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L, <br />re <br />APPLICATI& FOR CONSTRUC-40N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVEREff, WA 98201 • (425) 257•88 10 <br />❑ DEMOLITION ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECTADDRESS:_ 309- M</ LBl4x_ FYffft-, WA- <br />Nlw Fss ON rvP rNp,[ A1o:tL,uPWN /Nr//fv�s...- C'wc6/ Y-w-sm-It3it <br />owaFR uu[AooR� <br />fun do Tc. 10/20 W. t. Foln/Pcnr.ic IYij, SS3ri 4/2-5;Y�-7�t[ <br />TENANT uYl •pylFss nrr, )Ir M1MJNr <br />'Sc-I eDA.S"1•Koke y/s7 Mlc.ne6 Au�Sr.+. M)nn�NpB/_ �zMN 6/i-7zy-y// <br />.rKl•ncron orBIcvin u.N AMn FS% COI nr r.", <br />/n4/aTtY n�c/ht/%/UrTH✓rsT Gr„1. ia,It.'Tv..l.. /LSN NE ja^'r.fs. 020/ rP1d�..rlwAt MAc.ONaNO4 <br />OfNLNI ONTPGCrn1 4u1 Apia fi� $ —� pry Jm r.", 541[ IICENSF r <br />NFO4mCAL Cb TMCIOA NAIL AIAaESS ON zr' INgNE s1Aq LICENSE. <br />r 1111AONG CON1RAClp1 VAM1 AFAnfSS anilr rw;Nf SrA1F IKCNSF. <br />.!'r/ Zor) <br />conTnAct rmcf Or N K <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />�FSCR10F W:NIRANp splAaE iOOr.Gf MVIXKp t1 <br />� Ma.Gyz it sri Sr:A1f /A:f.J�A✓�S Ir•//,i/G...��y <br />CWIACI gaSC JMI NxWi NO <br />CG '4al: 99:k 4 <br />nG/Nt�— S�+A�•FKt...l;sKt�ly <br />v <br />I HEREBY CERTIFY THAT 1 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 TYPF 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 />CONTRACTORS LAW 18 27 RCW AND 296.200 WAC <br />N.I a. A Onf <br />1 sfDust Ix amp.w <br />,tSf / <br />LEGALO[SCPIPTKN OF PIIGIERrY IBI.']VM BELOW GO AITACN I EGgfsl <br />LOT BLOO• Dr <br />rA1Kn t D m n <br />25i 053-� <br />CWilmlt[ION IOANIf NBFII YIMKSs 1[I[AMWf NI14rF11 <br />AJONe <br />0118LYWSSLXENSENO <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 — VHNDLG 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 />DISHWASHER <br />_ <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE W000 BURNINGI <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />_ <br />BACKFLOW PREVENTERS <br />-aZFtANGE <br />_ <br />SINK (SERVICE —BAR, ETC.) <br />GAS PIPING <br />EXHAUSTFAN <br />_ SUB TOTAL f <br />SUB TOTAL S <br />PERMIT f <br />PERMIT S <br />TOTALFEE $ <br />TOTALFEE S <br />FOR OFFICE USE ONLY: <br />it OwvlflA,B <br />nrARsr IBACN <br />s1mwls.Cn <br />N01Ea NINMrn <br />IF <br />nrrILPT NO <br />— 13 <br />.31 <br />/O — <br />NutoNF <br />lot ARrA <br />WGANT BITE <br />FEES <br />VALUATION <br />FEE <br />Orr s <br />--�— <br />r1EwMt HurtArwN <br />AO ar OKLA NG <br />sllr w Bl :lT <br />UMIB <br />nVEMHIG <br />CCC111'AKY 4(I IV SD'al: <br />G <br />uc I NTIOAD <br />BAST WIT <br />41<'NA4cy <br />I <br />DIES— <br />(HK$gNIxIIRRA�w <br />11fABON <br />Arpll(WA1 qAN YMCA <br />YrE/uZZ CXLSD <br />— <br />— <br />oNKN <br />rmr�A1LNIUI,FOOfn- <br />�V•.aWJ r E <br />M.sfm <br />MATE BIINGMI SIwp4ME <br />— <br />5� <br />I'm Or roust <br />PIANSAnpn Onl <br />7 <br />CITY OF EVERETT <br />nar. o <br />Y <br />DATE <br />LOCAL SALES <br />TAX CODE IS 3105 <br />TOTAL <br />— <br />----�- <br />