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APPLICATIA FOR CIONSTRUCTIN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 1200 CEDAR STREET•EVERETT.WA 98201 •259 8810 <br /> f I DEMOLITION COMBINATION I CUILDING I I MECHANICAL 11 PLUMBING I1 SION <br /> PROJECT ADDRESS �t <br /> 1 -:01, 7 StS�J CAe) <br /> <Ae1In NI•N•M 55 OIY (Y' <br /> �p�n kWAIN( <br /> YrN4n�Y�� \i.CroRei X913 1�' n\IYP ll nlr:/uro.- 1� q--bckti(+I A g8wu (2ala)-- L•Gabl <br /> �Rcl•Ylcr on orsa(R 4M 411Y1155 <br /> City IV f"CON <br /> 76e S15+Lt�cy[�cch�{mss.40 ma 91d�� c-lY {a� ,�S T►o_� 80 G f6 94 <br /> IMN(Ni CO111NC1m uY•nlrfst n•Mi etuf llCrrV1 <br /> O\' ^ C;p a LLL\ SAmc I�11! au3K'31- <br /> Y(M4L4C Tfli uµNRRI(ss nn m nlWr RMIf 11C(NS(r <br /> Wnl�> plLtmhtnn ���LLp4+4 c1 R;F FIFHtUF} �j�2p ��}g$J_y�WAE$P <br /> nU11•gCWIW.IpI MµPlldlFbs tllr m AAnE fTRIf IICFM'llSF. <br /> N.�Ii—�'� +ill J41U S?I�GGLH�I.�S3D <br /> HEATING SYSTEM: XGAS II ELECTRIC 1 I_ <br /> RRLMFYYORR s0lMrl f5)1AGf Ty"(1 S 1AC1nmm q a n rm m <br /> tlnA- A-numhtu %1 fuctlrnry clic mAe m;etyner <br /> yZ,Awe Se- 1%tFIeOT 169a IRA EAnd D-1 1o, l -111 j1 nr 7�a <br /> * 1 HEREBY CERTIFY THAT 1 HAVE READ ANP EXAMINED THIS <br /> ^MOPOYOI1Rf nr A4lM0 'Y� <br /> APPLICATION AND KNOW T14E SAME TO BE TRUF AND CORRECT ALL <br /> �yPc��GrY�-gin \ TSS\C L-IQ LO PROVISIONS OF LAWS AND ORDINANCES GOVEA41NG THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> MalauTo(R.s mONRn Is1gRTl RflowwPnPOITwoIxAfU NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> lof�_..__n-L hale -c c} AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGUI ATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION TI/AT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> YOlume (ar1 P1L• it.c au% BC 7r1�-� APPLICATION IS MADE AND I COMPLY WIT/L THE STATE <br /> T LTUIO MIW(A Ij CONTRAC'TORS LAW 1827 RCW AND 295200 WAC <br /> CPISTRCIKIR10W1[Nt0.PCR11(YTrI(NIdtM11NR % GW`1nALOALL\.u. <br /> P <br /> MPT <br /> MIF <br /> tFTr hf!- aK"4- <br /> tlIr UIs.[R81 KTNfL Nn <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR REM FEB NO. __TYPE GII EOUIPMENT FEE <br /> WATER CLOSET(TOILET) 1 _AL'-AAR(OL3LMR8-HT.. i <br /> BATHTUB <br /> FORCED NR SYSTEMS-BTU M E.A. <br /> _ LAVATOP'!(WASH BASIN) 1 HEAT PUMP 1 <br /> SHOWER 1 UNIT HEATERS-BTU. M <br /> KITCHEN SINK A DISP 1 CIOT14ESDAYEAS <br /> DISHWASHER 1 VENTILATION FAN <br /> LAUNDRY TRAY RANGE HOOD fn LOACI&Ii1 <br /> CLOTHESWASHER 1 WATER NEATER <br /> URINAL 1 WOOD STOVE <br /> DRINKING FOUNTAIN METAL FIREPLACE(WOOD BURNING) <br /> FLOOR DRAIN FIREPLACE INSERT(WOOD BURNING <br /> BACKFLOW PREVENTERS GAS FIREPLACE 1 <br /> SINK SERVICE-BAR,ETC. OAS RANGE _ r <br /> ' <br /> AS PIPING <br /> 1 E%HAUSTFAN l <br /> 1 <br /> SUBTOTAL�:Slj SUR 70TAL <br /> _ PERMIT PEIIMII f <br /> TOTAL FEE f I1 TOTAL FEE f 1 <br /> FOR OFFICE USE ONLY: <br /> fRMi NTPYR p41 MIRY. ••X RIRPI'P,� nultl Rf.RMMKA fIf IXCI•'I NO <br /> 30 <br /> IHFIdR Tot uRA w"'If Ulf FEEV VALUATION FEE <br /> ItR4111M1•TIl� 111NlIMl IX 1R <br /> 1.16 1p II,� <br /> n IMIP ' Q J7". AEACe + <br /> nIRRWi <br /> nCC1AVNCr MR nsNWs OLCIRMNI 1041RAV IANI -- — <br /> 011G MI'IMMI'4 l^ iN� <br /> lJ• Z IIYfR 64 <br /> fsIF.4MN11f OTS KPNIN Arg11IW4 n•N URCR <br /> OIIXR <br /> fR 6rN�411RRwn R•4M <br /> R14(MMIA•I HX1tl1PIRK •"1� <br /> Im M'rox5T n.NS47jnp. CITY OF EVELES RETT nRSF:wrR*Y <br /> �J� — <br /> LOCAL <br /> ODEIS31 <br /> TMH 127 G TA%CODE IS 7105 TOTAL <br />