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APPLICArA FOR CONSTRUCON PERMIT <br />CITY OF EVERETT •BUILDING DIVISION <br />3,100 CEDAR STREET • LVERETT, WA 98201 • (425) 257-8810 <br />❑ DEMOLITION 14 COMBINATION O BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS! I72-o 7S%ff Jr. ,r w, <br />ac P.o. 6ms Y12 �Ntd�[c�L'c c•M. 9dLlf 7Att— ioQ <br />z t! <br />b� LoH eAA-Azunol. io./aox A/f9 wadam,` '� w+ 7Y! J3Fo <br />TFMAM IIW Y sf <br />Ye L-le, 4Vf ,6r rr, L.tYw wA f l' zr 3y 6 tjzr <br />AAwrtcrwavoK(n uAA AI>oAess cm Tr hMYr <br />ww"cww'm <br />uWA ,%% <br />tm <br />M <br />nn( t1ArllttNq• <br />rNdANC4 fp1AACtA <br />YAK AppEtt <br />nn <br />!•' <br />nK11K trArr lKluH• <br />n UAIM6CpRKY:rp, <br />�pBh� <br />Yw Appwti <br />Uh <br />FI• <br />n•TA tlnrlK[Mq• <br />cwrR•cr plra•1 <br />HEATING SYSTEM: GAS O ELECTRIC [IatQ•er <br />howl A,n aw•w roor•o(• wo <br />�tao •ter. _ <br />rnrlr.crnnsonWnrvnl no <br />P 3- 00 <br />o u <br />1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WII L BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT THE GRANTING OF A PERMIT DOES Not PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REOULATING CONSTRUCTION OR THE <br />PERFORMANCE Or CONSTRUCTION THAT 1 AM AL fHHORMED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION 15 MADE AND I COMPLY WITH THE STATE <br />CONT TORS LAY` lA 21 RCW AND M t00 WAC <br />X `/ i0 <br />�nGOHPVN p pwo•n <br />__ <br />uaLrwEcwnnlp npERn1Y0[[nANawplAnAa nlomwR <br />ID( Mrr.•___p <br />.iE4.� 4fbb.L <br />Olt- D for <br />id IAA IP wAAgA <br />CQATwItTM1110NIlIWA Ap•Kri hl[NK1nE MJIIMn <br />5 INE — <br />Gh F19HEMlttNq M <br />YEp1AMCAL <br />N0. TYPE OF EGUIPMENT FEE <br />PLUYBINO <br />NO. <br />TYPE OF FIXTURE OA REY <br />FEE <br />WATER CLOSET ITOILET( <br />a <br />—AAMpLO UNITS <br />�— <br />BATHTUB <br />I FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />r <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD.iTOVE <br />URINAL <br />I <br />METAL FIREPLACE IWOOD BURNING) <br />DRiNKMG FOUNTAINI <br />FIREPUC E INSERT IWODD BURNING) <br />_ <br />FLOOR GRAIN <br />I I <br />GAS FIRE; LACE <br />BACKFIOW PREVENTERSI <br />(SERVICE — BAR, ETC I <br />NGASRANGESINK <br />SUBTOTAL S <br />SUBTOTAL S <br />PERMIT E <br />_ PERMIT S <br />TOTAL FEE S <br />TOTAI FEE S <br />FOR OFFICE USE ONLY- <br />InMI grKY.( <br />KMMIAAC• <br />Fp[y1FKY <br />nW<N .MIN_ 11� <br />a <br />I(( OQ <br />gFFIr NJ <br />LIM 1Qlr <br />101MA- <br />r.c.,n vN <br />O•n ❑ <br />FEES <br />VALUATION <br />FEE <br />"n . <br />—'T— <br />MrgNI1MMrKw <br />ry <br />IpwH6 P1RHM0 <br />vt[ a Fl L <br />IAvx• ontu.l. <br />( <br />_-- <br />orclwnlo.o uur• <br />❑m rn <br />wcwWKr <br />.CQIKIMInMML• <br />rAlr MRw�TI <br />IY.MM <br />nrwA <br />- <br />rgNYAuwoo <br />rmQ.bnr <br />' /—)y <br />`' Y7 <br />w•w. <br />-- <br />nAMs •n•rnr CITY OF EVERETT <br />7L L0Cj L SALE9 <br />owt �i TAX CODE IS 31OS <br />IHr(MMCwI PII1CWMr <br />nAA •.rKKw• <br />— <br />9-- <br />--- <br />TOTAL <br />— <br />