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-_ <br /> APPL�CATIVrV FOR CONSTRUCI .ON PERMIY <br /> CITY OF EVERETT• BUILDING DIVISION � <br /> 3200 CEDAR STREET • EVERETT, WA 98201 •259-8810 <br /> f 1 DEMOLITION r I COMBINATION i � BUI�.�ING <br /> I 1 MECHANICAL ' PLUMBING f 1 SIGN <br /> PROJECT ADDRESS <br /> l9a ��� '�` �/ sr,� <br /> owr+En uan��pjoness <br /> G ol�mar k Gn I -I�S ��i�� Kp �..Kv 5{"f'✓��) ,m Q rj rr�w�r ' <br /> tEN�Nr ununnnnrss 5 C�u�`�" n� 3y-96S�b <br /> �i ❑fV )If( ! IF <br /> �RC.IR(CTO- q[�S�GqF� M�II �DpqFSc <br /> _ Citv ln.-- <br /> n��oar <br /> f,ENEMLCONlMCf01 MAilpDpqE55 (�J � {� ` <br /> C—ol�r�ark �„�. ��S S��t(��7 1CQ N- V�'tve�5 �'7'ry/^) �IIONE / (/ SI�7ELIC[NSE• <br /> MF.CH�'IICq.CONiRq�iOR MqL��pBF.SS �- �� �6-33�I���%,jU G-o�eme �oy�Rp <br /> CITV 71P PIIpNF <br /> iIQF IlC°NSE� <br /> PlUdMO81NOCONIR�CTOf1 'LNI�[�D��E55 �i. �� . .1. � <br /> D"/ Q��.00 cirv 7in m1oNE <br /> SiRE LICENSE� <br /> CJNiP�CT PRICF Of Nqf1N � <br /> �Z S�-I m F�• �7( �� Q,q � I.�U(i�/,/ HEATING YSTEM: f✓GA f 1 EIECTRIC f� <br /> UESf.RINE NqqN�ryD SpI1�qF FOOT�OF VI VEJ� <br /> _� OOM1ACi('F 50 A pp11rWEN0 <br /> __ � q 7 '1� � <br /> D � i - � <br /> ON OI X I HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> rqo�sEouse ov euiiowo APPLICATION AND KNOW THE SAME TO pE TRUE AND CORRECL ALL <br /> __ PROVI£IONS OF LAWS AND ORDINANCES i+OVEPNING THIS TVPE OF <br /> teu��p¢sc IPTIOHOFPqOPERTY�51/OWNPEIOWOR�T7�C117WOGOPIFS� WORK WILL BE COMPLIED WITH WHETHFq SPEGIFIFp HEREIN OR <br /> ioT�B��K_ ��,2 _C_ (, � N01. THE GRANTING OF q pERMIT DOES NOT PRESUME TO OIVE <br /> �� AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> �J OTN'cR S7ATE OR LOCAL LAW REGULATINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br /> 5 3�5 - o�o- 03 - oo OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> PARCF.IT�I(IDNI/MPER � O APPLICATION IS MADE AND I COMPLV WITH THE STAtE <br /> CONTpACTORS LAW 1827 RCW AND 296200 WAC. <br /> .Z� r��,. /f�w,�Nc ,�53' 05 Z <br /> CONSiR�nqd IO�N l NDEq �pp :55,TEIEPNONE NUMBFR <br /> X - <br /> SIGN�IU <br /> � o�re <br /> CIT SINF.SSIICCNSGNo <br /> PLUMBINO <br /> N�• TYPE OF FI%TURE OR ITEM MECHANICAI <br /> FEE NO. TYPE OF FI7(TURE OR ITEM FEE <br /> WA?EH CLOSET(701LET) 'i <br /> BATHTUB �� ' �✓C—�NDLG UNITS—H.P. , <br /> LAVATORV(WASH BASIN) / - -' FORCED AIR SYSTEMS—B.T.U. M E.A._ � <br /> SHOWER . ' HEATPUMP <br /> � i <br /> � NITCHEN SINK DISP - UNIT HEATERS—BS.U. M , <br /> DISHWASHER ' CLOTHES DRYERS - � <br /> IAUNDRY TRAV I � VENTILATION FAN � <br /> CLOTHES WASHER i ' Z RANGE HOOD , <br /> URINAL ' WATER hIEATER --'T— <br /> �RINKING FOUNTAIN � WOOD STOVE — , <br /> FLOOR ORAIN ' _ ME7AL FIREPLACE(WOO�BURNING) � <br /> i � <br /> BACKFLOW PREVENTERS FIREPLACE INSERT(WOOD BURNING) � <br /> SINK (SERVICE—BAR, ETQ) ' GAS FIREPLACE ,� � <br /> ' GAS RAN�E � <br /> ��AS PIPIN6 � <br /> — � � E%NAUSTFAN j//� <br /> i <br /> _ , <br /> � 1 <br /> � , <br /> — � <br /> sue rora� a ' <br /> PERMIT °l'8 TOTAL E � <br /> TOTAL FEE E PERMIT a , — <br /> � TqTALFEE E � <br /> FOR OFFICE USE ONLV; 2� Z 7 <br /> fRONTSFTP�CH qF�R SFlPeCN - � ��'' � � <br /> ^ � SIpF.SFiP�CN PlANC11FCKNI1MOf11 fEE _ RFCFl/PTNO <br /> ./ �`'h_ ' / / /)C ' <br /> usezor+y) � ior�nE� n � L — <br /> L*_ ,.� vnr,nHi snv FEES VAlUAT10N FEE <br /> [L� G9- � .�s ,: N„ <br /> „F��`„��M�,�,� fl111IDMG Z - -�- - l � <br /> NO Of pWEll.N(i SIZf Of fllf%iq <br /> " IINIIS ZZ�Y �� �iVIN(� <br /> S� �i.Q2�4u PIIIMPiNG :^�� <br /> OCQIP�NCY N)p1 9pn�E5 q(:CUP�NI IO�U BASOMEhi _ <br /> cn r <br /> - z � �,E�,,.����� 2D <br /> riaeeun+rneon ^ ��Y�s ° — <br /> ���5� A[N1IIIONAI PIAN CHECK j <br /> ��� i <br /> FlRFSPPINRLFfiqF.OD RFRSpN OIIIER �/�/1 .� � `, <br /> (/ U <br /> SiAt[BWIUINaSURf.11Afi(iE / �� . <br /> TVPE OF CONST PLANS��Iy�O AY - <br /> CITY OF EVERETT runuc wonKs i� ,-�� <br /> _ � LOCAL SALES �-C� � - <br /> u��e 3 /7 /i y TAX COUE IS 3105 7oiAL � .]�-,� - --. <br />