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fi <br />APPLICATIOtFOR CONSTRUCTION PERMIT <br />CITY OF EVERETT A BUILDING DIVISION <br />3200 CEDAR STREET R EVERETT, WA WWI R259-3910 <br />❑ DEMOLITION ❑ COMBNATION 0 BUILDING 9�11IECHANICAL PLUMBNO ❑ SIGN <br />PROJECT ADDRESS: l@ZO W6Sr 4~6. 19SW ORf V& <br />WSilir.W BUILp/N6L.•(.G 2.707 CUF01(AVL sat. pit Evbfti7: WN nuot 4U) as 1T6y <br />IAAR on <br />1f01EllT YMI MIPRab nl• )m nglt <br />AVMGRRIIEVL-A. hl srs.wial,r sr. sr!> 2ao swr,-rr.�.,_,Al� 7arol (uv �za3lsol <br />N4ER�CT�g1pE9A1R11 /FYI/A .9pEff Gn )R• REl1! <br />pEMFRw, �1wKto JIA " 115L.IX.Rt9 cllY )m nUNE FIfTE lIC4N9f <br />RWIQ CONTMCIq Y411pG1E19 GlY pi, rM}IE STATE lE.4ME• <br />coNlRAcI R1VCE m wax <br />L S fU M! Y M N CON CriUN <br />�{ <br />HEATING SYSTEM: (p6AS O ELECTRIC U <br />m9L1EbE waIE1 ANR SRUMF rOpTAm wvd.vER <br />r <br />clnlACT nRSONAM n1oAE lq <br />-R_ 0 N (u(P)Z73'1161 <br />(l ii-R'. 6Ali- RCS 1NP ; /V i d(s(-fib <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLI :ATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO DIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCK LAW REGULATING CONSTRUCTION OR THE <br />P?RFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED Kv THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACT L e RCW ANO .too WAc. <br />� /� <br />i1�R}II AIE <br />RbRDs<U u9E m <br />A'Ti/T�11LD <br />tfUKm5UvlgN of wgRR"ISO( K MMAIMMT1010 KSI <br />lol elocx m <br />• <br />nNCEI IRA to.lAA4ER <br />LRRSTIIIICl10111QW lEMmw. ARwlll95. RlEn1RNF NRlFR <br />GIY R11AS191F[NY.,p <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF RRTNRE OR ITEM <br />FEE <br />NO. <br />_ <br />TYPE OF EGUMMEMT <br />FEE <br />_ <br />WATER CLOSE T(TOILET) <br />f <br />NC—MINDL.D UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PRAM <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK It DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />{ <br />URINAL <br />METAL FIREPLACE ROOD 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 />_ <br />_ <br />_—�— <br />_ <br />EX14AUST FAN <br />—_ <br />vn0 <br />I <br />u MR <br />( W <br />Sf( Aflti}L-- L'X//JtT) <br />_ <br />_� <br />SUB TOTAL S <br />PERMIT f <br />—i <br />PERMIT f <br />— <br />TOTAL FEE f <br />_� <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: / //,(/}[.(Cl l'C`")) I2z;c',: 26) <br />IRWIs9TwK Al <br />ND <br />nEARMTRACN <br />& A)A- <br />Sim S)IRAG <br />AjA- <br />nAN Gncx Nllw U <br />511c'7? <br />)ET <br />as'-l�.s <br />RFc)ml <br />Y,,. <br />USE MIE 1y^ <br />LN v <br />IDLAMA <br />vACMI <br />vI_ GIN, <br />FEES <br />VALUATION <br />FEE <br />R,AIRmR <br />�fqo— <br />MEIGRIIMiA}gH <br />elm pwEll <br />SIRmPl0.1�11 <br />I <br />— — <br />cwAycE Aq aMnw7 <br />�''. <br />MCMANIt yAU �T . L <br />BASE xt <br />AR GmNwAI <br />AMIrtMN nAN CufSK <br />RIIF�617d1KlER MOD <br />I�F <br />nnsw j- <br />Ugt /. oto /9p t_jL <br />RRKn <br />-- <br />IIAlt nlnllnNR 51111r11ARf.F <br />_. <br />/J j//� <br />lymmr sf <br />V /%� <br />nANs RRT <br />/ <br />DATE � -,ii- 7 "I <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />nlRlr wTRwA <br />—i__ <br />TOTAL <br />___ <br />/ I <br />