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APPLICATI6% FOR CONSTRUC&N PERMIT <br />CITY OF ET • BUILDING DIVISION <br />3200 CEDAR STREREETT - E <br />VERETT, WA 98201 • 259-8810 <br />DEMOLITION ! 1 COMBINATION FT BUILDING I 1 MECHANICAL PLUMBING 1C SIGN <br />PROJECT ADDRESS <br />•n ATLETI cnv nn AINAE —� <br />iCf SIyCL[ I lrCtir_ I D(oZlo 7 K12L I My� 6)&.3 3 21Xo Ts72 - 3 13-7 <br />MpM1rCCiw CE51GNCR YIX .YIb1E55 Llry Tln lypy[ <br />RCkEIR fg VTACTw <br />4All ACLY1F55 <br />LIIY <br />)T <br />AqN[ <br />51•L[IILINSF• <br />tAt� S16AS <br />-��• f.Cw <br />11z Tvrnr <br />MAn •IXIaF55 <br />Clry <br />IA>1 `i$zpl <br />TT <br />Z4abbb/ <br />MqN[ <br />SIbN58m0{�g0 <br />STATE LICENSE <br />1YVURNO Cp11RAf,ICP <br />Nk Mlla[55 <br />[Ill <br />TIP <br />hgNE <br />STATE LICENSEE <br />'pt IQT,7\ I NPAY,Mr Qvam". I I r_•c i,A I,, ..- <br />DEscnreF wOaS ANOswAaF roOrADF nvavED <br />IOAILe-rn-eS 7ilITHTL MIN <br />cwTAn ANnswA nTwE No <br />Z ° 57�0 <br />I-- MIS I SI6ti� <br />Is YZS ON A/ <br />I 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 />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 T14E STATE <br />CONTRACTOnSLAW1B2TRCWAND296.200WAG <br />IT!Lim <br />INwras,D uSF a RIInIAND <br />_I rli . )S GAl M -�T-A I- AUJ—I� <br />lcmloEscmlIrH--wpl•nd•Eary lsROwx N'Loaw•nACH 1,w c0RF51 <br />l0T LI •X/ ROPt In Ix������Z <br />OTAnue[n <br />r- so- 3so- <br />�111TA <br />LwS,aUL,IwlWN1[MICa.MM[55.,HEM1gNf NIINREn <br />SIR1YILATE DATE <br />f.IryOVVNE55lCCNCCM A <br />PLUMBING <br />MECHANICAL <br />N0. TYPE OF EGUIPMENT FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />A/C -M,NDLG UNITS-H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS-0 TO M E.A. <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS -B.TU. M <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />VENTILATION FAN <br />LAUNDRY TRAY <br />RANGE HOOD <br />CLOTHES WASHER <br />WATER HEATER <br />WOOD STOVE <br />N <br />METAL FIREPLACE (WOOD BURNING) <br />FIREPLACE INSERT (WOOD BURNING) <br />NTERS <br />GAS FIREPLACE <br />M�TERS <br />AR, ETC.) <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL S <br />SUBTOTAL S <br />PERMIT $ <br />PERMIT f <br />TOTAL FEE $ <br />TOTAL FEE S <br />FVR1 UFFICE USE ONLY: <br />FRONT SfiRA!'F <br />N tj <br />MAN SETRACH <br />UA <br />SALE SFTSC6H <br />AIA <br />MANDLECKMAtlRR <br />(0 o7 I <br />n4 <br />,BLS. %3 <br />RCttMTw <br />usr tOk <br />IlMAARA <br />WANT SAIF <br />AYES rND <br />FEES <br />VALUATION <br />FEE <br />euLnlNn <br />--T— <br />ASg1rt 11T,ryrAllw <br />" �L <br />HO Of pYTHAMi <br />IMlis <br />slTf or RLAxrtA <br />nlrAmmO <br />OPQTANCY NR M 51nR14 <br />OCCITAHI10.0 <br />RARKNI <br />-Ilff AT, <br />WCNANICAL <br />- <br />FARF µARNPFOR <br />RFARw <br />AIIDIIKXVAI MANCMn1 <br />OrANR <br />nRF C1TIM(IfRPFOR <br />Rf ASw <br />S1AIF BIµdNO StENONµNF <br />ryrTw LwsT <br />nAHSA�VI n Rr <br />RAT, <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />AVARIMLYpRS <br />TOTAL <br />j <br />