGE <br />GAS PIPIN(i <br />EXHAUSTFAN <br />/ SIUE4F/B4.i, / �l�NC1lff.hNU �!nK,1 <br />�� 'J _ <br />vcu+� snv FEES <br />❑res ❑ No mmnwc <br />S�IE Of BJlO� 1 ---------- <br />c�..7 Z 5.�� rtuumn��__ __. <br />B�4FMENI MFf.1UNlf.�l <br />vF5 ❑ NO --- -- <br />--- �OOIIIUNAIPI�NCII(CM <br />OIIIEfi <br />ST�IE BUqOiNfi SII�CIIM(:E <br />CITY OF EVERETT ���nnr wnnne <br />I LOCAL SALES ----� <br />I TA% CODE IS 9105 7otnl <br />!Ef <br />SUB TOiAL S <br />PERMii f <br />TOTAL FEE f <br />� I 11Ff.FI�i NO <br />l. 7 r <br />--•-- <br />