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APPLICATION FOR CONSTRUCTION PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR��TREET•EVERETT,WA 98201 •259•8810 <br /> fl DEMOUTION � COMBINATION I1 BUILDING � MECHANICAL �{PLUMBING I I SIGN <br /> PROJECT ADDRESS ���/�E�� �'�� �IIU 1� Y�� <br /> �,XTFt �i.Gt� -'TYNJSI !i�-� U lT • <br /> �n M111L1100f1E55 r,rtr 7m rv�or+c <br /> � G�r�.rp�L../'�'bfr�c.Gt�J(� �illi I�C�it�IWe , GVA�fr�16Zo� <br /> irN�r+r 't` u�n�nasss ri�y — lm rrm�e ��j� �-j�G(p <br /> �znia,►-t I�uz�►.�,i�b^� �3a2 �►�.�+Aa�vr,��r ��,�1�2v1�Z�I-titi - <br /> �ncM�rcronrxsr.r�rn MFIIM(N1E55 � ri� y nr ri�rn+r <br /> rN 's��l A-.-�?G-,l��f�l�tlf� l���3I/-f,LL� _w__�WVY"-J-�.f��-ri����<vi��i�r�cc. <br /> 6fMM1 f,tT1IP�f.l0�1 MM�OfM2S5 (�t� <br /> �rv(Pl�i:�GG►.)�9 ^�T�. �jt(�IS���1�1T �,O1Qf� r?lfi��I°I I �n r�Wl1+G�E�Q�i(.O <br /> A6CIInNM;M r,pNiRnrt011 N�il MNMF.55 CItY 71P <br /> f`L11M11RMC(XlIP�f.fOM1 M41.rINME55 flh' llP PIIpNE CUIPIIf.FlICF� �_�' <br /> cc»+rn�c�rnx F a wan� HEATING SYSTEM: I I GAS I I ELECTRIC I � <br /> 7i���•� — <br /> t�sr,rxeF�wx+��rm Srornrrt rcoucF�vaveo covrnci rrnsrn+nw�ri r Nn <br /> �(pg c,,�.� o�At-7�7ZPEi1o1.15 ���f ��' �'�`�-t�dif��—- <br /> 1'F� h1X7� �LL2� i�('11�9G_�• -- ty��� �1�Yob <br /> �DG �YvIrIUYL�� L�NLT CTCU 1_. � HEREBV CERTIFV TNl1T 1 HAVE READ AND EXAMIMED THIS <br /> APPUCATION AND KNOW THE SAME TO BE TRUE AND CORR.CT ALl <br /> rixxns�nuse or mnin� PROVISIONS OF IAWS AND ORDINhNCES GOVERNING THIS TVPE OF <br /> Q(I�+ l_.. WORK WIIL OE COMPLIED WITH �NHETHEI7 SPECIFIED HEREIN OR <br /> iFce�.nFsc;nM+nu�orrra�nttisrrowr+ .�rn^�a���uc��rwer.ories� p�p7. THE ORANTIN(3 OF A PERMii DOES NOT PRESUME TO GIVE <br /> IOf_ RIO(:K or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHEP STATE OR IOCAI LAW RE6ULATINO CONSTRUCilO►I OR THE <br /> �I U �I��G fL PERFORMRNCE OF CONSTfiUCTION.1HAT 1 RM AUTNORIIED BV 7HE <br /> OWNER OF THIS PROPERTY TO PERFORM iHE WORK FOR WH1CH <br /> ' APPLI ATION IS MADE AND I COMPLY WITH TNE STATE <br /> r�nr,Fit�x�o r�nn.�n <br /> CON ACTORS LAW 1827 RCW AND 296200�VAC. <br /> t:M+srmx;�rc»�i onN i crmen.