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APPLICATION FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT •BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • (425) 257-8810 <br />❑ DEMOLITION COMBINATION O BUILDING ❑ MECHANICAL ❑ PLUMBING O SIGN <br />PROJECTADDRESS: ,i/o j EPirpor~/ AVC 6ye'c'r, /✓/r 982v/ <br />1rl EnCb aw a+rnl,,,,./I Arc fl,"'TT IVA K7P2o/ V2S- 2SZ-7578 <br />TENANT 4x RpIcss r ryty llr NTONF <br />_Ali i✓1 t- <br />•PCMRClMMVGNER All AOpnESS CITY br r,pNI, <br />/JT AT,. (rcr k 2? �-9�� <br />wnmu CONTPAndT NA1 All[111FSs CITY <br />nr N cuTT IICFNss 1 <br />I/ 31Si'VkTSP •733 <br />Nr ✓rrl 0,r Lr. 44 (.• 67/0 /in• /le.G NE AAe'Us.,//i /✓A 9FZ7/ AID/Z7W--_AF)RiMA <br />.1 HIAIeLI,0 50cy1% .{ <br />r PP I PH <br />c InACI fXC[ or Wolut <br />J 83�.5 D 79G3 Gy . S 9• r 99103 t� <br />,/ <br />HEATING SYSTEM: IaGAS ❑ ELECTRIC ❑ <br />nEsclPeE NCInN ANO Sd1Am. rOOrApr NVOIvrP <br />P•v wi4l <br />CON"Cr MPSON Arod I'T,r NO <br />A .^eA • o <br />I HEREBY CERTIFY THAT I 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 GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <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 WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 13 27 RC W AND 295 200 WAC <br />(JJ <br />X.L <br />�pAifCOSM/e <br />INprosrousEr^a NNdun <br />[lei <br />LEGAL SCMPTlp Vp AnRTTOR MIOWMAn¢HT C Is, <br />LOT Si G ALMK E/I// pr (sn ,1. / Hj/l /;r✓rJ. <br />rAflcn un D NIRTmn <br />COS'- 0064 <br />IOAfNnFP.HKMC55. iHENg1TE MAT�Ffl /ILA��Y(- UO <br />AJO <br />S:GMAi1Rlt <br />D973 <br />cnr Twsss mlNx No <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />WATER CLOSET (TOILET) <br />FEE <br />NO, <br />TYPE OF EOUIPMENT <br />A/C—AIHNDLG UNITS <br />FEE <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 />—' <br />WOOD 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 />—T <br />EXHAUSTFAN <br />SUB TOTAL S <br />SUB TOTAL S <br />_ <br />PERMIT S <br />PERMIT s <br />TOTALFEE s <br />TOTAL FEE s <br />_ <br />FOR OFFICE USE ONLY: <br />I PI1NI ViPACK / <br />nCM SCIPA X /Ism <br />SC IBACK <br />NANfH[PMNPfP <br />, r <br />PtCFIrINO <br />7�" <br />ust in. <br />I01jAKA <br />ACANT &It <br />FEES <br />VALUATION <br />FEE <br />n1A1dY(i <br />_ <br />OYES ❑ ml <br />INIOIII I��IA I�V� <br />NO NELLMQ <br />CITE M NOGnI <br />�i�C� <br />MAW',, Nl1 NS�MfS <br />mruPPHI LOAD nAsrxNl <br />WMAKAI <br />_ <br />3o cxD <br />OsrP �Nn <br />AGGIIENALAANdtCll <br />_ <br />Rf NNIEP PEOD <br />MAFON <br />OIH n <br />fIPE AUNM PEO'0 <br />IICAcpV <br />.iTATf BIAIdND 51A1LYIAIIDC <br />IYINIKOtNSr <br />mAN4ArrnpVFOP+ <br />CRY OF EVERETT <br />NmINwoPAc <br />�- <br />LOCAL SALES <br />TOTAL <br />r� <br />TAX CODE IS 3105 <br />