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APPLICATIA FOR CONSTRUC&N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT• VIA 98201 • 259-8810 <br />I I DEMOLITION i I COMBINATION BUILDING I MECHANICAL PLUMBING SIGN <br />PROJECT ADDRESS r/,31 KULK�� niGc <br />ownrn ^^ NK.oamss an zm nN,M <br />7•,ur o7� WI �797 Al 'oH/rnDD NI some i/A• 9�/99 Zvi 26s-2Y'y- <br />1f14Nr MK ADDPCfs (}IY SN r'IRIME <br />SAeep�r Ci�oDm4er /1z3/ BAeI� J;;t6r 11Aa if20F Zoe ?yf- /Z/Z <br />AnoA*rcr a.OEBK.MB MM A[EnEss crtr zm A4•r <br />t" 1. <br />/ 9D3! At r2mil AIE. N. <br />hqM <G1F lILENY. <br />2/w Syzl37 SNn�SZ// �' <br />AIINPMG CONtnM:tp1 MK MAE55 alv lin A41F SlA1E lIGEN5F1 <br />cwlKAcr rACE a wmB a/[BOD �� <br />HEATING SYSTEM: I 1 GAS I I ELECTRIC f 1 <br />a SCAREI.NJ S0U.11F rOJ,Mf MYTIIVEo <br />F7. 5/vN PA) 8✓4,DIAM <br />(J�.J <br />GOMrIFr hf1<nN ANn AgNFW ( N/b $ Z'/ /J <br />tk ano <br />yY,uz . <br />FAreM ¢-ZAY 2fi10,ekevuWD/H. <br />1 HEREBY CERTIFY THAT 1 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 />1•npposEovsf fK AABhn <br />J2EiAl(, <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />fEnK OFSCnprpl nr glIX41IIY 151gY/ry 9 m on ARALN two CCIAESI <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />,t/ t7Sr3 2z- of&00 J IF, T1 U. 'J 421 <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OR THE <br />to, Awa <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />Z 27 l L MR, APPIfiW <br />PERFORME OF7fSPZL-TION MAT I AM AUTHORIZED BY I HE <br />OWNER CONSTROf THIS O ER UTO PER ORM HE WORK FOR WM CH <br />OZZ— -OOP <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18 27 RCW AND 296.200 WAC, <br />�///) /� <br />//�j� 7 /s-FG <br />nAACFi rAIIIO MIMaEn <br />AKS4 <br />rpN5,A1CIpNI WN MANX". AY. Int"' IS MNPEA <br />X <br />slon. nnf <br />AA o2o7w <br />G,. AISMESS IILfNSE NJ <br />PLUMBING <br />TYPE OFFIXTURE OR ITEM FEE <br />MECHANICAL <br />NO. TYRE OF EQUIPMENT <br />FEE <br />NQ. <br />WATER CLOSET (TOILET) <br />AIC—AfHNDLG UNITS— H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS —BTU. M <br />KITCHEN SINK f DISP <br />CLONES DRYERS <br />DISHWASHER <br />VENTILATION FAN <br />LAUNDRY TRAY <br />RANGE HOOD <br />CLONES WASHER <br />WATER HEATER <br />URINAL <br />WOOD STOVE <br />DRINKING FOUNTAIN <br />METAL <br />INSEATCE(WOODBURNIING <br />FlREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />GAS FIREPLACE <br />SINK (SERVICE— BAR. ETC.) <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />Sf <br />SUB <br />SUBTOTAL f <br />PERMIT f <br />PERMIT f <br />TDTAL FEE f <br />TOTAL FEE f <br />FOR OFFICE USt: URLT: <br />�crin <br />f11WfRFn1YYt <br />PfY1 G19ACN <br />SNf. SrIP.Cr. <br />hAN aTf]I MIMr11 <br />I <br />5 <br />rfr <br />'NATION <br />r1 A <br />,J <br />NA <br />FE <br />VALUATION <br />FEE <br />NLM 70 <br />N <br />✓M <br />nuimm� <br />1 :,M <br />At, AIA <br />� <br />slzfanllnri <br />huMnhn <br />W ,.0 Ai <br />f <br />pf AM.r I M n S;C. 5 <br />IX.CIII.ANI WAD <br />BALM WNI <br />nnAm <br />IP15 M <br />__ <br />1na11MA1 M1AN 02lX <br />f rt6two <br />IIf ASar <br />ollf. <br />_ <br />nllr fiANklfnlROn <br />MAIM <br />s,A,r BIAANfr 5M 4..4 <br />nnwA A <br />IYrs rr rvnr <br />n.NS Ars• vrnv <br />CITY OF EVER <br />�HVI <br />LOCALSALES <br />TOTAL <br />wR <br />TAX CODE IS 3105 <br />