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APPLICATIOft FOR COMMUCT& PERMIT <br />Cm OF EVERETT a BUILDING DIVISION <br />3200 CEDAR STREET a EVERETT• VIA 9E201 a (425) 257-8810 <br />❑ DEMOLITION ❑ CCIOIIIATION ❑ MRLDMO ❑ IIECNAMEOAL ❑ KUMIIIIMIO ❑ EION <br />VFCII.NUI 1,(WIWTM MW AD SS ur• �• ��' <br />%I/Nt�Mr. CON1DY;iMJ V+41IIa1E55 CrtY !Ir PION STATF lI k%I <br />CONi4C1 AR a WDra <br />NEATMI6 SYSTEM: g6AS ❑ELECTRIC ❑ <br />nrso.nr eaw AND sou+a rpaAOE D _ <br />1gS�17 A [w <p 7� ni jy_� 7 <br />m+.ci.rllsaN.No rNoxr Nu <br />r r <br />EREBY 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 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 />TORS LAW ] D 2N 200 WAC. <br />- /� <br />— <br />nrorouD vu a P <br />i�t . 7 V /✓ / <br />LEGAL aSCRPT" aPI10RIRY ISNOMr RION a Art ITIO CaK ' <br />IDI 9 P-//) NatA O l Sa <br />LJ 44 <br />rAeL[I w I D MAIN R <br />- l - - r <br />Ca1i1PV[iNM 10rN 1(M]Fe K{111F55 RIFRIJ•4 M.NAFn <br />r <br />��/t-I <br />5 D+il <br />GM1 IKMKss I FENS[ N <br />PLIIMEINo <br />NO. <br />TYPE OF FIXTURE OR RFM <br />FEE <br />No. <br />TYPE OF 801.11141111111111' <br />FEE <br />WATER CLOSET (TOILET) <br />AC—MHQLO UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY MAY <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 />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR, ETC.) <br />V <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL S <br />SUBTOTAL f <br />O ; <br />PERMIT S <br />PERMIT f <br />TOTAL FEE S <br />TOTAL FEE f <br />FOR OFFICE 114F ONI V, <br />Inali vie+rr <br />nr+n srie+cr <br />va ule+cr <br />M1ANOCCA rrNullra` <br />rtr <br />arm ND <br />TIN —IMF <br />louts+ <br />v+CwiSlrz <br />FEES <br />VALUATION <br />FEE____T_ <br />RUIN <br />_ <br />❑ir5 ❑. <br />IIFIGNI I141111KH1 <br />Iq a tMTIIMG <br />i1N! a NW�1 <br />Mnc <br />ryIM1%G <br />pl:l:I T+41;Y <br />N.1M151.'Im15 <br />a:C11rENI lO+II <br />a+i.'RNI <br />❑Vri DNA <br />YIf'M+NN'4 <br />+IID'INn+I M1+N CIYGY <br />rla SRmRICP K09 <br />a+ifN <br />OI n <br />fW[AII.mA PFOD <br />a+�DV <br />1+11 IIIMfnr. SunCN+llr{ <br />— <br />— — <br />rvnamm <br />n+Ns.rnnovin e. <br />CITY OFEVERETT <br />riw,r wcN•rs <br />LOCALSALES <br />'— <br />u.IL <br />TAX CODE IS 3105 <br />TOTAL <br />