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APPLICATICA FOR CONSTRUCAN PERMIT <br />f CITY OF EVERETT A BUILDING DIVISION <br />3200 CEDAR STPcLT • EVERETT. WA 98201 •259.8810 <br />n DEMOLITION ; I COMBINATION (1 BUILDING n MECHANICAL I I PLUMBING <br />/; <br />4 Pll-�5� — 71>1 AS <br />>3 Lac ass-L11� <br />—STITE IXiNSE f <br />MIAlNDDDNTRACTDR MMLA[XmSS a" m PIIDIIE STATE LKENSEI <br />TXINTMCT PRICE a vglw <br />00 <br />. <br />HEATING SYSTEM: CI OAS ❑ ELECTRIC ❑ <br />IX:eweE wawAND SOIWIE FDOTAOE MvaECD I <br />tONTAcr MRsm AND PITONS NO <br />L't r v a <br />S <br />I HEREBY CERTIFY THAT I HIVE READ AND EXAMINED THIS <br />D usE <br />APPI ICATION AND KNOW THE SANE TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />LsaAL DEsaTIPrgNIx MIDT4Rrr lsralw eEEowmARACN rwD mPIESI <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />EDT eEDL,E a <br />AUTHORITY TO VIOLATE OR CAVCEL 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 THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 288.200 WAD, <br />PNCELTAX ID 1ANA9ER <br />39Ici Or,u no o ;1, ou <br />X Ea' _-/.�..s- /��j/n <br />CONSTRUCTIm Law LEwEn, ADDnEss, TELERIDNE NIAIEER <br />SN ATU D <br />n17to <br />QTY MWSS LICENSE W <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />A/C —A'. 7:01.0 UNITS — H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNITHEATERS—B.T.U. M <br />KITCHEN SINK S DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />VENTILATION FAN <br />LAUNDRY TRAY <br />RANGE HOOD <br />WATER HEATER <br />_ <br />CLOTHES WASHER <br />URINAL <br />WOOD STOVE <br />DRINKING FOUNTAIN _ <br />METAL FIREPLACE (WOOD BURNING) <br />FLOOR DRAIN <br />FIREPLACE INSERT IVA D BURNING) <br />BACKFLOW PREVENTERS <br />GAS FIREPLACE <br />SINK(SERVICE — BAR, ETC.) <br />GASRANGE <br />OAS PIPING <br />EXHAUST FAN <br />I <br />;PERMIT <br />TAL S <br />SUBTOTAL S <br />s <br />PERMITEE <br />S <br />TOTAL FEE S <br />T <br />f1pNi 5EinALR <br />RFMYTMCN <br />FIDE SEfR1CX <br />M N"M rn <br />FEE <br />RECEIPTNO <br />usE+DNER <br />_ ✓ —/ <br />IOTATTEA <br />VACANT <br />FIVES Ow <br />FEES <br />VALUATION <br />FEE <br />BULOfq <br />NFMw1lNT.1rM]N <br />UY1ELW <br />Ta <br />yh Of BlD3'rl <br />P U END <br />CCCIDNL AY w m VOTES <br />MqF <br />pC1.YII f EOM <br />EASEMENT <br />II IES ❑ Ip <br />yECN.1 <br />fRE AEATEI rTEOD <br />FIRE SMNAREA MOO <br />REAS(N <br />AIR)" KA401ECK <br />ORKR <br />RE <br />STATE EMLDMO SIETWAFKTE <br />iTnmcrosr <br />__ <br />MANS OEY <br />,L , ,I, <br />VAT <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />MmLnK s <br />TOTAL <br />