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APPLICATIOR FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • (425) 257-8810 <br />LD DEMOLITION IN COMBINATION X BUILDING FQ MECHANICAL 9 PLUMBING ❑ SIGN <br />PROJECT ADDRESS: 17Z5 LAWOT taAE rr WA. `Into/ <br />LEyG � Em 5;y" 17A7 kw"T Elk;QFfr /`kaoi aSa-bo 42 _ <br />1tYAW YN•r Kss c", M nKAF <br />CowR+cl r1YC[ w vro1R <br />HEATING SYSTEM: J4 GAS ❑ ELECTRIC ❑ <br />wx7�f'nF YR%1RyY OSOV.m rOOI.Or MVOIvrO <br />/VL'I.1 LS�3TR+1CtrJJ /a7s <br />CONTACT n7 RIM11 <br />�[ �� <br />- Is <br />_l <br />I&- S %7/h <br />S 5-0—IQI <br />HEREOY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW TILE 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 />CONTRAC70ASLAW 1827 RCWAND296200WAC. <br />x �/ <br />/. �c <br />rm-Avs[o wl w mlKdw <br />I! <br />ItwlOrxMmIKX[w Mtr lsrvro[M[ow ag�n¢M twocws[s <br />I01,12a13 a.m. 324t—w KJ %_1DIAa1_ <br />c <br />,� • I � • I T R,-c¢ <br />ru+crt uno .AKIED <br />S.fb3-346-o/a-000 <br />cWtImK:IKY110.,^1MHNI1n1yKYlt ss THr A1wIE NIMFN <br />�{ /��E <br />sXPl.lua. Du[ <br />Can W VH Is I21 M1I MO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />_T <br />a <br />WATER CLOSET (TOILET) <br />AIC—AMNOLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />c1 <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS _ <br />KITCHEN SINK A DISP <br />I <br />CLOTHES DRYERS <br />DISHWASHER <br />I <br />RANGE HOOD <br />LAUNDRY TRAY <br />I <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT WOOD BURNING) <br />- <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK(SERVICE — BAR. ETC <br />GAS PIPING <br />_ <br />EXHAUST FAN <br />SUBTOTAL S <br />SUBTOTAL S <br />PERMIT spli <br />PERMIT f <br />TOTAL FEE $ <br />TOTAL FEE II <br />FOR OFFICE USE ONLY: <br />I mINt V[�n+LnR <br />If41 FFIFILR <br />$Iw 5[IBKF / <br />n•NCIRCLLT,yVgrn <br />♦ C� / <br />/ <br />ux tow <br />Ids•M[• <br />vsc+Ml Ml[ <br />FEES <br />VALUATION <br />FEE� <br />_�� <br />O•[s ow <br />nuloR•T <br />_ <br />-7 <br />J S <br />wKw11K+u1Rw <br />Howll00 <br />snm•Mllu•D <br />f!SMw <br />a+. Y[MI <br />wcMwl;.l <br />ry0 IUCA <br />R. JH-- <br />DHs Mn <br />rm[smeMnuun[on <br />m+sw <br />•pd1RFMln+M orc+ <br />— <br />OIM[O <br />IwE+VxIM[00 <br />w•ROV <br />suI Silt N MMI.A IO[ <br />:s-0 <br />nrr d 1 W 1 <br />"AMs.v 1,1 BVQl I I <br />CRY OF EVERETT <br />nnur. wanRs <br />� ; Ov <br />SALES <br />TOTAL <br />TAX CODE IS 3105 <br />—A/LOCAL <br />D+1[ <br />