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1, <br />APPLICATA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • (425) 257-8870 <br />DEMOLITION ❑ COMBINATION <br />XBUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS:—�NF7V//� 7�%F EVERETT. �AIAC <br />1[NAN1 441 ADDI all .w IN wl <br />MFCNAMCAI CbRRACTOP V.n ADOPFSS dry )m P~ %TA1F LICENSE• <br />n IMBMGCOI,IRK3011 MAIL AdIDEST CIIV Iw PNONF STATE IC[NSF• <br />A T? mn nr n <br />CWIRACI MICI W vgnl( <br />HEATING SYSTEM: ❑ GAS X ELECTRIC Cl <br />OESEQIRE V/.WI(A_WISGUAnt laollGE M1'Olv[FI <br />if �E-L�ii�rZi <br />O <br />CONIACI n PSa.Nn INN,W <br />smV_E C- <br />!,►BRK <br />?-Oa 28+-SSZS <br />�ulII �/��.F",G'� /p�� <br />-I—/=SL'� <br />1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRITE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WKL BE COMPLIED WITH WHETHER SPECIFIED HEREIN 0-3UOAL <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />PERFORMANCE OF CONSTRUCTION 07HER STATE OR LOCAL LAW REGULATINGTHE <br />AM AUTHORIZED BCONSTRUCTION Y THE <br />OWNER OF THIS PROPERTY T ORM THE WORK FOR WHICH <br />APPLICA S MAD1 D 1 MPLY WITH THE STATE <br />CONE GOA lAW 7 IN AND 29 200 WAC <br />X A �a-moo_ q9 <br />wl—M ou nr eendNn <br />CIE <br />DEfcPmlKr,a r11DIERrylvgvm BEtOw ON AnACN COPIES) <br />sl <br />10, /Ly�dEo�c..�/ BOA <br />. A5; "E I/[C/F MM COPY <br />w <br />J'C <br />PARCCI LIX I D MIMIN. <br />CONTIRIKTION LOAN I EMIFn AINwESS IEHONONE NIIVPFII <br />SIGMA DAII <br />ZEE 9"wsST LICENV NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />_ FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />_ <br />WATER CLOSET (TOILET) <br />�— <br />AIC-AMNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />I 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 />SINK (SERVICE -BAR, ETC) <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL $ <br />SUB TOTAL f <br />PERMIT S <br />PERMIT S <br />TOTAL FEE S <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: UuJ q9/d -O S "sue <br />IIMNIVIR.C.0 <br />KNSFIl1d <br />510E $FIRICM <br />1'I�OR A>4RFRo41 <br />usE rrn� _� a <br />ml AREA <br />v.cANl vl[ <br />cs ONO <br />FEES <br />ALUATION�FEE <br />nlndNG <br />HEIGHT Ilunlly + <br />�S(J <br />NO .%nm1MNG� <br />(row 2� <br />SITEaeLowl <br />/ <br />nIAlAN11 <br />��- <br />' <br />OC1:111'ANCY gVgT <br />Off.UPANI l0.0 <br />�9J <br />BATE NI <br />!S pN0 <br />4lf.N.Mf.4 <br />'Z4 /.T )22 <br />'VO <br />ADDIKNAI PIANCHFCK <br />-—+ <br />FEESPVNILLENA[OL <br />[FATON <br />FREALANMntOo <br />FIf.Trn <br />SIAIE MIAdND SI IONADI <br />�T <br />IY14 M10,H l <br />l <br />l <br />AANt AINNONFnnY <br />�y <br />DAIL <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />nIR r.HronAT <br />__ <br />-- <br />-�� <br />d U1 P <br />�- <br />TOTAL <br />419 1341 <br />29 <br />