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APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF ERE71 • BUILDING DIVISION <br />3zopC�DAR STREET •EVERET7. WA 98201.257.8810 <br />DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br />ADDRESS <br />ucrartcr plla s.wP lu..cwss <br />a��. <br />•� .� <br />�J� <br />IDxs .,e� It pci/h <br />I='' /��� <br />4-el. %.t:) la f-],y.+. <br />IMH(IMllprtrucsw <br />� <br />or. <br />n ....! <br />n•n s[Ira1. <br />/I //sw.Inlau�l <br />MIOM12N mnrMGran 4C.Yf1 <br />Cn. <br />+ .•fN <br />sra•t \CIMI• <br />/Wa / � <br />RINyq CpyiluCrOn ss <br />/ <br />ur. <br />t.' A.H <br />IrIH CIGvI. <br />/Y.4.OW <br />/ <br />C IIMCI MCI p wales <br />HEATING SYSTEM: 17 GAS >ELECTRIC _ <br />nuRM rnII. Mn touArNrmr FRaan <br />n vo <br />IXnnacr n.ta.wRww <br />Tv�,� Y/ i7l/Y S � <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APRKATKIN AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />GOVERNING THIS TYPE OF <br />WORK WINS BE LAWS AND WITH <br />E A TING OF PER WHETHER SPECIFIED EEPEM OR <br />NOT THE GRANTING OF A PERMIT GOES NOT PRESUME 70 ONE <br />NOT <br />AUTHORITY 10 VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE Of CONSTRUCTION THAT I AM AUTHORIZED BY THE <br />OWNER OF THIr. PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTOHS\AWI/27PCWANO WA <br />O <br />g <br />MnN otacn I.YI SY rinnnn lS.•>wN Nicw cR.rr.c>. rrro <cnsl <br />\or Kw-p <br />MlCILra.PwuNn <br />v�-oos-o� -oao <br />� <br />C(WTMICIpIIOW IIMAI\. InINNII\IR4A MMIP <br />E f NY <br />,^i�I��o;� <br />uR warusuw w <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET ITOILETI <br />At — A.HNDLG UNITS <br />DAIHTUB <br />FORCED A.R SYSTEMS <br />LAVATORY (WASH BASINI <br />HEAT PUMP <br />SHOSVER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />- <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE "DOD <br />LAUNDRY TRAY <br />WATERNEATER iC <br />_ <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METALFwEPLACE (WOOD BINWING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />'FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFIOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC 1 <br />GAS PPING <br />- <br />EXHAUSTFAN <br />SUB TOTAL S <br />SUB TOTAL S <br />PERMIT S <br />PERMIT $ <br />TOTAL FEE f <br />TOTAL FEE 31 <br />FOR OFFICE USE ONLY: <br />I rICtNr C(rFICt <br />aC.M ♦ <br />FRY a <br />RN MCt.. ' <br />.11 <br />IM[IH.O <br />use row^ <br />snr • <br />..c.Kram <br />FEES <br />VALUATION <br />FEE <br />IYMlrt1`�ah <br />Mf MF\\nl <br />fYTP hfUH /;� l <br />r <br />R1MK1 <br />(C(VIUCT batrJlYt <br />OCiV'urtWp YHMa\r <br />M(H.lth <br />.(prl�.N RM OIICa <br />twf fR\MIIP IlOI} <br />jjO <br />MafA <br />OM• <br />IP(N/.MItl09 <br />. A � <br />AASCN <br />SHn RwCMI M7..IY11 <br />rYlspcoal <br />U k <br />nlwa..�g].Wn <br />7 <br />wn / / <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />RRs<IIORs <br />TOTAL <br />