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JUL-CU-UU Wit UC:C9 Yn tVtKtll YtKflll StKVI0t5 h8A NU. Qb Yb( bbbl N. U3 <br />APPLICATION FUR CONSTRUCT& PERMIT <br />CITY OF EVERETT P BUILDING DIVISION vr <br />3200 CEDAR STREET • EVERETT, WA 98201 • (4251 257.8610 <br />KDEMOL1TION COMBINATION - ; BUILDING 'MECHANICAL ..)is'1 PLUMBING ❑ SIGN <br />PROJECT ADDRESS: Eff. tF C'(, MkW /UnrZSf: rVEPF7-7 MAU, ",4 <br />LJZ ILK . JP, 4EG_1Y .� E Eve F7 y <br />EIelELQ2bIi�I S tJL_ atyS ksa< vt' <br />ATIMATEC1 Un QESAGNCW TOM ADWSS col !m rtl[NC <br />GCNCML CONiPACINO�--MAlI A00nE55 Clb :Ir PIWVE SIUFIKrIIstA <br />'MECNAWCN fANiMCrDR 4bl ADdltfS do S'/- PIIOv[ Sinq VCFNSU <br />A�'-cw-mCip1 Any Aa 53 Cltt IMP rNOVF SIAIELKENS(• <br />W,C rv,n, 02 H- <br />coon cro-`�ii ""iucD or worm <br />HEATING SYSTEM: ❑GAS ❑ELECTRIC <br />O[DCryPF WOAEANDCOVARF. rOOTACE PNIXV[O _ <br />aa� S s. F. <br />CONT21rEn50N ANO PIKIN[NO <br />NIE r C__ _ <br />_LF <br />1 HEREOY 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 WILL 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 TI11S PROPERTY 10 PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRAWORS LAW.10.27 90WAND 290200 WAC. <br />_ <br />ilcNArunE <br />"'C"OSPDust OF buuruNa <br />IEwL.OLscmIx KlN OrrnOMTITY ISIIMVNIIC 0 6IIAVA0NI1I000RCs1 <br />LOT CLOCK Or___ <br />` '• <br />PMCFL TU I C WIMPER `— <br />CONRfnUC11W110Ax ICNDCM1 Aly1PFSF, TELEIMCMF, MA,ucn <br />qiY bVFA1EES lKENS[ x0 <br />PLUMBING u <br />MECHANICAL <br />NO. <br />TYPEOFRXTUREORITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT _ <br />FEE <br />/ <br />WATER CLOSET (TOILET) <br />A/C -M/NDLG UNITS <br />' <br />BA"AlUB <br />FORCED AIR SYSTEMS <br />( <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHCWER <br />UNIT HEALERS <br />KITCHEN SINK 8 DISP ZCLOTHES <br />DRY ER_S__ <br />_ <br />DISHWASHER z <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />MEfA.L FIRE PLACE(W DBURNMG) <br />_ <br />DRINKING FODRINKING FO TAI� <br />FIREPLACE INSERT OC BURNING) <br />( <br />FLOOR( FLOOR pRA� <br />GAS FIREPLAC <br />I _ <br />a <br />BACKFLO PRF,VENTERS <br />GAS RANGE <br />--'— <br />SINK( RVICE-BAR, ETC.) <br />OAS PIPI <br />EXHA FAN <br />_ <br />_ <br />PERMIT f <br />TOTAL FEE f <br />H OT TAL FEE S ' <br />FOR UFFICE USE ONLY: <br />TMN ,xtw.- <br />ArAn CCiC x <br />SIDE SE TRACK <br />MANCI'LCKTAMRrR <br />TIE <br />532 <br />nrrrmf NO <br />uxE ioxr <br />IDI AT. <br />uACA41 SITE <br />_ <br />FEES <br />VALUATION_ <br />. <br />- <br />_ <br />N[IGII IIW UIMN <br />N04 DWFWNO <br />IINNp <br />I'll 0101CG9 <br />En/,Jly <br />PLVYAWG <br />u <br />••••••• <br />p:CITA,Gv MT fY vino% <br />a.CurANI IOAp, <br />DK.TM 1N <br />GYES�iM <br />rWi APRINKtCn RCO'O <br />Ap0'NONAL ryAN CNrf.[ <br />�— <br />— <br />nrAROV <br />�yy <br />1 <br />_.�_ <br />011'1n <br />Mh MMM PLOD <br />"Mo, <br />Altlr CmlDw(i CORLRMG[ <br />I <br />hrtWr.ONST <br />I'IANSM00Y CITY OFE�rulu <br />7 <br />lr.wmas <br />-- <br />--- '^ — <br />V -1 <br />LOCAL SALES <br />- <br />- —• <br />-----••- <br />DATt TAX CODE IS 3105 <br />TOTAL_ <br />