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APPLICAT& FOR CONSTRUCON PERMIT <br />CITY OF EVERETT •BUILDING DIVISION <br />3200 CEDAR STREET • EVERET7, WA 98201 • (425( 257•8810 <br />G DEMOLITION COMBINATION <br />�Y ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING O SIGN <br />PROJECT ADDRESS: M�q�%_�/¢'. <br />29io ddx ,, <br />OWVIn 4ul •CPIf FS CLT- <br />frrmlrrMuurcS�r_ t�,w,e z�o��i p 600�l�r �/ lyr.�l��ci�-- <br />IN N .�st r ,M mgVl <br />E•_w�La•N�+�t_SAYu�sli�st��2Colby�--�k�tr 9NeDD!__ _._. <br />On MSIGN r• gM155 rvlv,l <br />BoI N_/Ls�L*N�r[cAas/�� �f1s [�rtrA __EYat�ZL9 oL Y 4Gd <br />f,I NIN.l•l 1,f.CAIhT•Ll(}I 4ul pq•II SS (nY )f x y.[ 1•N I:tN51 • <br />fjpu[WdD e&&VXVM1 %NyWlAalF343L0 <br />. 11VA¢µ 1004M.110ii V.K AnCRf ss nlr nr 0.04T WIT IK(NSt+ <br />-6^m — M.ppIW��Rrvf��iCONIF1 �r,.�l(IP V.,,.mms5 Clli lm HpNF SNI(IKCN4• <br />LTYL••TF '�2yNF�I _ <br />[fTi1P1CI M"LI Or wWrlPh <br />72Q V HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />orscmpF( l•Nn spl.w lmlwl IVV.An <br />mi.S�►+�JDI�las€doAIWS/�� <br />can.cl .11,,R rNnx <br />yas)zsg-o868 <br />'.dH7 <br />I HEREBY CERTIFY IHAT 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 TI/IS TYPE OF <br />WORD "I 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 I AM AUTHCRIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH T14E STATE <br />CONTRACTORS LAW IB 27 RCW AND 296200 WAC <br />em-4ff <br />I�NR�Mnq n}(°Aa �l°lTr,, _P�L"I q"n <br />•cp�auq_F�d3'K ' <br />ItwlotslmrnoNpfpgrLPn lsNOpilPuow op.nAcn lvlV cornet <br />ml PIOCK a <br />P.PLFI m,D MP <br />CPrt1mKIgNINN1(Mn(RRK tssltIH• `vV%FR <br />_ <br />"wN.'*0167b2 IlAll <br />_ <br />CIIY PUVM 55lrt'f N4( NJ <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AC—A/NNOLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <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 STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC) <br />GAS PIPING <br />�— <br />EXHAUST FAN <br />SUBTOTAL S <br />SUBTOTAL $ <br />PERMIT S <br />PERMIT S <br />TOTAL FE_E S <br />TOTAL FEE $ <br />FOR OFFICE USE OI LY: <br />lIIfIN1 ViR.f4 <br />1st tw <br />IRgN111Wt/,1bV <br />PCCIA•NC'v 4,1 ry .,:wlf <br />P(.P S(IAK. <br />!VX srlP.cp <br />IYANDICN MIV4P` f(IF <br />(/ a i <br />FEES <br />�7 /0 <br />VALUATION <br />Pf C(MI Np <br />FEE <br />tol.Pf. <br />vKA41 sit <br />VF <br />_ <br />MRI Min <br />M1IANi4U <br />VII N.MfH <br />�r <br />_ <br />�� 5 <br />�� <br />+O P (1WIIlINV <br />IM1F <br />I <br />siff� [ 1 Dli� <br />Qr]P/{O <br />rFCIM.Ml10rU <br />B. Nf NI <br />.pd11nN.I M1.N CIfCp <br />fQi FIIANCP RE�n <br />Yts'3 <br />fl(.iON <br />��l No-- <br />UINTP <br />FIAIIfilr Pslmc••ARn( <br />�_— <br />�� <br />�•s J <br />FVWft �p �RIrUU' <br />R!•vn <br />l Yrt Or rplAl <br />•� i� <br />C' <br />MA"UVYloVfnpr <br />T <br />mR I <br />CITYOFEVERETT <br />LOCAL <br />TAXCODE ODE IS IS 31 JIDS <br />nlw r, Air,Rs <br />TOTAL <br />