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,.-. ^ <br />APPLICATIOrI FOR CONSTRUCT ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259•8810 <br />fl DEMOLITION f�COMBINATION IX BUILDING r�MECHANICAL i�PLUM8ING I I SIGN <br />PROJECT ADDRESS •� <l- ���I <br />��� ia� � � ��i-� � � � ;.� � <br />ownea M�IL�ODRESS cm am rr�ovc <br />c�1�ll�ew �;,,:Tr��:�., i� �ra��,a Lywa.,.��..� 9,i'o�G :�/G f;39a �1'la �/�l7`l <br />iot <br />coNtner.Ton <br />Of <br />SOU�RE FOOT�OEINVOLVEO <br />OF PROPERTY ISHONM BELO1 <br />_ BLOCN Of. <br />ux i o. r+uMaea <br />R. �DIME55. TELEPI/ONE NUMflER <br />PLUMBINO <br />NO. TYPE OF Fl)RURE OR <br />i 1j:� WATER CLOSET (TOILET) <br />� BATHTUB <br />LAVATORV (WASH BASIN) <br />;� SHOWER r�Q <br />TCHEN SINK 8 DISP <br />URINAL ` <br />DRINKING FOl <br />FLOOR DRAIN <br />BACKFLOW PF <br />f.IiV <br />�m <br />71P <br />r��oNe <br />� <br />ni�nvr <br />G <br />rno��t <br />m�oNe <br />SUtF IICINSF � <br />Si1TF UC[N5E � <br />SUIF.IICFNSE r <br />HEATING SYSTEM: f I GAS iA�ELECTRIC f 1 <br />f.DN1�C1 PFRSOd �ND PIiONF NO <br />I HEPEBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND COHHECt ALL <br />PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIEO WITH WHETHEH SPECIFIED HEREIN OR <br />NOT. THE ORANtINO OF A PERMIT DOES NOT PRESUME TO 61VE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW RE6ULATINO CONSTRUCTION OH THE <br />PERFORMANC F�UCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF IS P Y TO PERFORM THE WORH FOR WHICH <br />APPLICATI IS AND I COMPLV WITH THE STATE <br />CONTRA ORS 27 RCW AND 296200 WAC. <br />NO <br />NO. TYPE OF EOUIPMENT <br />A/C — AMNDLO UNRS — H.P. <br />FORCEDAIRSYSTEMS—B.T.U. M E.A. <br />HEAT PUMP <br />L/ I INIT NFATFNC — R T11 E�1 <br />WATER <br />WOOD <br />METAL i <br />GASRANGE <br />GAS PIPINO <br />E%HAUSTFAN <br />PERMIT E � � <br />TO7ALFEE S <br />FOR OFFICE USE ONLY: <br />fRONTSFiP�� PE�f15F�CN VAA�M(( IPFSE��CN PI�NCIIEf. I�fR <br />Z ^'` <br />� <br />use zoey-� wr enr• vec�Nt sire FEE <br />�L- ��-- uves i, tio ounnwc - <br />IIEIC111U41GTION � NOOFU FL�IJ1j�_ _. SIIEOf 1UG91, <br />'i�� UNIIS .7f11�� i L I I <br />T <br />� � 2 �l /IA� Nn <br />r.cur�Nrio�o n�ceMeN� Mrr�uNicai <br />N� i� i�vn <br />=esa� --- � nnn�uaairinNn�rce <br />ou�rn <br />'ncpr, / ./� — <br />�'R��o)fo 0�/ PL�^) ztntcnunn��+r,sunuuncr <br />nHser/�qnvFnnr CITYOFEVERETT �'���i�r.wnn.v _— <br />J �� LOCAL SALES <br />,�� / / _ / - �j TAX CODE IS 3105 TOTAL _ <br />//- 7-15 <br />rrr <br />SUBIOTAL '> <br />PERMIT S <br />TOTAL FEE S <br />nrcrmrNo <br />FEE <br />T <br />K <br />_,_ <br />—__ —_ ___ _f�� _ _ _ . �_ <br />-- /;16 __:�12'`3t'-- <br />