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APPLICATION FOR CON21MUCT& PlRMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA W01 • (425) 257-8810 <br />❑ DEMOLITION O COMBINATION ❑ BUILDING XMECHANWAL ❑ P UMIN NO O SIGH <br />PROJECT ADDRESS: S9,;L,7 RUC KEit AIM. <br />Evevm Ck-talc. 39ot "tvr ea. twm - 9abl mig- (A,C A <br />mol 'No WL -GiIYTt 13oO CARS. LAA. <br />an nP I4grt <br />"IBATIH ST. SNOIdRW 9A:t91 3iC-Sf� <br />PHEIu- Me[NAAKtJAL SATC. 9(P30 ISSaD/U. NE. rbDmoAID tAIR.q&82 4154ffi*-TM numr-mi.1024 <br />YtdIMKN m.(rwcraR MAK ADDrtPf an re Molt PNN LKEit f <br />RIMING Ca11gY;tp1 YylLfrgfss an m "W)"F SIAUIR Awlf. <br />(jrllgAcl ARCEa wvK <br />M6C44AI.NNA(L- tl��cma0 <br />NEATINofYBTEM: 0OA6 ❑ELECTRIC W L <br />rtP—wl A-O RowgEFoonof <br />l- VT1�o R=rtoP ulilr <br />•AV9 �iG"' <br />ADr Mgrt Nc <br />N" t�.�ncE 4,x5-Pi2s-a-9rz4 Ur. <br />•174•Vatu ame; HVCI(�k3IL <br />L.-//oMRmLS Wr oym!�•M, t ¢ <br />MqR(hD u:X n eIJKE10 G <br />Q - CT C la N 1( M ` <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO SE TRUEID ACORRECT ALL <br />PROVISgNS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORN( WILL BE COMPUEO WITH WHETHER SPECIFIED HEREIN pR <br />NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO ONE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROWSION OF ANY <br />OTHER STATE OR LOCAL LAW REOULATOD CONSTR IL CTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIM BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK POR WHICH <br />APPLICATION 19 MADE AND 1 COMPLY WITH THE STATE <br />CONTRA MR IS 27 RCN, AND 2 ,mo WAG. <br />K <br />LfaN OESCRIPIIII Or PADIYgn lRrggf(ElowaARAGN rwo mKNl <br />Lol Noa__a <br />'-- <br />owc[L lPi n MmEq <br />L///3 oaS Oa/ aao <br />CONRrgIK1KM ROM IrMFR. N1CRf5. tFlfMlat MllflFq <br />`r"Y ""` o t -7 3 99 CAN <br />anNVlHaa LKFYRL qo <br />TLUMOM <br />MECHANICAL <br />No. <br />TYPE OF RKvm on TTM <br />FEE <br />NO. <br />TYPE OF BDIRl-N-RT <br />Fee <br />WATER CLOSET (TOILET) <br />( <br />AIC—MODLOIAITS 60 <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PURR <br />SHOWER <br />_ <br />UNIT HEATERS <br />KITCHEN SINK S DISP <br />CLOTHES DRYERS <br />_ <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FREKACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (W(5W BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKfLOW PREVENYERS <br />GAS RANGE <br />SINK (SERVICE —BAR ETC) <br />GAS PIPING <br />EXHAUST FAN <br />t I 14T(r <br />— <br />V V W H <br />HTU . I IS <br />SUB TOTAL f <br />SUBTOTAL f <br />_ <br />PERMIT f <br />PERMIT f <br />_ <br />TOTAL FEE f <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />IWNI VrPR('.P <br />MMSr1PRC. <br />SIDE S(iRPCIt <br />RMaKf[NVWR,Il <br />(F( <br />NCFAI YJ <br />'Va <br />IMf myr <br />IGI AMA <br />VACANT SIR <br />KEB <br />I VALVATION <br />FEE <br />❑1FR D <br />141Lu111Y11NIgN <br />M p UW(tIINO <br />Nr1 R m" <br />u4nc <br />MIAA,,yG <br />/yl�l ^_1 <br />0.1� VV <br />OCCITPq;r <br />LIIgM <br />Yl M51Mi6 <br />OCrunANl10A0 <br />PAA4[Nl <br />Mf,MA1Nr.V <br />Olt ❑4n <br />--- <br />ADa1gNAIRMCMrA <br />(IPFs.."EPROO <br />MA[IIx <br />OTIQII <br />11llE AIgPM PEGL <br />M.", <br />cTAII RG1pMC Rlln[nA ! <br />IYRCIA ".11, <br />RAy{AI'PPDV((IflY <br />CITY OF EVERETT <br />ryTI N: YPXY� <br />T�- <br />LOCAL SALES <br />— <br />— <br />TOTAL <br />-- <br />TAX CODE IS 3105 <br />Dot <br />