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Psiinr� APPLICATA FOR CONSTRUCAN PEIRMIT <br />�* C / 3 CITY OF 3200 CEDAR STREET E DIVISION EVERETT]. WA 9 201• (425) 257.8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ <br />PROJECT ADDRESS: I a0ItT S 6 <br />X PLUMBING ❑ SIGN <br />vNOIIE yaS-G <br />TnkyD NIOAFSS I Pxsl: 43-q9> > <br />TENANT 4A11 AfDfl(SS CITY ZIP VUONF <br />ARLHifOi 01111ELGNFN MAR ADDRESS CITY tm PHONE <br />c,.T�`" Nx P <br />CWrN.Ct PUCE OF WORK <br />_ <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />GESCgBF WORK AND SWAPS FOOTAGE WMWO <br />CONIACi mRSON AM PFoGNF NO <br />anprouovsE or eunmun /(1p 1 <br />• ". Si-gV <br />I 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 WIIL 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 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 />CONTRACTO LAW IB 27 RCW AND 296 200 WAG. <br />3--��/ / <br />LEGAL DESCRPLON OF PBOPEDIR' ISIIDAIN BELOW ON Al TAD COPIES, <br />LOT GLocK Or <br />_ <br />/S,, 9 acyoq z too <br />ANGEL TAu 0 NUDGED <br />CONBfPUGIIONtO.W IFNJFR.AIXIPEBS.If L[MONf NUYBEN <br />`—XKINAT DATE <br />GfY BB4NE5511.^, Alsf 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 — A/HNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK L DISP <br />CLOTHES DRYERS <br />_ <br />DISHWASHER <br />RANGEHOOD <br />LAUNDRY TRAY 1n <br />( <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 R <br />GAS FIREPLACE <br />13ACKFLOW PREVENTERS <br />GASRANGE <br />SINK (SERVICE — BAR, ETC.) <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL S <br />SUBTOTAL f <br />PERMIT $ <br />PERMIT $ <br />TOTAL FEE $ <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />FNNNI SF�BALB <br />DE SETBACK <br />RAN CIKCK NBWFN <br />FEE <br />RFCNPt NO <br />USE SONF <br />DANI SITE <br />FEES <br />VALUATION <br />FEE <br />p YES ❑NONEIONt11.1.1pN <br />4ICADB.SFUEA' <br />BLDGDIis <br />— <br />011011P <br />ASFMENI <br />MFCNAM(lat <br />DIv[S- <br />AGMIONAI BIANC11FON <br />FINESPRNI:LFNREOD <br />RFASON <br />OILIER <br />FIRE AUPM RED <br />RPASOV <br />STATE BIMIOWO SIIRCNARDE <br />IV" Of CONS, <br />mANSAP17OV BY CITY OF EVERETT <br />mTUr. VIE <br />—_-�— <br />--�—_-�-- <br />LOCAL SALES <br />-- <br />- - -— <br />ATE TAX CODE IS 310S <br />TOTAL <br />