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APPLICATI�.N FOR CO:VSTRUC'. �ON PERMIT� � <br /> CITV OF EVERETT • BUILDWG DIVISION ' <br /> 3200 CEDAR :iTREET• EVERETT, WA 98201 • ?59-8810 ��"' �i <br /> DEMOLITION COMBINATION i�BUILDING �'MECHANICAL /�PLUMBING SI(iN <br /> PROJECT ADDRESS . , <br /> . <br /> �� US / 07 `�' �"�' SE <br /> owdFn N�nu�r�.-., r.ir ni� r��our <br /> ��-, � ��33�y Y��/'c �J ,G{�.�[�.�- 5'Yz� S �`6- /v3Jhi� <br /> IFN�Ni Mn�1 �nDnFCq — —��nr Ji�' � rnoNF ,. <br /> ARCI9TF.CIORIIF.S�GNE11 MMI�PORF�S Ci1Y )i� PMONF ' <br /> O[NFR�I LONTMCtd: MMl��fM1F55 �lrv liP PIIONF SiRE IICCNSF• <br /> �f'Yla.-� ' �y o'VK+e .G�-.Ci � LtC. 4li-u�w-+ /�10G ko l R /o/ N S I <br /> MFCH�NIUI CONTR�CiIXI M�IUIXN?'S5 CIPI IIP PIIONF STRE IICENSF.� <br /> PII�MlIIN6�ONiR�CTOR M�i1.M�RE55 Cilv tiP P��Ur.f Sf�TE LICENSE� <br /> I:GNTRACI PRICE OF Wq11t <br /> HEATIN(3 SYSTEM: i�AS � i ELECTRIC fl <br /> OSSCRIBEWORN�NDSW�R[FOOMOEINVOLVFO fUHiN1IPtR50N�NDVI�ONF NO <br /> � . �`• f`�'/�, aY(!/� — ____ <br /> L <br /> I HEREBV (:ERTIFV TNAT I HAVE RFAD AND EXAMINED THIS <br /> --- APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> raovoseo use or aundrw PROVISIONS OF LAWS AND ORDINANCES OOVERNING THIS TVPE OF <br /> WORH WILL 9E COMPLIED WITFI WHETHER SPECIFIE� HEHEIN OR <br /> IF.O�LOESCRIPT10NOFPROPEPTYISNUWNBELOWOR�TTy�C�IITWO'CJOPIE51 NOT THE ORANTING OF A PERMIT DOES NOT PRESUME TO OIVE <br /> '� (��GC •�y��li��� AUTHORITV TO VIOLATE OR CANCEI THE PROVISION OF ANV <br /> lOT I RIOCN Of <br /> OTHER STAT�- OR LOCAL lAW FEGULATIN4 CONSiRUCTION OP THE <br /> PERFORMANI.E OF CONSTRUCTION. THAT I AM AUTHOHREC BY THE <br /> OWNER OF TH�S PFOPERTV TO PERFORM THE WORK FOR WNICH <br /> APP�.ICATION IS MAOE AND I COMPLY WITH THE STATE <br /> PMCEL TA%I D M:MBER CO� 'RACTORS LAW tA27 RCW AND 296200 WAC. <br /> CONSTRUCTIONLO�NIENpER �OONE35IELEPIIONENUMBER xl�� L�-1 ��—�� C+�-TD/ yf/ <br /> 51�1�1�tlIRF U�1E <br /> f.11Yfl115ME55UCFN�F MU <br /> PLUMBINU MECHANICAL <br /> NU. TVPE Of FIXTURE OR iTEM FEE NQ TYPE OF FIXTURE OR ITEM FEE <br /> T <br /> 3 WATER CLOSET(TOILET) � AIC--AMNDLO UNITS—H.P � <br /> BATHTU� � FORCED AIR SVSTEMS —B1L. M E.A. ' <br /> LP Y,TORV(WASH BASIN) � HEAT PUMP � <br /> SHOWER � UNIT NEATERS—B.T.U. M ; <br /> J KITCHFN SINK 8 DISP i � CLOTHES DRVERS _T_ <br /> DISHWASHER � VENTILAI'ION FAN ' <br /> LAUNDRV TRAV ' RANGE HOOD _ i <br /> CLOTHES WASHER i WATER NEATER � <br /> URINAL ' WOOD STOVE � <br /> DRINKING FOUNTAIN i ME iAL FIREPLACE(WOOD BURNING�_� —T <br /> FLOOR DRAIN � FIREPLACE INSEFT(WWD BURNIN(i) ; <br /> BACKFLOW PREVENTERS ; OASFIREPLACE i <br /> SINK(SERVICE—BAR,E?C.) OAS RANGE ! <br /> 6AS PIPINO F <br /> � � EXHAU.iT FAN � <br /> i <br /> i . <br /> � �,/ i <br /> i _—�_ <br /> _ � <br /> � �_ <br /> SUB TOTAL E ' SUB TOTAL S <br /> PERMIT E i PERMIT E � <br /> TOTAL FEE E �— TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: <br /> [RONTSfTBM1N RFApSFifl�Ck SIDfFFT9ACN �'UNUIF�C�I(N.I.IM�9F,P, �Eff RFCPfTNO <br /> / v�j' S � _��}�Ydi -X'7 <br /> 115[20NE 10111REA vnrun<irF FEE8 VALUATION FEE <br /> �'7'� F"',C 10 .�-�'� .F� � ���r niinniNa $7 OESL 'S- 2 <br /> IIEIONiU�AIT��)N j NO �X DWF.LIINf• �IE SPII�'iJ <br /> ( UV/�.IG} vi uuniNr. <br /> ! S G.+� cE — - <br /> POUP1Nf,� N[1 Uf SIIWiFG p.C11VANI IU�U B�SEMENI MfCN�NIC�I � <br /> R'3 � N� ',v�s � �DO�IIONMFL�NGNECN <br /> fIPE URM RW[> �i�StNd _ <br /> pT11FR <br /> FIRFSPRINNIERPFOD AE�SON "I <br /> tuTr euaort+a suncH�nac (J <br /> irPE OF CONST PUNS�f'P�9VF.0 Pv � <br /> �1 CITY OF EVERETT ���p���'W�n"s �' � <br /> �JP LOCAL SALES -- .-, <br /> �"/✓ u��E 7 /Z� 4S TAk CODE IS 3105 TO7AL � L <br />