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U <br />E <br />APPLICATIdh FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT A BUILDING DIVISION <br />32DO CEDAR STREET EVERETT, WA 98201.257-8810 <br />DEMOLITION COMBINATION BUILDING f' MECHANICAL PLUMBING SIGN <br />IOJECTADDRESS . — _ 11 <br />'FNUI' uL0. A[ORE55 Gi. <br />RNac sulE LgExsf . <br />h1PBWG CWiR lm IALADCWS6 C.TY .m ggNE STATE LKLNSE0 <br />CM1P/.Li VPSf O[ nVM <br />HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ _ <br />Cf� yq $']LL4E[NT.\GE IM'0.\EO — <br />C .l [[PSOx.LNO AqM rq '/ <br />— <br />1 HEREBY CERTIFY (HAT 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 />CONTRACTOR LAW 1827 CW AND 296.2DO WAC. <br />mo,osEO LrsE 66NtMIG <br />LEGµ DfSCRRTq 7P P"(SR VEL NOR ATTACH fiW COI,ESI <br />LOT aat, a <br />RCEL iAv �o AFAroER <br />�Anz� <br />xUl <br />TT DATE <br />Cry BUSINESS LKt NSE W <br />PLUMBING <br />I MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C — ANNDLG 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 MOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />! <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />i <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />I <br />SINK (SERVICE —BAR. ETC) <br />GAS PIPING <br />EXHAUSTFAN <br />I <br />SUBTOTAL S <br />I <br />SUBTOTAL S <br />j <br />PERMIT s <br />PERMIT 5 <br />TOTALFEE S <br />! <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />L mNT SE.BAc, <br />PEA.BSETSAC, <br />SCE RRACx <br />AAN p4c, MNBtF <br />O 04-0c2 <br />[tE <br />xfctT NO <br />"I taE <br />LOT AREA <br />vACArIr SITE <br />❑YES ❑ND <br />FEES <br />VALUATION <br />FEE <br />Buno,•r'. <br />N[q,iLURAIgM1 <br />hJ WrFLLBq <br />Mrs <br />61iE 0[BLLOEI <br />RNBHq <br />Y hl Li 53M15 <br />VLLFWLOAD <br />W6ELEM <br />DYES 0w <br />AIECNAAFCK <br />ADDDIfMAL"CWCM <br />rm 6on,tEP BEO• <br />REASON <br />OMER <br />1 W AL REDD <br />REASON <br />SLATE BD1DI1q 6LPCN4IGE <br />'rreEacaNsl <br />AAxs ARRmvEofir <br />I <br />C;FYOFEVERETT <br />LOCAL SALES <br />TAX CODE IS 0105 <br />wBLr. rroR,s <br />TOTAL <br />