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APPLICATA FOR CONSTRUCYTON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 A (425) 257-BB10 <br />❑ DEMOLITION 3$( COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: 69 M <br />Riem./Ros (-�j-nQk NDS /SA,n4v- \ 1=✓c-raErr 4R Zoe 352, �l U reC <br />5ATM E <br />IEN.WI _ MM1 YpRESS an <br />MFCHUKµ CLWTRAC10P MM{ADOWSS CITV ?w ndJ STATE LCINSEA <br />PIIRM.KSCOF0IWTU1 M.R ADDAESS Vlr I" P F STATE LICENSE. <br />91_0 . I IVA <br />CONIITACi P E w NOnit <br />(o.07p SO. FT: TPIJAIJT (MP2GJFME <br />HEATING SYSTEM: XGAS ❑ELECTRIC ❑ <br />GISM11E WORn ANO .HF rOOrb NVdYFO <br />CONrACr ATF O AM1g NO <br />0 25 3 Co <br />P SEDlI<i w mn Nn <br />1 HEREBY 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 WKL 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 AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 1B 27 AND 296.200 WAC <br />[ <br />LEGAL SC"PTroR OF PTTE)PERT'lISHQ.N LUOW On ATIACI1 TWO MM sl <br />LOT mow OF <br />OCe (nOO O O <br />.,L AAI o n <br />L <br />CdISiMICi10111dNIfTOFR ADInf55 rEILPTgNE MIMRF <br />lnCninwgi; R.Ea12 E910 LifE4`( <br />9a 703 <br />t Ar �� �SS1 DIE <br />PTY AU4AESS lCENSE NO <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 />A(C—AAINDLG UNRS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />_ <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />_ <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK f 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 />_ <br />SINK (SERVICE — BAR. ETC) <br />GAS PIPING <br />EXHAUST FAN <br />SUBTOTAL f <br />SUBTOTAL f <br />PERMIT f <br />PERMIT f <br />TOTAL FEE III <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />rnONT<r TRAr.. <br />wmvlw. <br />9011 Ulm. <br />nANCINc. MMEP <br />IFf <br />Prawl NO <br />usE rwr <br />lOI APFA <br />vAEANT LIf <br />FEE6 <br />VALUATION <br />FEE <br />a.I <br />T <br />Olfs o,NyO <br />vf10X111w1A1KN <br />NO wPVIf IIWG <br />Eliwm I �_/ <br />11MIG <br />n�AAFAW, <br />TAXLTPAK, r ^/ Tligy) <br />wrINANI IOND <br />PA$r<(NI <br />yrl'XrIKAI <br />o[5 <br />M <br />A10IM1NAIryW04f. <br />I <br />f iRtS�P tfPPE09 <br />III.G(M��Rp�/��// <br />- <br />C�✓r "�//� <br />OIXFP <br />IWfYM OD <br />PEA<TrF <br />I'm FIE LINT <br />nA.SAP✓myyl Flier <br />CRY OF EVERETT <br />nnP x^,wa.a <br />—'`—' <br />V—PA� <br />%L <br />LOCAL SALES <br />Ont <br />TAX CODE IS 3105 <br />TOTAL <br />= <br />SPIZInK�� Su?s%i%crL- - rat / Ha✓t E �rayzdsb ra <br />