�rnx�ess.in Fn�mnmcn X ={"�--- <br /> Slf. ❑ OMI <br /> f.11 Y BU VNL$S 1�GFNSC NU <br /> ���� MECH�MC�L _ <br /> NO. TYPE OF FlIITUIIE OR�TEM FEE NO. T'PE OF EGIMPMENT FEE <br /> --,-- <br /> WAtERClOSET�TOILET) � A/C-AMNa-6�N�TS-H•P �— <br /> BATHTUB ; FORCEDAIRSVSTEMS-B.T.U. M EA. ' <br /> � <br /> - '�— HEAT RUMP --'- <br /> IAVATORV(WASH BASIN) � <br /> � SHOyyEp � .UNIT MEATERS-B.T.U. M _ _ ; _ <br /> KItCHEN SINK 8 DISP ; C THES DRVERS � <br /> DISHWASHER � VEN ATION FAN _ : _ <br /> � 1 <br /> AUNDRY TRAY ; RI1NCiE OD ____�__ <br /> THES WASHER � W11TER HEA R ' , <br /> URI � WOOD STOVE j_ <br /> URINKI FOUNTAIN � _ METAL FlREPL4CE � OD BURNING) � <br /> FLOOH DRA � FIREPLACE INSEfiT(W BVRNIN6) _ ___ ' <br /> --'— <br /> B�CKFLOW P NTERS ' GAS FIREPLAGE � <br /> � — � <br /> SINK(SERVICE- ii.ETC.) � 6AS RAN6E __ __ ' <br /> �— — <br /> � OAS PIPIN6 _ i _ <br /> EXHAUSi FAN ; <br /> � ----- - � <br /> � <br /> - -- � <br /> ' — — <br /> — �- -------- �� <br /> SUB?OT E � SUB TOTAL f � <br /> PERMIT � PERMiT f � <br /> TOTAL FEE S ' _ TOTAI.FEE _E '_ ' <br /> FOR OFFICE USE ONLY: ✓ <br /> rr�v�srrnnrr rKnn�ctnncK �incsnn�rk nnr�a�r�.euiiunrn nr 3 nrrrm���n <br /> �_C_���� _ 1�3_3. _-- ---- <br /> usc 7o1+f �o�n�e vncnr��cnp "-�- - FEES ..-. V�LU�TION ___.__FEE <br /> —_--'_---_ '.__q�- ' �J <br /> ._ __- ._�-.__ <br /> iiv[c i� r�u aunrnriq /�q/ . _. ._�GLLf_!.a�l� <br /> ❑EI(:III IIMIt�fION NO O�INALLIN(: SAF.Of PI IN:91 ----------�--- �T-'�--�- � <br /> 11'lli$ �� �'I�IA�NH: � <br /> �� (•�. ------ --- --- __ __ _ __ _ � <br /> --- � <br /> (%;CIT�NI�v IMrxal��rolv IN.UOqN\IO�U P�5{W{pl IAlIl1�qIC�1 � <br /> ❑lIMR' c //�n T � <br /> �� �/G'_" �lY ' �• ' -_�1{-S 11 Nil --_ -._—__._.-___ _" __. ___.-. ... . . . - ._ i <br /> � � <br /> fI�FM��MnfpP ��f�c(n [� ppPI11f1HMf'I�II�]p1:M. � <br /> � `i(��I• Otllfii ...._._._".__. _- ___ ._. _. _ - - - i <br /> nnrsrnmu�rnnron � nr�crn+ - ------ � <br /> {/If f�/�� SPIfn11�11rn1�:=tltri.11M1(N-__ -_ _"-___. ._ . . . _ "��'`.y�/ <br /> Pl� i'(H � <br /> ___- —. <br /> �rrcot�'.a+s� rinasn�nnr CITYOFEVERET� �hmivcw�n+v�. � <br /> T LOCALSALES ---�-- ------- - -. .__. . . . /G�J` � . .. <br /> 1-� ����� �j 9 e�(,n TA%CODE IS 3105 TOTl1l i__ _ _ �_�'�� <br />