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�� <br />APPLICATIVA FOR COPISTRUCl �ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION �CAr✓� <br />3200 CEDAR STREET • EVEFETT, WA 98201 • 259•8810 <br />I 1 DEMOUTION ' I COMBINATION �BUILDING i MECHANICAL �' PLUMBING i' SIGN <br />PROJECT ADDRESS <br />/320 �S �N ��T, �,W� �U�P�-�T" <br />owr�rn unn �nnnrss r.rtr <br />pir m�oYf <br />IK� LvEGK�tJ 1ojoU ry1A►NST 'fi��lf-I,�,- RS�`�__�(8��-_585�3 <br />irNeNi u�n�nnnrss rn- -----�r r��o•,� �-- — <br />M1��5•� �k. G�i�_ �I�oo11� S� , s. � �__ �rt-�-"rT _ 9$7�8 _ 3� 5. �� 7_2 Z _ <br />enr.rurrctonoes�c�rn uui�nnn s� in, ;,,• �.,,�,,,� <br />C c: 2 u�c� (6tLi �,�,�� F_ _ n�u►r�tx� �.-r-�c�s yt� y 3 ��o— � �oG_� —— <br />r[r�nini coaumcton �nnn nnnnCss i n-, ���� i m�� �un i icr ��r� . <br />1�11 ��.v�GfS l�,_1�2QZN,���_(N_�"T__P-eAnt.�,7� _ ��51 ���s �c�1q.P_'� <br />4� <br />M('l1A Ni CM f ��Y 1 R � C t O R M R i I p D D R f S S �: I rv ; U� P u � N f c t n i � i i c � u c C � <br />r� <br />PIIINpINGf,ONIRICi(ui M411A[IDI1E55 fAlv <br />nescnine vmr�: 'n�m �r.un r rOoore ` <br />� <br />_G.na�►�,.uS�� 'T <br />�ra•,rosw ucF or e ni�o�iu�t.����� <br />Y�3�r1L <br />i ec�i oFsr.mrnor� or rnorean is��o <br />ior �_ mocK _ <br />or <br />�r�nrE�rnz N!uu,eFn � � <br />Y�/` C/ � <br />CO SII1lIC110NI0ANIfNf1F11���l1f55 ifl(PNONENIIMPffI <br />PLUMBINO <br />NO. TVPE OF FI%TURE OR ITEM <br />WATEii CLOSET (TOILET) <br />BATHTUO <br />l4VATORV(WASH BASIN) <br />SHOWER <br />KITCHEN SINN 8 DISP <br />DISHWASHER <br />LAUNDRVTRAY <br />CLOTHES WASHEFi <br />DRINKING FOUNTAIN_ <br />FLOOR DRAIN <br />BACKFLOW PREVENiFAS <br />SINK (SERVICE — BAR, ETC <br />SUB TOTAL S <br />PERMIi S <br />TOTALFEE b <br />FEE <br />i <br />i <br />FOR OFFICE USE ONLY: <br />ft10NIFFTMfN PfRflSfip�CN SIDFSFip�fN <br />uS[ 70NF � o� nnr � vacn�n •qq <br />Y(C . <br />IIfIG11I11M11�11pN NU IN UWIIIING c�lt (1fIU1Ki'li <br />uryil5 �j <br />IC 0 �p'/' <br />�— _ _. ... <br />�rE s <br />rinF srmNKi f n <br />YES <br />tvrF or co�rsi <br />��i- � <br />nf�IopA� (HT'lll`�NIIU<I P�Gf NI <br />��� , <br />�,« „i, <br />- -- �-- - - -------- <br />� nfnvny <br />0/1� <br />7��' 1'llOqf SiNFI1CFN5F� �� <br />HEATING SYSTEM: l�GAS '' ELECTHIC I I__ _ <br />=t���in�t�ns�nr���ri��i)IJ_�'S2Y� i( tiV l/���5�__ <br />l �' <br />��� 0 _(c10C� — -- <br />I HERE�V CERTIFY TFIAT I HAVE READ AND EXAMINED T�,.9 <br />APPLICATION AND KNOW fNE SAME TO BE TRUE AN� CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYI'E Of <br />WORK WILL �E COMPUED WIiH WHETHER SPECIFIED HEREIN OR <br />NOT.THE GRANTING OF A PERMIT DOES NO7 PRESUME TO GIVE <br />AUTHOrI�TV 70 VIOLATE OR CANCEL THE PROVISION OF ANV <br />OTHER STATE OR LOCAL LAW REGULATIN6 CONSTRUCTION OF TN'c <br />PERFORMANC[ OF CONSTRUCTION, THAT I AM AUTHOPIZED OV THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WIiICH <br />APPIICATION IS MADE ANO I COMPLY WITH THE STATE <br />CONTRACTORS LAW 19.27 RCW AND 29G200 WAC. <br />��// � 1 <br />% ���=/-/j�-[j-'(/ � —�� �J/ <br />9G nt i�F � ' ❑�ff ' <br />CIIYIIUtII��[SIICRlCf RO <br />MECHANICAL � <br />N0. TVPEOFEQUIPMENT FEE <br />A/C -� AMNDLG UNITS — H.P. �— <br />FORCED AIP SVST[MS —[i T.0 M E.A � <br />HEAT PUMP --i — <br />UNIT HEATEFiS -- OSL. M <br />CLOTHES DRVEfiS <br />VENTILATION FAN �— <br />RANG[ HOOD ' <br />WATER HEAT[R <br />—_ WOOD STOVE _ -_.—. .—_� _—. i <br />METAL FIREPLAC� (V 00� OURNING) <br />— — �_ <br />FIREPLAC[ INSERT (WOOD �URNING) <br />GAS FlqEPLACE i <br />__.____ �—_ <br />Gf�.S FANGE <br />GAS PIPING <br />EXHAUSTFAN � <br />SUB TOTAL $ <br />�E�Mit E <br />iorni reE a <br />�rim�uircKNuvnrn n� �--- ----TmcnrtNo <br />`� /�, .r :� �lP/ / 7 I <br />nwiruya _ --�- --- _-I/.�.2� JJ�7 <br />��Ili��i�l'�li <br />Ml��nnWf�l � <br />nnUnux�ni ri eN G�rcr <br />� -- �,,,,�„ <br />-- -- ---- --- --- <br />nron nrncoa ...._. ____.—__ _ ._—__ <br />��ir i•n n�uU���„SunC�mNd <br />--��-�- rinq�nro�nvrnm CITYOFEVERETT � �� �'.��.���. <br />!I� LOCAL SALES ----- <br />_ „�„ .y � _ � �. _ TAX CODE IS �105 TatnL <br />_� �� � <br />�_ <br />�%1�.�,c� <br />