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APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT A BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 A 259-8010 <br />I DEMOLITION COMBINATION D BUILDING I MECHANICAL 1 PLUMBING 11 SIGN <br />PROJECT ADDRESS 9091 a/9G4yur 5'r <br />rnwrn v+n A) Ntss 01V nr nwNE <br />DAAQ Ad" n c- /On 9 ",.4L lh/T Ir— L5/.SrCdTr 2s 9. 3475 <br />1[NANi _ ..I Aff,Nrss a" l�n <br />AM WrrCCTT a1 MNxiWR MAn ACCAEE5 CnY IB <br />nU4BM➢COy1nACTa1 MW AVOEE55 a" pp PHONE STA1ElKENSEr <br />cON1McT rnict M NCfrx <br />HEATING SYSTEM: I 1 GAS n ELECTRIC fl <br />�SCRiBE YAMxu OSIXIAMreF QVE�t� ��wA�G <br />111ACTrE A? <br />1 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 DE 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 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MAOF AND 1 COMPLY WITH THE STATE <br />ACTORS LAW S 27 RCW AND 296.200 WAC. <br />y <br />T,, <br />rpa SeouSE CA M Q <br />,1 E— L• <br />LE➢u Mal OL npMnm�9E�gWN MLOW WAn4Ntwo COmEsI <br />mrISCmrn <br />Bioce �,�M ST: N (CMd L•AS <br />I 1q <br />y� JB t, 3 �5 i'Ji{9M lSN Ce. <br />F=�1--�—Z J / <br />rAncEL rAA l o NwMn <br />3EUIII - Cook <br />coxsfmrcly�+rwN LE�WE I AoonEss Tn[nxr�E mnueEn <br />STiAs <br />_ /�/71 <br />E oArr <br />PU VNCSs HCLNSL NO <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 />A/C — AMNDLG UNITS — N.P. <br />ATHTUB <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />L TORY (MASH BASIN) <br />1 AT PUMP <br />SMO R <br />UN HEATERS —BT.U. M <br />KITCHEN NK A DISP <br />C OTNUS DRYERS <br />DISHWASHE <br />V NTILANPNFAN <br />LAUNDRY TRAY <br />HOOD <br />CLOTHES WASHER <br />WATER HEATE <br />URINAL <br />WOOD STOVE <br />DRINKING FOUNTAIN <br />METAL FlREPLAC D BURNING) <br />FLOOR DRAIN <br />FIREPLACE IN TDV00 URNING) <br />BACKFLOW PREY ERS <br />OAS PREP E <br />SINK (SERVIC — BAR. ETC.) <br />GAS RA E <br />GAS ING <br />E% AUST FAN <br />SUBTOTAL S <br />SUBTOTAL S <br />PERMIT S <br />PERMIT S <br />TOTALFEE S <br />TOTAL FEE S <br />rr TSPIRAL✓. —' _a'415Ew <br />K <br />RMSETM <br />nAN GYRBY..MINlf�1fLE <br />/T1,7O <br />P[CEIni NO <br />MEMNE _ <br />LOTAr1EA <br />VACANTVTE <br />FEES <br />VALUATION <br />FEE <br />BULDMO <br />f9� <br />nns n NEI <br />WIBNT LIM1TAtm <br />NO Of!Avrl O <br />SIEm Koc,rI <br />Z / <br />LMlts <br />490 -5A <br />nu+mw➢ <br />pCQlr.'4,'V lq asTaES <br />OR lLOAD <br />animNT <br />MrvlU <br />c <br />I I <br />nrts <br />ABafgN40.AN CWCN <br />nnE/UnM I1rOD <br />nEASpi <br />GTIWA <br />ftnE 5P11INIREn BEO➢ <br />NEA." <br />51Ar[ BUM1CND SUCIU116E <br />TrMMcolnT <br />PI ANS APMOWD nY <br />CITY OF EVERETT <br />ms,,C Tnxs <br />LOCALSALES <br />/V/ <br />DATL 7 LI 7 <br />TAX CODE IS 3105 <br />TOTAL <br />