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APPLICATI(..�1 FOE% CONSiRUCi _JN PERMIT/ <br />GTY OF EVE�aE7T • BUILDING DIVISION e++��� <br />3200 CEDAR STREET • EVFRETT, WA 98201 • 259��810 ` � <br />� DEMOLITION i COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br />PROJECT ADDRESS <br />- //3 Sr. S,C _F✓E-�cEr,- GtJf} <br />ovn�rn ��nnnnnnrss r�n ?t//% '� r'm.n�r <br />SCNGNMI�IRK �'L41LOCnRP. Li}�7_Cor��12CiK_ PKw_y, $�,.�,, (�-e'N7r�l,WfP.9��S.9 ____. _�L �%�_�_ <br />rrH�nr unn nnnnres rrT � rurvu <br />�� <br />— —._—'--__ __. _. _' _—_.-_ _' _ . _'_'__- — <br />R�C�IITI Cl OR OF.51 �ryf ❑ MAII ROf1fiFG5 i ih' . PIiOYf <br />GENf��I CONLf1nC1(M u4iUf>flltfc5 <br />ncni r,oNtnncron <br />f�ilv ��--�--;iP <br />arv <br />k'. <br />r'1U401NGC�NiRAf,LOR A�AII �UDNFSS ['JtY )IP <br />DESCPIBE NORK �ND SOII.tnE FOpUGE MVOI D <br />Nera 5�/G ����1�P�C Lcv�� <br />y7o �� I-owe'x. 4N r-s,�i' <br />S8s � /re.,,,,.� <br />OF B11IlDINO <br />1.01 D D BLOCK Of <br />S • i'.�4 �0�.. L <br />^�IICFLT�%IDNU'AflEi �{ IOR1/�N �Yl <br />S73�o-->uo —n3s—000� <br />coNsrnucnoN io�H ieNOE� �nonEcs r�icrHONc ��uuArn <br />TYPE OF FIXTURE OR ITEM <br />WATEfI CLOSET (TOIL—ET)7 <br />BATHTUB / <br />IAVATORV (WASH BASIN) � <br />SHpWER <br />KITCHEN SINK 8 DISP ' _ <br />DISHWASHER - <br />CLOTHES WASHER — <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />BACKFLOW PREVENTERS <br />SINK ISERVICE — BAR. ETC,I <br />SUDTOTAL $ <br />PEPMIi S <br />TOTALfEE S <br />FOR OFFICE USE ONLY: <br />rnoarsrreacH2 � nrnn srrnnck <br />1 O �� �� <br />z_� <br />usrroNG tnr•n�� <br />_ \ �L i 3��00 <br />REIOIIi LIMILAl10N NO Of UWO IINC. <br />� u�ms ' <br />OcluPAqCv Nn pfSIDaRf a:CunANfloRU <br />nnnu+ <br />3 -i 2- IJ A <br />nn.eunuiaeon nr�irn� <br />Nv <br />rir+F srniHK�.Fn nFan <br />�IJ <br />� <br />SIpF SFiPnCN �p' <br />s' � ua <br />vnce�n �nr <br />}fYf c <br />�P1Sf �C\VI <br />� 4���^„�� 3 7 ".« � �«��zF . <br />98as�_ f3E7�cdGc o�- <br />rnor,r crnrriicrNce. <br />�`��0`+F SiAtF I.IC6NSE • <br />HEATING SYSTEM: GAS i! ELECTRIC I I <br />co�4tnc � ri usor� nno m�orvF r� <br />L�--�c—zr� _(�_}�L7 37 <br />I HEA[BV CERTIFV THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PRO\'ISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEF�IN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THiS PROPEfiTV TO PERFORM THE WORK FON WHICH <br />APPLICNION IS MADE AND I COMPLV WITN THE STATE <br />CONTRACTORS LAW tA27 GW AM1!0 296.200 WAC. <br />x �7'.cs�-L /. --e-�.-...� 6�3� 95 <br />qr�urun[ ����p <br />CiIV plKiNf SS I ICPNF[ NO <br />NO. TYPE OF FII(TURE OR ITEM FEE <br />_ A/C — AMNDLG UNITS — H.P i <br />FORCED AIR S�'STFMS — �.T.U. M E.A. <br />HEAT PUMP , <br />UNIT HEATERS — BSU. M <br />�_ CLOTHES DRYERS - <br />VENTILATION FAN <br />� RANGEHOOD � <br />�_ WATER HEATER i <br />WOO�STOVE � <br />METALFIREPLACE(WOO" BURNING) i <br />FIREPLACE INSERT (WOOD BUfiNING) � <br />� GAS FIREPLACE — � <br />GAS RANGE � <br />,� GAS PIPING � <br />3 EXHAU3TFAN / , <br />F(� PI Rq f.11FCM <br />�— --� <br />���, <br />�,��������,� <br />i', �'F9 14r0 <br />� rwuni�+, <br />MEf11�NICRI <br />anoniaN�i r� aH cr�ccK <br />CITI' OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />on�rn <br />SIAIE BUIIUING SIIRCIIPROE <br />PUPIIC W011N5 <br />TOTAL <br />--T <br />SUB TOTAL $ <br />PERMIT S <br />TOtAL FEE S <br />fF! PFf.[iPTN <br />�;�%. % �� �''�� <br />VALUATION FEE <br />�/ Z`3� ~ - <br />O! — <br />� �l � �� <br />_ � .. <br />; <br />i <br />-- � — <br />,( i / <br />/Jn ' - <br />