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APPLICATIA FOR CONSTRUCI%N PERMIT <br />CITY OF EVERETT -BUILDING DIVISION <br />12(Y1 CLDAR STREET • EVERETT. WA 95201-25781110 <br />DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING N <br />PROJECT ADDRESS //�n� �[ri F/. )Gf• FC��(l %/ l i7 jF]•l:` <br />nMNr YY .(t1Y tt ' <br />eL,v AA/ <br />wMWU reC Y.A AIPaM 4n 11 ••. .'•rr lr r.-� <br />ZymcwlnnsE rein, co�r /��Jf s. Mt rrn k� 91'y YY�ts i'l77 ra�urr.,�i DD <br />rcwwconAwrw <br />"Pow" YY I4w tt U:. •. •. --lr�n ,qYN• <br />(Mffl Ol.ec wo tf— HEATING SYSTEM. GAS ELECTRIC <br />pron'm IIPa.rO •lOW rOO'101 MRHO fA,C,.tr "'.:. —.. v <br />fe. I... �Y.o.nY..•YRn r✓unM1... F. Aug.,. T"f'wi.viM- KiM i[Ii--dMI .-iaYrT <br />C*IVA,I/ 1YpN u/'�% .Ff'7WQu?o77 P•Y /%Nb INA.M <br />- -- <br />C 74.0 IYTYW 79vfOIY.-. ) <br />I HEREBY CERTIFY' THAT I NAVE READ AND EKAMMED THIS <br />APPLICATION AM KNOW THE SAME TO SE TRUE AND CORRECT ALL <br />PIOVSK MM OF LAWS AND ORDINANCES OOVERNM THIS TYPE OF <br />WOK! WALL BE COMPLIED WITH WHETHER SPECI.ED HEREN OR <br />NOT THE ORA~ OF A PERMIT DOES NOT PRESAFL TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <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 />APPUCATON IS MADE AND 1 COMPLY MTN TIME STATE <br />DONTWIC A 77 RDW AND EMIR 700 WAC <br />M <br />rt.�oxo I.a wVULI.rw <br />!Low gtcM,vin rlulKn iVpYIMtORwu,wr.IHY caatr <br />tOr aou n <br />MICA to I D awyr,l <br />rnfgllo�So o)oD <br />oKamVc,cY wwssroA.00wa nuwc.a aArA <br />to wn <br />cn. aHMHI lcIYY n <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF EOAPMEKT <br />FEE <br />WATER CLOSET (TOILET) <br />AC — AHNDLG UNITS <br />BATHTUB <br />FORCED AW SYSTEMS <br />_ <br />LAVATORY (WASH BASN) <br />I <br />HEAT PUMP <br />_ <br />SHOWER <br />I <br />UNIT HEATERS <br />KITCHEN SO A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANf1E HOOD <br />_ <br />LAUNDRY TRAY <br />WAIERNEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE IW000 BURVAI101 <br />_ <br />DRINKING FOUNTAIN <br />I <br />FIREPLACE MEAT (WOOD BVRNPGI <br />FLOOR DRAW <br />I <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAB RANGE <br />SINK (SERVICE — BAR. ETC 1 <br />OAS PIPING <br />EXHAUST FAN <br />_ <br />i <br />SUBTOTAL f <br />I <br />SUBTOTAL S <br />_ <br />PERMIT $1 <br />1 <br />1 <br />1PERMIT f <br />TOTAL FEE $1 <br />1 <br />1 <br />1 TOTAL FEE 1 <br />FOR OFFICE USE ONLY: stmoq-OIL} <br />rwCNt xr4.t <br />w.r,ssnw. <br />f[K urF..[+ <br />R c.NY1• <br />nI <br />mull to <br />ux aw <br />to, W . <br />..Cqi Wt <br />nnI <br />FEES <br />VALUATION <br />FEE <br />aY <br />5 <br />�c.wrtwn.,cjr. <br />r.Ialwutra <br />Hn araroTt <br />5- <br />wrt <br />ntws..1 <br />��nwrc. .uolmwr <br />tuw <br />ccewY., ta.n <br />HwrM, <br />yt„�Nc,A <br />nnM Ow <br />wpllW.tnwotc. <br />I Hf er.,w.,Nn wao <br />w.+.aY <br />OMIR <br />IYcw.wrwoo <br />n.uw <br />11.4 MPM <br />,.n a coat <br />n.wt uYHO.mn <br />i <br />CITY OF EVERETT <br />LOCAL SALES <br />TAM CODE IS 3101 <br />rtaterew <br />TOTAL <br />