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E <br />APPLICATIA FOR CONSTRUC'ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT,'NA 98201 • 259-8810 <br />DEMOLITION 11 COMBINATION I I ZBUILDING MECHANICAL I I PLUMBING 11 SIGN <br />PROJECT ADDRESS . / lnX 1 \' — 5 ci`/Af <br />ArlprIT[c*on�Amoor s atr nr' aaHE <br />LONIHILI rrXOE OF HVIx <br />HEATING SYSTEM: I GAS Fl ELECTRIC FT__ <br />OESCMBf wJI1M A40 50UAPE rOOIAOf NYOLVED <br />COMACT aR50N AHG IHMMA <br />o <br />--t— �/ <br />_ <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 GVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF AIIY <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 E A 1 COMPLY WITH THE STATE <br />CONTRACTO W AND 296.200 WAC. <br />X`�— <br />PRpvsrou Gr euxOlw <br />Ewa ME AlMfg MM4FRY 19101 KtM w A"" two DOr[SI <br />LOT NOOK a <br />rARCEt uK l O MmeER — <br />CONSRNLirRN IOAN IENMR.WdIEll.IEIE MIMBFR <br />sK:nAl <br />CI1Y PVSI4ESS IICEMSC MO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />AIC—AMNDLG UNIT: —M.P. <br />BATHTUB <br />FORCED AIR SYSTEMS —B.TU. M F.A. <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNITHEATERS—BTU. M <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />_ <br />DISHWASHER <br />VENTILATION FAN <br />LAUNDRY TRAY <br />RANGE HOOD <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />WOOD STOVE <br />DRINKING FOUNTAIN <br />METAL FIREPLACE (WOOD BURNING) <br />FLOOR DRAIN <br />FIREPLACE INSERT (MOOD BURNING) <br />BACKFLOW PREVENTERS <br />GAS FIREPLACE <br />SINK (SERVICE — BAR, ETC.) <br />OAS RANGE <br />i <br />GAS PIPING / 1 <br />EXHAUSTFAN <br />SUBTOTAL s <br />SUBTOTAL S <br />PERMIT f <br />PERMIT f <br />/ <br />TOTAL FEE $ <br />TOTALFEE s <br />FOR OFFICE USE ONLY: <br />apM siPncx <br />MARSZTRALK <br />SIM SEIBACK <br />anHO1LL1t tr� <br />rEE <br />McIrl"RO <br />1.5E20KE <br />101 AREA <br />YM AHT SITE <br />FEES <br />VALUATION <br />FEE <br />OrA10 <br />r1 rES N Ho <br />HEKIHI CAIITATM <br />H06EM911NO <br />SAM Or FUM II <br />DNITS <br />aVM1M0 <br />OCCIK'ANLV pOr St[AY[E <br />GOT <br />OCCUWMIWO <br />BnSEMFYt <br />MTCHA4Ky <br />r1YE5 rl NO <br />AOpig4AL R.W CMCLK <br />I <br />11BE ALARM RFOD <br />RFAXN <br />OTHER <br />"I'm BrRIH 111`E0D <br />MA" <br />SWE btllt O$ HASM <br />TYPFMCO45T <br />anxs Arr awv.r <br />CITY OF EVERETT <br />ruelrcvmxs <br />LOCAL SALES <br />TOTAL <br />OAtE <br />TAX CODE IS 3105 <br />