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APPLICAT& FOR CONSTRUAON PERMIT <br />CITY OF EVERETT R BUILDING DIVISION <br />3200 CEDAR STREET n EVEREIT, WA 98201 R (425) 257.8810 <br />DEMOLITION ❑ COMBINATION ®' BUILDING $( MECHANICAL 9PLUMBING ❑ SIGN <br />PROJECTADDRESS: 44'�V1 3i:+c+/ <br />y/'v�GY. 6t�iF.a�.if <br />09208 <br />for <br />!Pew/ <br />ovr.[R uxl.nwfss <br />an <br />Im <br />rnolA <br />�Jl/. rNO'.'/✓ GD /%/Jr £i'✓gI ?'AA4;f <br />Ear/2.%EyT <br />�Ivt <br />27''fSo�O <br />i[N.NI YM +bpRSS <br />plr <br />Nn <br />xKINf <br />UUI <br />WCHAw AL CWTng1pP .1 .D 55 I .n MN r 5',If LCENCE• <br />AUWY CMIP.CTp1 YMU XS5 a[v I'll r I, ST.TIF IS[NSII <br />c(wlwcT nlgc(w vronK <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC 0 <br />can. Tnnsa.+No rHONF NQ <br />/!��✓.'s f-✓�✓.L ��_'`�V3U <br />ERscnm[wonK ANDswAP((oolw[xvprTo <br />.�'J '4'. /:�/J/770Ns� C6 �U �n CN :wr <br />SNLY/4: /TYE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW TIIE 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 JO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE ANI COMPLY WITH THE STATE <br />CONTr'[ TO SL Yq 10 27 RCW AND 2962W WAC / <br />` <br />nnpro&ousf w nuApND <br />.. <br />/L.?.✓LYIY✓£;:rLZ�/^X <br />EFQAL IXScamIKM OF INg14Rn ISNovm &(aN pnAmcN lnoCMESI <br />mT 6L9�L &MK J or �l1lp�',LOtJE[C <br />f�l'✓.S IWJ C <br />7£i �LR9S L)G2 UCT O-i <br />n ft TAI.D NuwR.n <br />CANS[n1IC110N I WN L[M'[n. ApOn[SS. 1FlEAgNF MAHP <br />AIlW <br />!A W1, 5S ICENT(NO <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />_ WC—MMOLG UNITS <br />FORCED AIR SYSTEMS _ <br />HEAT PUMP <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />IVATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER NEATER <br />' <br />CLOTHES WASHER <br />WOOD STOVE <br />T <br />_ <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />_ <br />DRINKINGFO'JNTAIN <br />FIREPIACE INSERT (WOOD BURNING) <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />_ <br />SINK (SERVICE — BAR. ETC.) <br />EXHAUST FAN <br />SUBTOTAL <br />SUBTOTAL S <br />_ <br />vERMIT $ <br />TOTAL FEE S <br />PERMIT S <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />I l%Tn+CK <br />WMVTWN <br />VXVTWK <br />n1AN N to I[i 'QO <br />�7' yf— <br />nifiE'IM <br />_ <br />use roN n^ <br />L <br />wurc+ <br />v+L+m u¢ <br />❑rF5 ❑IID <br />FEES <br />VALUATION <br />I FEE <br />2� C. <br />PUHwf. <br />IIFK.NIIIYITAIgN <br />WUpY[llm9 <br />1M15 <br />nUE D[&OGNI <br />( ) <br />—�' <br />MIPMxD <br />' <br />OCI:IAANCr <br />pnpA <br />19n511415 <br />OCC'IMANI LD.O nAV Y[HI <br />IIEASp1 <br />Y(CIIINN:Y <br />AppINWU ryWa1fCK <br />HOW SNWK[ERPEQV <br />/'✓t <br />Ourtn <br />Fsa A1.w <br />✓F WQ. <br />WE nRo. 14oZ -92. <br />sln[nl.loxcslmcwTlr.[.�YGL- <br />QI <br />TY{'FK 1:Q[E5T <br />�� <br />n+NS+nrw 1@r <br />T <br />CRYOFEVERETT <br />LOCAL-- <br />TAXCODE .IS31 <br />nlm r.vrnK< <br />_ <br />TOTAL___ <br />_ <br />