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APPLICAT& FOR CONSTRUA0111 PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT. WA 98201 A 1425) 251.8810 0�ff <br />DEMOLITION [COMBINATION ❑ BUILDING U MECHANICAL <br />❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: WM [3GlaXLi6(IE ;�fr pers ad�� aid. %2-cf <br />QYYfN YM A01)"Yss nn n <br />4 akte6 /r "Rmfl /q3� 3ST-SSBd <br />IfwNI MIAt ss Fin n <br />MCNIIc101111I1gNfY <br />,r AAM AFAMI sS <br />C." <br />OFYIMI CONIIMf,I(1. <br />YM IpIM1 55 <br />CiI• <br />)ir rirM SI.111<fMYI <br />S,aR,6 <br />As 4&06 <br />NCMWK4 flWIRSf VJP <br />Y41.IAM SS <br />On <br />1Y%VW "All IKIwt1 <br />NIIWgCOAt" O1 YYI Ys111fss CIn n PWYY f1All IcI%vA <br />ca.rA.cr rMce u rA1P. <br />� JSlet <br />HEATING SYSTEM: 0 GAS L7 ELECTRIC O <br />_� <br />C{sC1sF(W.KM IIp SQY rOOI HII <br />_ <br />[pllACrnPS(M A��MM1PMP yp�� <br />Al <br />T <br />1 MEREBY CERTIFY THAT I 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 Wl 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 REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION THAT 1 AM AUIHOMZEO BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATIONS 15 MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW.J0 27 RCW AND 2" 200 WAC <br />A�/�/ /AF - ////�9� <br />-- <br />INIOA'oYP w rx PwPP.n <br />l[OAI olxPmrgwNa ewFSl�tLrnyle�tnlsY RloAa An¢Il lfo conffi <br />lot_ Y MOr..�G'(�L �1 <br />7� <br />MKcn to Io lAwwn S <br />LOMSiR5t1OYlOW If YIFP APIMfH nIfIW4Y11RfP <br />A.1rw6 <br />IRAiiFTiIT 1 n <br />U11FyI{f ISO NV NO <br />PLUMBING <br />MECNAMCAL <br />_ NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />MO. <br />TYPE OF EOUPMBR <br />FEE <br />WATER CLOSET (TOILET) <br />AIC-AAMDLO UNTIE <br />BATHTUB <br />t <br />FORCED AIR SYSTEMS <br />_ <br />i <br />LAVATORY (WASH BASIN) <br />NEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK L DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE MOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />_ <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT SWOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />SACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE - SM. ETC I <br />UAS PIPING <br />- <br />EXHAUSTFAN <br />_ <br />+' <br />SUB TOTAL f <br />SU TOTAL f <br />PERMIT f <br />PERMIT S <br />TOTALFEE f <br />TOTAL FEE IT <br />FOR OFFICE USE ONLY: <br />nlrlNl M,xA <br />wmw, •/ <br />fIC(MI ./ <br />NWCIYCII MIIfR11�S <br />UV94.% <br />uY IOYf NAA <br />IOIANA <br />VACWI MIT <br />FEES <br />RAInr. <br />lam/ <br />—�_-- <br />Orfs O No <br />NFPII-I-'w-IIAAIt <br />A2d 111Yf11AM <br />f1111i ROM( <br />b S, f <br />MIMAIp _ -- <br />NcxY4M <br />OG.1MVlr Y nib M, <br />FAtl•IA` <br />WIf.'IIW1 pYN NI <br />1 <br />O_Is D VI <br />AwIIMAI ft c c. <br />lft M LPMO•Dl1 <br />AdWIN <br />OINP <br />—.— <br />__ <br />Iq AV.PV PIUU <br />MWIM <br />a 1111 Mn1FN11 SIIP(:WIIM <br />m Pr roNal JMA <br />%Arro 'D@Iaj <br />CRY OF EVERETT <br />nYrntKY. — <br />- <br />'T'I_� <br />I <br />LOCALSALES <br />TOTAL <br />YY <br />nu. h11 15IyY3 <br />TAX CODE IS 3105 <br />