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' <br /> APPLICATIL.� FOR CfiNSTRUCl �ON pERMIT <br /> CITY OF EVERETT• BUILDING DIVIS!ON � <br /> 3200 CEDAR ST9�ET• EVERETT, WA 98201 • 259•8810 <br /> � � DEMOLITION I � CCMBINATION fl BUILDINf3 fl MECHANIGA� I PLUMBING f ! '{IGN <br /> P�IOJECT ADDRESS � <br /> �i 30� �� ? ''•��SC <br /> OVMEn M�L�IXME54 cirv I�r rr�@�E <br /> ��+-ti. 7�Jo-� /33i 7 _ .4fa/�%t.- �f'�275 10[ >'13 -z '✓7/ <br /> tEN�N M�q�ppqF.55 GIIY ]iV F��ONE <br /> ♦nf.NITEC10npE51GNEt1 MIII�DORE55 Ci�y )Ir PIIONF <br /> OEHFMtLONffUC1IX1 Mul�Of1RE55 Ulv � )m PiIONE SteTE11lFN5F.� �/�/y6 <br /> �1?�'2- �r�(07+tRl��e.aw... �y*-y.cC, a.d� Q.�p-s�t. /{�rJdC tfo I �-/01 N,f' <br /> MFCN�NIGL CONTR�CfOR M�II�DtMES'i f.l1Y )IP PIIpNE ST�tE I�CENSE� <br /> PIUMlINGppNTq��iOR M�IIAODHESS GITY tIP PNpNE S1�TElICENSE• <br /> CONiq�Ct Pq��E OF 1W.711N — __ <br /> HEATINa SYSTEM: I I (iAS fl ELECTFlIC f 1 <br /> DESCPy�E NO11N�NO gpl)IIRE ippT�OE INVOLVED G��wyL' ONt�CT PENSON�ND PIpNE 1q <br /> /�{n'i .Y.aA�If�Q ���i1 �/3oS —1'tG <br /> _"C�' i <br /> I HEREBY CEPTI�V iHAT I HAVE READ AND EXAMINEO THIS <br /> rAoruuo u e or eui.drq _ • APPUCAtION ANU NNOW THE SAME TO BE TRUE AND CORRECT ALl <br /> ���`� PROVISIONS OF LAIYS AND OqD�NANCES OOVERNMG THIS TVPE OF <br /> _— l'IORK 1YILL BE COMPLIED WI1H WHETHEq SPECIFIED HEREIN OR <br /> iea��cescmm�or�acn nrr�sNowr�eei on�necNiwocomes� NOT. THE 6RANTIN�3 OF A PERMIT DOES NOT PRF_SUME TO OIVE <br /> io* �3 e�ocK_ or�� AUTHORITV TO VIpLATE OR CANCEI THE PROVISION OF ANV <br /> OTHFR S7ATE OR L"v^4L LAW REOULATINO CONSTRUCT�ON OR THE <br /> _ �9./� C.- ��_� PERFORMANCC OF CC'JSTRUCiION.THAT I AM AUTHORIZED BV 1HE <br /> � /_ OWNER OF THIS PpOPF.RTV TO PERFOHM THE WORN FOR WHICII <br /> ,(,UJISD tftJ �. �A(Ait/� //r �p7ry�_ APPI.ICATIOM IE MPQE AND I COMPLV WITH THE STATE <br /> PAACFL LVI ID MIMBFR CQNTRACTORS LA'r� 19.27 RC'N AND 296.26G WAC. <br /> S'3cZ -�a6 - oD / <br /> CONSlf1UC110N LOAN IENDER AODRESS.TELEPNONE NUMRER x 'f�,�,�.Q � .� / Q� <br /> � , � <br /> 5 tlURF. p� <br /> CItY flU5ME55 UCFNSE NO <br /> PLUM61N0 MECHANICAL <br /> NO. TYPF.OF FIXTURF OR ITEM FEE NO. TYPE OF EpUIPMENT FEE <br /> WATERCLOSET�TOILET) � A/C—AMNDLGUNIT9—H.P. � <br /> BATHTUB � FORCEO AIR SYSTEMS—B T.U. M EA. ' <br /> 3 IAVATORV!WA9H BASIN) � HEAT PUMP , <br /> , S110WER � UNIT HEATERS—B.T,U. M � <br /> KITCHEN SINK 8 DISP ; CLOTHES URVERS ; <br /> DISHWASHFR � VENTILATION FAN T— <br /> UUNORV TRAV � HANOE HOOD � <br /> / CLOTNES WASMER W,1TER HEATER � r <br /> _ URINAL W000 STOVE � <br /> DPINKINO FOUNTAIN I ME�rAL FIPEPIACE(WOOD BURNWO) , <br /> I'LUOA DRAIN � FIRE'PLACE INSERT(N:000 BUPNIN6) � <br /> IIACKFLOW PREVENTERS ' � <br /> i 1 CiAu"FIREI'LACE � <br /> 91NK(SERVICE—BAq,ETC.) � QAS RAN4E � <br /> ' OAS PIPING <br /> _ � _ � '� EXHAUST FAN � <br /> i <br /> i � <br /> —_ � <br /> i <br /> — �_ <br /> i <br /> SUA TOTAL S ' SUB TOTAL S /1 ! <br /> PERMI7 f PERMIT S b`—"t— <br /> TOTRL FEE f � TOTAI.FEE f � <br /> FaR GfFICE USE ONLY: � <br /> iRONt SFT CI REAB SF Be eIDE 9FT CN PInN .Iiff.M NIINPFR fEF NEf.EIPf NO <br /> ���v �����' J � <br /> use zo«��� � ior�n��� v�ceNr sre r _•'� � VALUAiION _ FEE <br /> IIYES II NO ---- —T— <br /> OUII DINO � <br /> NEI�NT UMiT��lp@ � NO Of OWFLIINO Si Q�B100/il — <br /> `/ uHns I '79�,S��F. U.a.v`.f riuMmu, _ 77—F_— <br /> OGLUP�NCY 110 p S�fMefS OCCUP�NI LWO B�SEMENT l <br /> OROIIP � �/ MEG��NIGL /�f�j--- <br /> '1 � IIVF4 IT'HII — - —�����-1 <br /> i <br /> �IRE LARMRFOU RF�9pN �DDIIION�tI'IMlCNF.CM � <br /> _ __�__ <br /> OIHER � <br /> FIRF.S�pINMIEAAEOD RF�SfYJ <br /> i <br /> c1�TE011I1�INO511M:1U110E '"_---- —'_—_ ��) <br /> IYPFUFf.pNSt PI�NSAPPf10VD v v <br /> CITY OF EVERETT ninurwom-s <br /> ?f/ I, LOCAL SALES - -- —'— —��L� <br /> _,L �_ u.�E S' (o TAX CODE IS 3105 �TOTAL / <br /> C <br /> �-577 S,f. G aea4 S --- -- <br />