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APPLICATION FOR CONSYRUCTION PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET f EVERETT. INA 98201 A (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION A BUILDING 0 MECHANICAL. ❑ PLUMBING ❑ SI IN <br />PROJECT ADDRESS:-1` 3-(o3rcl Si. sr E►rPtI7 <br />O7Y—A PAT Aldllf• an /r norl _�d$ "+Db' ll `/6 <br />had i'Uvlan !3e•tlsclTleln 1532.E r rti+ �nOhem'3h, 9Y- e <br />+twMT Aw Anawas <br />all TV r+ow <br />Aw+.ncl DD pVD.AD "Aa wit <br />�.C'SIGY\5 Unlr mt�e <br />an TV hlDv -- <br />Ln Illg— y2.5-q%5- L4900 <br />a w.ft INc+al Yw Alla ss <br />cra A COYYS'irurtipYl 153M <br />�S - all /L M nl)Yr STA1l IRT". <br />Argj1.�TL1S1 Aw- `JrTETIlu_.5k, 96Z91P <br />4rrM.MC4 frn14N:1W UWMlal SS <br />OFF Con1��� PONT <br />9 A2M <br />n'"1 CU11RAr,TM YAA AIpnISS <br />ate P. nlay{ STAFF I"FAR A <br />COHTI+AGI T'RC[ pl Npl. <br />�p O . <br />HEATING SYSTEM: b GAS ❑ELECTRIC ❑ <br />IltlCRff WDFfAM• /AIk rODTb1 SiD <br />10 aonslr c1- Ievic <br />COr'Y.'TnRNYI Mfnr MD <br />2-5`416-154110 <br />nit I � <br />i <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TPUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES 00/ERNIND THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />MDT THE GRANTING OF A PERMIT DOES NOT PRESUME TO DIVE <br />AUTHORITY 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 BY THE <br />OWNER OF IMS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLI TION IS MADE AND 1 COMPLY WITH THE STATE <br />YCOFI /� TB E7 RCW AND 7iB MOW , <br />rTlDrollD ust w MIAIAMT <br />:FOAL tX 7TKNCA n ffll ISHTWS/tawal ATIK"11la caw S. <br />ID+ IA as -L p ' crI <br />PAPCCTI rAr I a MAAR R <br />9L 2 <br />CVIS+RA:IION It R APOAIM IFII M1AMfA <br />TC AJ <br />x wll <br />q? - q • yZ•(p <br />anfuXlAsf lclTnl Aq <br />PLUMSMG <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />N0. <br />TYPE OF EOIIIPMENF <br />FEE <br />' b <br />WATER CLOSET (TOILET) <br />! <br />O <br />NC—AIHINDLG UNITS <br />17 <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />1 <br />O <br />HEATPUMP <br />O <br />SHOWER <br />0 <br />UNIT HEATERS <br />KITCHEN SOW A DISP I <br />?. <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />2. <br />WATER HEATER <br />Z <br />CLOTHES WASHER <br />1 <br />0 <br />WOOD STOVE <br />URINAL <br />V <br />METAL FIREPLACE (WOOD BURNING) <br />O <br />DRINKING FOUNTAIN <br />D <br />FIREPLACE INSERT(WOOD BURNING) <br />FLOOR GRAIN <br />2. <br />GAS FIREPLACE <br />_ <br />BACKFLOW PREVENTERS <br />p <br />GASRANGE <br />O <br />TINK (SERVICE — BAR, ETC) <br />6A8 PIPING <br />-NU—US—TFA—NjT— <br />SUIT TOTAL <br />S <br />SUB TOTAL f <br />OERAIT <br />fjuqu <br />PERMIT f <br />_ <br />TOTµ FEE <br />$1 <br />TOTµ FEE f <br />1 <br />FOR OFFICE USE ONLY: <br />I lxnl vlAA�r.//I <br />W <br />MAPUISMA <br />/ <br />LD[SFIFAn / <br />16- <br />nwClta MAwllgl <br />V <br />rt <br />wrl A'T po <br />_ <br />/aw <br />7_L <br />w NmTIMIAtRn <br />A� i <br />lRUlIr�AM'.• Y' r+'.q+ <br />T u•/ 2 <br />IDI UKA <br />_ <br />VKAhl RR <br />OrtS OMB <br />FEES <br />V LUA ION <br />FEE <br />/� <br />J(C. <br />20: <br />"PAI'l-�— <br />palNMfl <br />_ <br />4a OIMYIIM <br />Iwll: <br />EVIPRIIWIT <br />O / f <br />J <br />UrT111TYM1+l1Aa <br />!A w%' <br />Otis ,Kra <br />VFl.ANK4 <br />— <br />ApOFUMN IF Mc. <br />-- <br />I.K..r+mAlrumnn--- <br />IM1 Al/.INnU[ <br />I'm ITT ron+— <br />_ <br />TIFAAFn <br />wAcay <br />nAr<Arrvn�+inn•a (I <br />DAII / <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS JIDS <br />cHll Alniwli 4illS+IAMN <br />niter. wrwS <br />TOTAL <br />_ <br />