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APPLICATI�i `�1 FOR CONSTRUC�N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-BB10 <br />f� DEMOLITION G�" COMBINATION ( i BUILDING I 1 MECHANICAL �' VLUMBING I � SIGN <br />PROJECT ADDRESS �,�� _ � ��.- � <br />% �' �_ <br />awryFn uui�oorFss cirr <br />)m �� / rvux� •, C '� � S ' %%[ �D <br />�, �riin� / i 'F/fLiT�l �,ia•..7 Y�c i`/i5 'r.'/ -�y � F .= F, � v <br />�ENANT 4q111DO�C55 f.itY IiP 1`.ONF <br />�/R'�C���TF.Ci0i10E51GNFR MIII �ppllF55 ❑TY )iP P�IONF <br />/_/oif�y �Inig / �il� %�A�iS�.i S/� !%.�S���C�( �iY. �li: i �.-� .i �c k i <br />..... .,, r+�vrv�. gl�'f I ICENSF � <br />��� ���� ^..� t iff��*r� %i. •.r . J.,c i��i 1� i,V� S/� �> '� ,�.a/'R 4Pi'F•�.F�( f-'%.Zu�i 3>�� �%l"� CKrnrv�lY`S/�'!L <br />MFCN�NIC�I CONiR�ftOtl talt �Dppf55 f.ITV 7iP PIIONF STAfk II�FNSF • <br />,4,�,r; /f�.���.,;� �.�.G�...,5 �.:. '� �a�-v��� <br />rL11MBINGroNrw�f,rOP M�IInc�UnE55 clrv 7in rr�JNE Si�If.Uf.FNSf� <br />'i �,r ., /,•.4 .n._) Sr `�•�, P���� 4.�.____i-�-L i7l <br />covrRncr rnice or R., — ._ <br />n 5«�� %O .�> ) HEATING SYSTEM: U'�GAS ', ELECTHIC I I <br />OESCf11BFW0i1N�ND5W��Ei T�6EINV01\2D 1 fONt�CIf'lRSONu�UP110NfN0 ) > <br />1����� Iv� F.YiA 'l W//�I _ �I/�L'ili C.'�/:I��i,C .1S'l ?�L�� <br />AAR�G•� G...�.aF �Oc� <br />PRqq5FDU5E OF PIIILDINO <br />AF•. , �1.-�. < <� <br />i ecei oEsenmtiar� a rnorenrv is�rovm a¢�a�i on �necN iwo eomesi <br />wt �' eice� or `l� �/� C-2-/S'S� j <br />. �.ff��l� �-�,� <br />CONSIRIKiION l O�N I.Ey(tF.11. �IOD�FSS !Fl FMpNE NUMPFf1 <br />1/�C..�i..y ✓�f'�•/\ <br />PLUMBIN!1 <br />N0. TYPE OF FIIfTURE OR ITEM <br />:L WATER C.� OSET (TOILET) ! <br />BATHTUB / <br />.Z LAVATORV (WASH BASIN) � <br />SHOWER / <br />/ NITCHEN SINK d DISP <br />TRAY <br />WASHER <br />URINAL <br />DRINKI4G FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVEN' <br />SINK (5� •: iCE - BA <br />SUB TOTAL S <br />PERMIT E <br />70TALFEE E <br />FOR OFFICE US[ ONLY: <br />fRONt Sf TR��(' J pf�p SFTP�Ch � clpE SF <br />i� � <br />USE IONf � / <br />v J <br />NEIGIII UMIIAtiOnl / <br />OCGUI'�NCv µ� ro ylnNl <br />f.f1011� <br />1��3 -� I <br />fiR . �U�M f1E0 D <br />nnrsrn K�rnnFon <br />� � � <br />IYPF:� .(HJSI <br />� _ <br />io��nre <br />NO CY P'NlLUNG <br />IN1�G <br />rv <br />n�n <br />I HERFBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br />APPLICA710N AN� KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF IAWS AND OPDINANCES GOVEfiNING THIS TVPE OF <br />WORK WILL BE COMPLIED WItH WHrTHER SPECIFIEC HEREIN OR <br />NOT. THE GRANTING OF A PEFA!IT UOES NOT PRESUY.IE TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHEfI STATE OR LOCA1 LAW qEGULATINO CONSTRUCTION OR THE <br />PERFORMANCC OF CON55 RUCTION. THAT I AM AUTHOR12ED BV THE <br />OWNER �JF THIS PROPEHTV TO PERFORM THE WORK FOR WHICH <br />APPLICAT�CN IS MA�E AND I COMPLY WITH THE STATE <br />CO�J-TRACTOHS L9W 1By27 RCV� AND 296.200 WAC. <br />� � " <br />%� ��.�- � � �c-.��� .�j� �(�, ys_ <br />.....:.n�URF. pMF <br />f.11Yp�/51Nf�5lICR6( HO <br />FEE NO. TYpE OF EQUIPM <br />' A/C-AMNDLdUNITS-H <br />� FORCEO AIR SVSTFMS - E <br />T- HEAT PUMP <br />UNIT HEATERS - B.T.U. M <br />i / CLOTHES DFVERS <br />RANGE <br />W000 STOV[ <br />METAL FIREPLACE � <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />E%HAUSTFAN <br />/ r�nnc(.Jnrc�Nuunrn <br />/,���/J J.i <br />v�r.eNt snf <br />IiYFS i'�N�1 <br />iV1IJ(j t <br />MFNf � <br />I�FS �WF10 <br />AUII DINI: <br />PIUFTin:. ---- <br />MF�'��ANIC�I. <br />Mfullp4el A �N �:RfCN <br />011lff� ---) (� � <br />�� l u `� <br />c*M f nl lll nibr SuntJun ,r <br />CITY OF EVERETT �uniir,�y�nKs <br />�oca� sn�es — -- <br />TAX CODE IS 3105 7(`7AL <br />FEE <br />E.A. <br />SUB TOTAL E <br />PERMIT E <br />TOTPLFEE S �/�- <br />� <br />���, %J <br />rr� 7 nrrnrir�o <br />._ i .) ��. rY `_, ��C/G�[` , <br />0 <br />L.�'_ ` �_ .' <br />--- -_ —IC1__'' �'= <br />I <br />