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,APPLICATIO.� FtTR CVNSTRUGT�JN PERMIT/ - <br />CITY (�I- EVERETT • BUILDINU DIVISION !!CA���� <br />3200 CEDAR 5TREET • E�::F'_TT. WA 90201 • 259 8810 � �E7T <br />� DEMOUTION COMBINATION BUILDING i MECHANICAL I PLUMBING i� SIGN <br />PROJECT ADDRESS , �� � 1� r <br />/ /- � / ; , _i <br />ovnrtn u.n �onnrtc rn, v��� r��o�,r <br />�—��u�rc�_.S�S n -/{`J�+�S ��sl�`%Q �1! —S�e_Li - `I �' �/2 _ <br />I[NeNi Mep �nf r5s i.nr ]n'� rMnriF <br />•RC111TfCTOPpF51GNEp MMLAf1f�nE55 (;iIV ]ir Pn0\F <br />OEN[tl�lC04if1RCi(Nl NN��pI1Hf55 [IIV <br />� G. 1-� I dn �.l -, �07•-l3 `%(.r-Q Ss%. ��.i <br />Nea�nwra coNrnncton Meii nn�nFss citt <br />P1U491NGCON�P�CT(%1 M4n AI)URESS CItY <br />CONfR�CT PIiICE OF Wi)Pk <br />ir7 �. - � ' � �5:r,ec� <br />DESCRI� WOPN;� ry�p�q U�PE fO0U01: INVOlVEO <br />.1•5rtll�l/ .J,? �,Z_/-�4�' ��� ���/�-'L�u'�jo7��? <br />�+ �_�/ ,a� <br />k3T=II=',��-(j DG' T�'. -- <br />�PR01'OSEO L' OF BIIIIDIN(1 <br />a�oo�.�..� - a �f'.- <br />lEO�LD RIPtIONOiPROAERLVISNOWNGELOWIX1�ii 111WOCO�IF51 <br />�o, � a�«� _� o� N� N��e.�.uG� f.�+� <br />� I,�"N�:�ti.< �C� ��j��e + f%�'L< <br />_.� � rSk'- <br />RCElTAN1U NUM9 <br />5�3/%—oal-��o'�-D�.09 <br />corvstnucnoN io�H ieNo�n. �oonEss. teiEr��or:E NuueEn <br />PLUMBINO <br />NO. 1 YPE OF �IXTURE OR ITEM FEE <br />. ., WATER LLOSET ITOILETI <br />SHOWER <br />KiTCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRVTRAV <br />CLOTHES WASHER <br />URINAL <br />FLOOR DRAIN <br />BACKFLOW PREVFNTFRS <br />SINK (SERVICL — BAR. E7 <br />SU�TOTAL S <br />PERMIT S <br />TOTALFEE $ <br />FOR OFFICE USE ONLY: <br />rnor+i sFre+rk nrnn sEin�cK <br />,o <br />� � i <br />VSE 20NE lUi RIIU <br />_S L ��y <br />i�cic�rti�urt�noH no auwLi.ur�r <br />�, urms � <br />.�3I � <br />GIPE QAIjM REO D <br />N^ <br />JL-l� <br />N�a <br />liFR50N <br />UAI[ %_Ii�r/S <br />In' PiiCryL SIA1f.tIC(NSG� <br />� � L 8-`li'� ` 1) �}-II C I 7/ C M <br />7m puOVF 5'a'6 ucENSE � <br />lit` P110pF. SiR1E UCENSE � <br />HEATING SYSTEM: IxGAS f 1 ELECTRIC i l <br />CONiAC (pSON�NIIP1 NFNO � <br />,ii.� �w .1�, �L.._ 0.1. — �(o � - �� � <br />I HEREBV CEFTIFY THAT I HAVE REAO ANO EXAMINEO THIS <br />APPLICATION AND KNO'N THE SAMB 70 BE TRUE AND CORRECT. A�L <br />PPOVISIONS OF LAWS AND ORDINANCES GOVERNING iHIS TVPE OF <br />WORK WILI BE COMPLIED WITH WH�THER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />� AU7HORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATINCa CONSi9UC710N Ofi THE <br />PERFORMANCE OF CONSTRUCiION. THAT I AM AUTHORIZ.ED �Y THE <br />OWNER OF iHIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />� 1PPLICA710N IS MADE AND I COMPLV WITH THE STATE <br />CO TRACTORS LAW 18.27 RCW AND 296."00 WAC. <br />X � nrlT'i u�'!4'�]'�(�t �'c.�.r'-uLP / �J��� 1 % "7� <br />:i <br />r.�rr nusn+ess i.iccr.se r+o <br />MECHANICAL <br />N0. TYPE OF FIX'URE OR ITEM FEE <br />NC — MiNDLG UNITS — H.R � <br />,2 FORCEDAII-SYSTEMS—B.TU. M E.A. : <br />HEAT PUIdP <br />UNIT HEATERS — B.T <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />GAS FIFiEPLAC <br />GAS RANGE <br />GAS PIPING <br />E%HAUSTFAN <br />< i J,0 <br />sio�sereecK ri.nvc��rr Nur,pcn <br />I (.�/i�C-,1 <br />5 � -' <br />vncnrrt q❑� FEES <br />fves �� �. Nu omioiHc <br />�r moc�i <br />i2 S!` l��v�S. riuumHc <br />o., S Unanc.=" <br />nnsrMc�n � �nnc���n�ca <br />r�vF�.s ��VF+o <br />ADDITIONA� PUN C11FCN <br />on�en <br />srnie nwiown suncrunae <br />CITY OF EVERETT �unnr, wonKs <br />LOCAL SALES <br />TAX CODE IS 3705 TOTAL <br />SUD TOTAL S <br />PERMIT $ <br />TOTAL FEE E <br />�/1„l. � <br />e ner.eirr No <br />��-��.�^.2 ��� � �1 <br />R <br />� <br />