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JUN-02-98 WE 04:I0 PM EVERETT PERMIT SERVICES FAX NO. 425 257 8857 P. 01 <br />f <br />APPLICATION FOR %:GNSTRUCTION PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET E F.VEI z1T, WA 98201 Y (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING W MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: /�i0 Z- i r _,1V DZf-i i` M 4 L-t- <br />-- <br />Ifr4Nl nR nOONCi] Pri !� w[ <br />f ACIArICf Ml DtSt�ryN Yy lrwlrif $$ <br />-os'8y 66,wz * m ,g <br />n VYAMCw1AK.iw ..I.R fft orr r. -- rN a "Alf Icl.lfI <br />i1- 7C72. <br />COYiAAL{�YKf pl vgal <br />/NS i'�(,(-T i,.A1A-�L QPcufo CrJ <br />//NL /T <br />HEATING SYSTEM: S C] ELECTRIC ❑ <br />a <br />I HEREBY CEHTIrY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME 10 BE TRUE AND CORRECT ALL <br />PROVISION$ 0° LAWS AND ORDINANCES LOVEBNINO THIS T'PE OF <br />WORK "It BE COMPLIED WI19 WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO LIVE <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 <br />IS M E AND I COMPLY WITH THE STATE <br />f LAW 21 RCW AND 296 2M WAG <br />rQ/�/� LJ <br />54YA1yY <br />` -� <br />NIDAD6fD u6F a 6vnwND <br />LEGAL UE6 Md-.<Y IX PM)FERn IRN KIOW VA Ann" TW010PI[$1 <br />toy —CLOCK a <br />rAaoD IAA I O NULwt. <br />CwiY11K11OH lOAHIfM'IFN A[W!S$ lllfnpyf nLYXM <br />-- <br />C�I1 iVSIN[6's IC[N'i[ NO <br />-- -- <br />PLIIMAHNG <br />MECHANICAL---- <br />N0. <br />—TYPE OF FIXTURE DR REM <br />FEE <br />ME OF EQuIrMENT <br />FEE <br />WATER CLOSET (TOR ET) <br />_ <br />BAIXTUBORCED <br />_ <br />AIR SYSI EMS <br />LAVATORY (WASHBASIN) <br />EAT PUMPSHOWER <br />NIT HEALERSKITCHEN <br />SINK A OISP <br />aAG-ANNDU3UN(TS <br />LOTHES DRYERSANGE <br />HOOD <br />LAUNDRY TRAY <br />ATERNEATER <br />CLOTHES WASHER <br />OODS OVEURINAL <br />ETAL FIRE PUCE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOn DRAIN <br />GAS FIREPLACE <br />BACK FLOW PREVENTERS <br />GAS RANGE <br />SINK(SERVICE - BAR, ETC) <br />GAS PIPING <br />EXHAUST FAN <br />SUBTOTAL S <br />SUBTOTAL $ <br />PERMIT $ <br />PERMIT S <br />_ <br />TOTAL FEE 3 <br />TOTAL FEE $ <br />FOR OFFICE USE ONLY: <br />"AMA M1.4. <br />Al. PIFACK <br />PKFEIMCA <br />PUt.0 CAN A <br />lef <br />AFriw\YV <br />u!42w <br />UYI.A <br />YAGUR Ulf <br />OYEi G w <br />FEES <br />VALUATION <br />Allow <br />_ <br />I <br />n[Iwll'VIRf10Y <br />MIXOIVLIIMO <br />41116 <br />$It$QEIOfIII <br />fIVMM1P <br />""�'� <br />••••_��•_- <br />�f -7n <br />0i <br />rn Mlltu:ft <br />KF.V•AM1lVA0 <br />FA$fYfNl <br />Orlf OYD <br />Yl[nnx:,Y <br />•�.—� <br />ADD'IbV4M1AV G�KM <br />— _ <br />ruf tl'Nrvnitn P[DP <br />1KAN1Y — <br />fVEAUNY A[O'D <br />AfAtw <br />\InIE EIAU Ml [IKKIAAG( <br />I <br />"TEM.6, <br />PUNSArv'YTAOe\ <br />DMF <br />CITY OF EVERER <br />LOCAL SALES <br />TAX COVE I5 7105 <br />nmr.noua <br />I <br />TOTAL�- <br />1 <br />