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FOR CONSTRUCAN PERMIT <br />APPLICATIAll <br />CITY OF EVERETT R BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 R (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING O SIGN <br />PROJECT ADDRESS: nff InJ4911.7E0 ALV,b <br />E✓EoWT W <br />41AUS P-A, wigswe 301 ~aw A" &-AeEn- klf IMP3 AlIZ 2;' .,021y <br />OANrA CDMWAAESS arc <br />}IP rwON[ <br />N <br />If NAW 4MI AMAwss JlY <br />,I <br />r:%EFF ASF 7GYJL'EL 4" 11�y0 Pµ/NA1E ✓ENNE ART; <br />WA 'VO <br />InC1A1rCIpIDELGrM(n 4MI AMNN55 p al'Y// ),r inlry,r kSMdD* 0lgkm <br />wsm emsul-Mil. /3/iDy J`9ru NIxJ�1lE WEST 7451 IVA q04 60/W4F5y317, <br />GrN[nAl CO FIACTM VoI AnIP1ESS CIIr <br />IIr ngVr smi l6rNSf1 <br />Nw <br />fAFCRAbC Icwmcton auL AnOPESS arc <br />TIP n,OSr SMIr LICENSE• <br />rMV4pINGCO111NgIM 4l AaK[SS 01Y <br />}Ir PN v STAIF I KENSF0 <br />__Lf�1n� ecvuE,e <br />CONInACI IMC[ OT VRNIF <br />HEATING SYSTEM: D GAS O ELECTRIC <br />wscnlRr RANG SWAnr roorACE wvav[o <br />��I[/[d _ ST/N �%S �Li'lA2E FEET Lid <br />CONTACT TRR" AM P~ No <br />'43A&)C)E_mAg R70 fE6T ae <br />T/L G}E. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />__7.$ <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />rnorosso va fP nN LprnIgr <br />h <br />:a rAAA. „� u77 q y RX/% <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />I rr.AL MSLAIPIION OF rnmEAN ,r�Anow�a,N,Aryn.�c�N III0CCOMISI <br />GS F(^F^"vr'a'.-45 �ap <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />uv �RI�Mm.�l or l <br />45, p,S //f(4QCED /R.Wtl178E ,AT[TIyews i- l 7,19w <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR 1HE <br />407+(��� �/�__rC <br />ERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />Aim E 94 /N.OvO(AYAdN QZ/0iy Wm7L/A.67DN aYlFA�7W1 <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />d.C.;.,./ <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />ONTRAC LAW IB 27 RCW AND 296200 WAC <br />JOfl <br />Irncln n�(uNIF41Rlt MAIIHiss Tn[m#oAE NIAARFII <br />P <br />[ <br />CIl LrIF55 mi NSE NO <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 />AAC — A(HNDLG 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 />_ <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE IWOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />_ <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />EXHAUSTFAN_ <br />SLID TOTAL E <br />SUB TOTAL S <br />PER f <br />PERMIT S <br />_ <br />TOTAL FEE f <br />TOTAL FEE $ <br />FOR OFFICE USE ONLY: <br />rnnllTVTPArA <br />zs f <br />nrAnsrTRACS <br />2s' <br />f SFTRAI:H <br />e o.rAf 7s' <br />M.ORCn R <br />rtr <br />9a. sD <br />MCI"" No <br />mr}oN <br />IDI AREA � <br />NACAYI SNF <br />FEES <br />_ VALUATION <br />_ FEE <br />OYES AND <br />nIH r <br />20 iaY' <br />IAFIRNT 11414T <br />IAM MlaW, <br />IIMTs <br />E,}(Or lMIT, <br />nonY <br />_�1,Z�/ <br />11MMfi <br />ttP <br />I ,I- <br />17D C1 <br />Vt. <br />V4[NI <br />OC1111`AYCY <br />Nna E114E$ <br />IX:a1rAN IOAD <br />A,V <br />1311 KYrI <br />Ana1RMNAl AA4 CIf CMt <br />2Y <br />fM[srPMr;NIFP <br />PEO➢ <br />IRA$nN <br />ONHn <br />flMAIAHVMQD <br />_ <br />(RASPY <br />, <br />(IAIt BIMUMn $INIC;N11K1t <br />i13G <br />TrrF tK CTrla <br />hpvs Arrwnv[nn. <br />CITY OF E\'=_RETT <br />nrw lr. vrtMRRs <br />LOCAL SALES <br />TAX CODE IS 0105 <br />TOTAL <br />a97 I d <br />