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APPLICAT f&N FOR CONSTRUCOON <br />CRY OF EVERETT r BULDING DRASION <br />3M CEDAR STREET r EVERETT. YVA 9E201 . 2l mia <br />o SMIN <br />er K <br />AI1arT[etOPwwrerl Irrwwas ary -�:� <br />w _ _ •1 _ _ LIM .. AK r <br />RLeAeOCOMMCTOR IrMA AIgrEK ary <br />�� eTAlf 11N■I�E r <br />CONT eTswe:E OF worA <br />- <br />`" <br />HEATWG SYSTEM: 19OAS ❑ ELECTRIC ❑ <br />C[eaYME M011e ANp a01Nrr1[ TOOrgE MVClKO <br />CWTY.r RrISOM+Ta /HOME MO <br />ui <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMWO THIS <br />IMSOFOMo IRE ar s1AEar10 <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />LEaLOESaertnTTs rllorEAry mluw EeLOwalenACM rvIOCOrIIN <br />WORE WILL BE COMPLIED WREN WHETHER SpSCM HERSIN OR <br />LOT FEOa(,�-or <br />NOT. (HE ORANTKq OF A PERMIT DOES NOT PIfMAIE TO OIs'q <br />UME <br />VIOLATE AUTHORITY TO VATE OR CANCEL TINE PMYV OF ANY <br />OTHER STATE OR LOCAL LAW REOIKATM ODNSTRIam" OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUIIIOR1= ■V THE <br />f)4. 3— <br />OWNER OF THIS PROPERTY TO PERFORM THE wowE FOR WHICH <br />APPLICATION IS MADE ANO I COMPLY WITH THE STATE <br />CONTRACTORS 1I27 RCM/ AND SN]00 WAC. <br />L/. �� Ah <br />TSVrcn tAA I o. Mr[n <br />CO Wily MROAiEk ACgIr[K. TFIErEgME T.IIIAFR <br />-551lZ <br />zr <br />an <br />PLUNISM <br />ary ■IEMK <br />LCEMI IA) <br />N0. <br />O <br />TYPE OF REM FEE <br />MMECNANICAI <br />NO <br />WATERCOT O <br />TYPE OF SMMYFEE <br />BATHTUBNC <br />— AHMDLO UMB <br />' <br />LAVAlORr (WASH BASIN) <br />FORCEDAIRSYSTEMS <br />SHOWER <br />HEAT PLOW <br />XITCIEN SIHIE i qSP <br />UNIT HEATERS <br />CRSIIWASHER <br />LAUIORY TRAY <br />'i. <br />Z <br />_ CLOTHES DRYERS / <br />RANGE HOOD <br />2 <br />CLOTHES WASHER <br />Z <br />WA7ER NEATER <br />IRiNAL <br />WOOD STOVE <br />DRINKING FOUNTAIN <br />ME 1K FIREPUCE OYOOD BURMND) <br />FIREPLACE NSERT OVOOo BIXIIIIO) <br />GAS FIREPLACE <br />FLOOR DRAIN <br />SACKFLOW PREVENTERS <br />_ <br />GIBS RANGE <br />SINK (SERVICE —BAR, ETC) <br />GAS PIPNO <br />EXHAUST FAN <br />-------- <br />1177 <br />SUBTOT f <br />PERMIT f <br />SUB TOTAL M <br />PERMIT f <br />TOTALFEE f <br />FOR OFP[ra Hee nm v. <br />TOTAL FEE S <br />rTlprrt aFlYCM <br />7�i <br />TIU Kr�^ <br />�-/' fl0t li/ <br />n+M CI�nNIFMn� rE�qJ <br />'Noll&1... <br />[/^3 <br />RCE►t MO <br />usE IOME�_ <br />/ J G <br />LOT+RE+ vACAMI sI[%Y//FEES <br />OTEs D MO <br />WCa OM2WMG LIE OE el00/TI <br />VAWAJTION <br />FEE <br />MEiGMTIYTATgN - <br />7 � <br />EIROr.f: <br />r <br />;+ q3b S•F, <br />ccc�wu.cr WNS'rnf$ <br />accorAMr LOw a+ETAFMr <br />-- <br />•3 �U-I 2 <br />D.rs R",:o <br />Mto1 Mw <br />—_ <br />a0 ; of <br />"!L LERgjao <br />W.A. - <br />+DOIM1M11nµlNEQ <br />/J< <br />VXC/•{' <br />0111(11 <br />i.PfNMMPEO'0 <br />IJE+sw <br />swr MIIx I..n ei Ylf,114q( <br />ITrC OE f.CN$f <br />K MSAPPIM Dll, CRY OF EVERETT <br />nMM <br />LOCAL SALES <br />x: wTxu< <br />--- <br />O <br />N <br />OnE 5 9 TAX CODE IS 3105 <br />TOTAL <br />_ <br />