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APPLICAT& FOR CONmuc* N PERMIT <br />CITY OF EVERETT F SUS.DM DIVISION <br />32M CEDAR STREET • EVERETT. WA SS201 E 2"10 <br />❑ DEMOLITION ❑ COMSSIATION ❑ @U LDINO ❑ MECNANICAL G'IFLIM ❑ sfoN <br />PROXCT ADDRM: <br />.. 91u rnL.YfF 9lLTo,-20-S9ao <br />TENANT NAIIADWSS an » ACME <br />MMrECT OM WSK F9 WEIIm n CITY m M4E <br />wwm(X),, Tm NA&AINIESS C111 m AU STATE=%IEF <br />we kC01 7001 WYt AcmSS an SM p1dE STATE LICENSE• <br />RNM0NAMAOO " ❑M1 IN N4F STATE tMNSE0 <br />c TIWTE (Xa <br />HEATNIG SYSTEM: ❑ OAS ❑ ELECTRIC ❑ <br />pEFCI■E wpM 1M SPWE IOOT/gE NYOI'Ro <br />CONTACT KASON AM hM`rE xo <br />h <br />1 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 TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GIWMNG OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCH. LAW REGULATING CONSTRIICIION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AURDRIVED 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 1627 RCW AND 2Ff200 WAC. / <br />X �7r..(F./ I%%r»3 4/2a/7% <br />rFloFoxo ux v s1ALoo <br />tEOM.OESGWCNIOIN OIIIOFSKTY 19110YA1 ELQEPIArtALFI Two COFEs <br />Lm woa ar <br />EA1ca TAIL to. 1EAEM <br />Epl{wAITTTOl l01111 LENIERI. ACKEss. TELOWAE MYER <br />SAYNIIMF MTE <br />PM1 EIIf1E35lKXN5[ MO <br />RN.LD <br />MECHANCILL <br />N1 <br />TVPE OF FUITUIE ON REM <br />FEE <br />NO. <br />TAPS OF WA MEN <br />FEE <br />WATER CLOSET (TOILET) <br />AC—AAMOLA LXOS <br />SATIIILIS <br />FORCED AIR SYSTEMS <br />LAVATORY BASER <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KRCIEN SML i dSP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHESWASHER <br />WOOD STOVE <br />ISIIMLI <br />METAL FIREPLACE (WOW BLff*Q <br />DRIIIaO FOLMTAIN <br />FIREPLACE INSERT (WOOD SUViNM <br />FLOOR DRAIN <br />GAS FIREPLACE <br />SACKFLOW PREVENTERS <br />GAS RANGE <br />SHIL (SERVICE — BAR. ETC.) <br />GAS PIPING <br />EX HM15T FAN <br />SUB TOTAL f <br />SLAB TOTAL f <br />PERMIT f <br />PEIMrt ! <br />TOTAL FEE $1 <br />TOTALFEE f <br />FOR OFFICE USE ONLY: <br />Fwplll ETYLIt <br />REM SFiYLE <br />SOIL SFIYCM <br />RAN CNFCM I�^I1�0 <br />FFF <br />Rl4MT MO <br />�d0 7(9 <br />m it,AF <br />IOTAMEA <br />wcwr wit <br />FEES <br />VALUATION <br />FEE <br />�� <br />( <br />❑vES Dx0 <br />xEO10IMMM <br />11p111TROIEELL1Nx <br />SIR OF EIOpIrI <br />R1MwK. <br />I <br />I— <br />pmllW.l IU 111 WE <br />011011E <br />Of.LI►AMr IOMD <br />Y41Exr <br />NECNAKu <br />OYFs OMO <br />ACOITLNAI MAx EMFCK <br />NE SMwpER fF09 <br />KSSCM <br />OTWA <br />FETE w.w NEO'0 <br />T1FA.wT. <br />STATE EUM W: 51M1CMMEf <br />TYEE or coMcr <br />gAxsxwwoVFnev <br />CFrY OF EVERETT <br />TxElr. , <br />— <br />LOCAL SALES <br />wrE <br />TAX CODE IS 3105 <br />TOTAL <br />