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APP1.E: ATIGnI FOR CONSTRUCT�ON PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CCDAR STREET • EVERETT, WA 98201 • 259•8810 <br />I 1 DEMOUTION f I COMBINATION b4 BUILDING D4 MECHANICAL � PLUMBING I� SI�N <br />PROJECT ADDRESS <br />c. �-r r�� � o y 7�� :x ;<<� E�'�� . 9�:� � <br />�� C�_� h10�2r-1 i: L1T�1Z PlZl4�t '=LlIS—�IZIClL7F'[� lt' 'Z" � 7S�J � l� � 7L <br />1(N�Nt M�II�ODI1f55 !'�lv )�P PNPNI <br />I1fIf.111T[CTORbF.SifiNfll MAiI�D0�F.55 f.rtV ]i� ���ONf <br />CENUUI COHIMCI(Nl MAII �[lPf1Efi5 Ci1V )i� ���UNf SI�i! IICENSF � <br />�� �� <br />MFf.11ANIGl f0�'!M('fOfl MAp pDpPF55 Cltt 7iP PIIONf [iatf llf,lNSF � <br />PIIIMBINGCCNIN�Ct(ui MAi1�0UFE55 <br />��4y_�l'C�� <br />ca�rn�cr rnitt or vx>nK <br />►�3n'� tz s.�,. <br />DF.SCRIflE WONK �NDSOUARF f00TeGF R1VOlVEO <br />A��Cii <br />�527`f' � — <br />rAoroseo use ov o�mar+a <br />�- ,• i vs-.vc <br />iece� oescmrTiori r,v r renrv �snowri neiow o <br />ior f � oior.K or_ <br />/ <br />Ll. .. .�. � <br />cor+smucnoni��r+�eNoen �nnnFss mcr��ow�auwnrn <br />3 � 3 — 9�/��'' <br />PLUMBINO <br />N0. TYPE OF FII(TURE OR ITEM <br />;j WATER CLOSET (TOIL[T) / <br />t. BATHTUB <br />691:1:i.1 <br />LAUNDRVTRAV <br />CLOlHES WASHER <br />URINAL <br />DRINKING FOUN7AIN <br />FLOOR DRAIN <br />BACNFLOW PREVENTERS <br />SINK (SERVICE - DAR. ETC <br />SUB TOTAL E <br />PERMIT S <br />TOTALFEE S <br />FOR OFFICE USE ONLY: <br />fPONT SFTPAfN �.,�/ nren srT�acN / <br />C � [ C% <br />usrvn�..�� / iu�nnen <br />—/�f � <br />1�[IGIII UMII�110N NO Of I�WfLLR�G � <br />�l_� � IINII$ <br />P1NCV �In rn cW�a(5 IX:Cu��e <br />r <br />�u-I I <br />�IAPMRf00 �f�SOY <br />;rnw�irnneon � nrn�ov <br />nr coNs� ri nNs � <br />�-hL n�it�'i <br />fillCl <br />/iEATING SYSTEM: 'r+'GAS ' i ELECTRIC � � <br />crn�inc� rt nsor� n�in m�ar�r uo <br />I I � 1 HEREOV CERTIFV iHAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT ALL <br />PROVISIONS OF LAWS ANO ORDINANCES GOVEFlNING THIS TVPE OF <br />WORK Wlll. DE COMPUED WITH WH[?HER SPECIFlED HEREIN OR <br />'iE5' NOT. THE GRANTING OF A PERMIT DOES NUT PRESUME TO GIVE <br />Z �lI AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULA7iN0 CONSTRUCTION OR THE <br />PERFOf±MANCE OF CONSTRUCTIOM. THAT I AM AUTHOR12ED OV THE <br />OWNER OF THIS PROP TV TO PEHFORM THE WORK FOR WHICH <br />APPUCATION IS M DE � AND COMPLV WITH THE STATE <br />CONiRACTORS LA 1 27 RC�'J A D 2 6.200 WAC. <br />L W�[ y Bi-x A __ — <br />x 1.� �� �. �� C�-" <br />strN�TunE ue�r <br />cirrnusiNrssuco�s�No � <br />sine se% � <br />J <br />vecaqtsnr <br />rts ni <br />TVPE OF EOUIPMENT <br />- A/HNDLO UNITS - H.P. <br />CED AIR SVSTEMS - D.T.U. M E.A <br />HEAT PUMP � _ <br />UNIT HEATERS - � T.0 M <br />1 CLOTHES DRVERS <br />] VENTILAI.ON FAN _�_ <br />RANGE H�)OD � <br />WATER HEATER � <br />� - <br />WOOD SiOV[ <br />METAL FIREPLACE (WOnO BURIJING) <br />FIREPLACE INSERT (WOOD DURNING) ; <br />1 GAS FlFEPLACE � <br />_' � EXHAUSTFAN <br />SU9 TOTAL E � <br />f'ERMIT S <br />70TAlFEE E <br />� ,i ! <br />rynN[nf�/�y��Mn(n rtt _ �,.- nrrnPrNO <br />� nunman <br />SIlF Of pIIM.�I � <br />Q S f L W��� 4 1 pnre�niqr. <br />I 30 S 4Re4E, _ _____'___—'__ <br />P�SIMFNI � � MfC11ni.If.M <br />II\ft �^In -----�— <br />—' AOp1110N�1 i'1 �N OII CN <br />mr�rn <br />crert nunonm smr.runa[ <br />CITY OF EVEHETT rum ir. wnnxc <br />LOCAL SALES - <br />7AX CODE IS J105 iotn� ___ _ <br />