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APPLICATA FOR CONSTRUCAbN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT. WA 90201 • 257-BBIO <br />DEMOLITION -1 COMBINATION X BUILDING ❑ MECHANICAL I-1 PLUMBING ❑ SIGN <br />PROJECT ADDRESS �' <br />.-,.,, 5.,,,,,� 4.0 �,� (va ya5 33r-clf�� <br />F4"E <br />C TPACT PRCE OFvANc <br />ld "�G.L <br />HEATING SYSTEM: .GAS ❑ELECTRIC <br />OESCR WORN AIp SOUAP FOpf /S� �`� <br />R o <br />WT µ�{p <br />TPEP I/iP wtAC <br />I HEREBY 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 DY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br />///J� .Q _ <br />](l%i"Jd+r/lLCi«�_ ay J G}1 <br />I+gJvo^S,EDurqe OT puADR4 <br />• <br />L[auoESCPe TOPa PPOPERIY ISIONN lELdYORA"T PAO CDPRSI <br />LOT eLxK y <br />_ _ <br />/ <br />_�-etElu:d <br />P/J1[EL lAR p MVBEP <br />- <br />CONSiRULIgNlp41lEN0EP DRESS.ICLFPXLNSNJYBEP <br />E <br />- <br />Cc\Laim Ags <br />EfMt1AN a DATE <br />VWWMSSLICE14EW <br />PLUMBING <br />MECHANICAL <br />No. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. I <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILETI <br />NC—AHNDLG UNITS <br />^ <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />! <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />-y!— <br />I <br />SHOWER <br />UNIT HEATERS <br />I <br />KITCHEN SINK S DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />i <br />RANGE HOOD <br />! <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />i <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT(WOOD BURNING) <br />FLOOR DRAIN <br />I <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />I <br />GAS RANGE <br />—Li— <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />i <br />I <br />EXHAUSTFAN <br />i <br />— <br />I <br />! <br />i <br />SUBTOTAL S <br />SUBTOTAL 5 <br />I <br />PERMIT 5 <br />PERMIT 5 <br />I <br />TOTAL FEE S <br />! <br />TOTALFEE 5 <br />i <br />FOR OFFICE USE ONLY: <br />FRONT WYILAK ^ <br />REI.R SEIi <br />SIOE BErB,�C <br />P CHEECCK' MBER <br />EE <br />RECEWTW <br />,Nilo <br />E\_ <br />p5 <br />LOIAPEA <br />�$ZW= <br />vA mI Ism <br />.*.3ar n. <br />FEES <br />VALUATION <br />FEE <br />Wupuq 1LFi O <br />I <br />RUMBLND <br />KE TWRAI <br />2 <br />40 OF OWELLMD <br />MIS2636 <br />WEOFBLDOII <br />7 o S.f. <br />CCCjYWp Y Tq Ci BRNES <br />•S ✓� <br />OCCINAPT )DAD <br />BASEMLVi/ <br />f��L; G M) <br />YFCIUNiCAL <br />ADDRIg1.LL PLVI4NEGIL <br />OMER <br />FWFSPRMILL[P PLO <br />PEASIIH <br />FPEALAPYPEOD <br />REAS <br />BIAIE BV4d1q SULKIIMGE <br />TrPEa COHST <br />. <br />Y"/ <br />PLARSAVP !Our <br />wTE ?J <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />PUBLC WORKS <br />TOTAL <br />1 / % 73 <br />W <br />