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APPLICAT& FOR CONSTRUC&H PERMIT <br />Cm OF EVERETT • BUILDING DMSXON <br />3200 CEDAR STREET • EVERETT, WA SM1 • (4251257-8810 <br />❑ DEMOUTION COMBINATION SUILOBIG ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: rQ ^ d— <br />'/F, <br />1FMMr / M.4 55 1.1- <br />••• _.. <br />Sn/d Iscoo 0 �� O Gn,na / •�x zcs- 3,s& <br />Crlr nr rwdw <br />Ave, 1 _ <br />DFnrn•I CONINOdt Yul •dMRts -- Ub Ilr rvryrr 54t11TrNNr <br />MFCrI•q[•l fryliRgiDR YW R%InF55 drv. / Ilr _ rlgnf t 51.rF lKF'dF • - <br />COMr""' °1CF'I Mi01t ��/(1' <br />HEATING SYSTEM: YGAS ❑ ELECTRIC ❑ <br />DFSCrRlF PIDdI AND sa,•RF rDmnF �yayvr0 <br />/</ <br />ctwdGtnRSDNAro r**.r ND y),S/ YS3- 721f <br />� 3-�c� <br />a, nro w � f•ec.--In�-- �Cb� <br />—T <br />V <br />C nYfA K CM <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED iW5 <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />PIIDPDssD uu/^�r+mnldrn //'�j <br />WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />LEGAL DE K.plKnv ERry 151dMFEFDwaAnACP ivID Cor ISl <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />IDI _�_ IAaA a'_ <br />La>L / G J 5nA/ a c <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 WORT( FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />T • <br />CONTRACTORS LAW IS 2' RCW AND 2%200 WAC <br />''J q <br />X ' `— <br />M FL I.. rD MIMR1n <br />iFIFIMJNF MMRFR <br />CONirMKirON 10•N IfMrtR YKIRFSS <br />SMINAr1AM 1-11 DnE <br />drr P11.wE ICIEKt NJ <br />iLUYMNO <br />MECHANICAL <br />NO. TYK a EO1vmwf FEE <br />N0. <br />TYPE OF FIXTURE OR REM <br />FEE <br />WATER CLOSET (TOILET) <br />0VC—AAINDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK 4 DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE H000 <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />Y.00D STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />_ <br />SINK (SERVICE — BAR. ETC) <br />GAS PIPING <br />' <br />EKHAUSTFAN <br />+_ <br />SUB TOTAL $ <br />SUB TOTAL <br />PERMIT S <br />PERMIT S <br />/ A <br />TOTALFEF $ <br />TOTAL FEE IS <br />rvn Grrls._ <br />rnDPIViR•rrr <br />Pr.R SfiR.l:[ <br />vCuil.C. <br />11A.Cl �rRlr/ <br />It, /^,5 - <br />RrrFMr <br />OS[tONf <br />for•mA <br />vKANl 111E <br />FEES <br />VAALUATKII <br />FEE <br />RVrdVL <br />�0 "1"1 r�__[�J <br />DrFL ❑MI <br />N[IDn11rVIrAnOV <br />10 LAND <br />Sr$[MMOLTl- <br />rOI <br />VF(N•VYM <br />OCCIMMC♦ <br />M I.,, ur <br />(N (rp9NlY) <br />R•SirRVr <br />_ <br />IDDII;ti.I NAPCINCP <br />_ <br />PP[SPPINNLLPPE9'D <br />nl •vrn <br />._- <br />0PC•IAmPIT v <br />5uH 51I1101NG snIKP•1K.r <br />JL <br />PI•cm <br />rnenc vrdYS <br />—.._. <br />nrr DF CON" <br />n•Ns.rrnnvrn nr <br />CITYOFEVERETT <br />I <br />LOCAL SALES <br />TAX CODE 15 3105 <br />TOTAL <br />u.n <br />