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APPLICATION FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 90201 • (425) 257•8810 <br />O DEMOLITION ❑ COEIMINATION KBUILDWO ❑ MECHANICAL ❑ PLUMMBIG ❑ SIGN <br />PROJECT ADDRESS: p 3 WI A-SINO iL <br />&Bow-tJcz co. P•o, or. 7�1 M sore-� SL�i�in6 �✓tz90�Z� rir.:.ram•art: <br />MNP YYI Y]II t!S Fpi• j <br />17/ $riFiNG C4. <br />1[4.41 YM •DlII1Ss C.1\Y llp M4Y.( <br />G � �i •L�l , <br />AK..ItCI M DI K. Yu •dMfls cif— )ir rrg4[ <br />Is' [S71c1I_A C... <br />14en•I IO In.nQ1 Y.n N%MESS pl. nr rv.w[ lWtIctwV. <br />YfCN1NCµ CdIY•CiDn 4ul •OGRESS CIM1 )ir pNfyR V.1{IKl wlt• <br />nYYMgfpllR¢\P MYl•DpIlss <.nr ZIP P. F SIMF ICE 4SE• <br />COYIIYCr HIC.I O4dY —_— <br />.% ey, e7- o HEATING SYSTEM: ❑ OAS ❑ ELECTRIC ❑ <br />pFCMF M11+f •M MiIMl1E .0011M MSpnO COw1.C\ pFnSOw YD PIOy w0 <br />UP<RaOc/It`STILODM (,E,ay,�. o/LSK/ , L66 rC3 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />rAoroEeolne wFIR6•lo APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILT. BE COMPLIED WITH I,MLTHER SPECIFIED HEREIN OR <br />LEGAL O[tEMIKIN Ol rEt6•fK1T RlOwEttowamr.N Tg GontR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />to! LLOCA O AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONST.IUCTION 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 />P.Acn u. u w1wYF p CONTRACTORS LAW 16 27 RCW/1ND ZFS/i/W Y/AC. <br />car.Inwr4w.rxAw UMIf{R ADDAEt+mtPNo.,+.tA1MK IF 7, /A/J <br />______ SIfiMIURf D•1[ <br />C1I• SUSHI S! I CIMli IQ <br />PLUMBINGI MECHANICAL <br />NO. TYPE O FIXTURE ON REM FEE NO. TYH OF EOIIMNNT FEE <br />WATER CLOSET ITOILET) A.0 -AN OLG (pryTS <br />BATHTUB FORCE D AIR SYS TEMS _ F <br />LAVATORY (WASH BASIN) HEAT PUMP <br />SHOWER UNIT HEATERS <br />KITCHEN SINK A DISP CLOTHES DRYERS <br />DISHWASHER RANGE HOOD <br />LAUNDRY TRAY WATER HEATER <br />_ CLOTHES WASHER WOOD STOVE <br />URINAL METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN GAS FIREPLACE <br />BACKFLOW PREVENTERS GAS RANGE <br />SINK (SERVICE - BAR, ETC.) GAS PIPING <br />EXHAUST FAN <br />611B TOTAL f SURTOTQ f <br />PERMIT Sl PERMIT f <br />TOTAL FEE $I TOTAL FEE t <br />FOR OFFICE USE ONLY: _ .�oo ( -013 <br />1 n(I41 V\II•C• KFMMIY', FIDEMIFKI NI.I VI f. MVMIn 111 P1C{M\4Q <br />utI'wI mlwlrA r¢. 41 IEIF FEES_ VALUATION FEE <br />0r1+ Ow MKd.F. <br />11GN1110.1.III)Io [ltW +1H M+IPUII '— <br />�,1� j nlw+nD <br />vwr.• wnHnK1 DFAWYI tow +AMYE4I __ __..—_ __._ <br />wd•Yc.l <br />-- <br />r 6toro P{+low Aoolv.Yn•4Txc• <br />sit). oINFA <br />rw •w•A nvo w•+o4 <br />Cf �f j 1J FIAir NKDMIII.1[NAM( —_ 1_ <br />1In f,DyS1 ner' o6r CRYOFEVERETT <br />' I - K I ' LOCAL SALES - -- -- --�— <br />�V o.N �0-%s-Fo TAXCODE 157105 T, <br />