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PAJee6/ir /B2.3G6-_¢-Ozp_vo—b/ Zow6 PS-L <br />APPpLACATA FOR CONSTRUC ON PERMIT <br />�* <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET E EVERETT. WA 98201 R (425) 257-8810 <br />❑ DEMOLITION ❑/ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING SIGN <br />PROJECT ADDRESS: <br />itio :E /5 arc /.7?��e?�✓L LC fF­ i--- AC. 41S214 Sf//- 73 ✓9ie- 1/ <br />owNFa 4uL ADDREss an nP F`MW <br />�tS LE7.4TfeiK JOIN RHIE/J� 97say big/-73[�y/Os� <br />1EIUH1 M41 MOf1E55 arV tF PHtriE <br />ARCMECTOR MVGNEn 7,AN CSSS CITY llr IYIJNF <br />GFNEIUI C6NI11AC1011 4Yl ACENIESS CIIV IIr rIN)Y( CIAIf IICINSF <br />/,(Eenvf /76Z.4irRnr tuJ�y4�.o�[E uA 9dr/3L 6z33/all Jflcarvsxoaoer <br />4FCHAWCAL CWInAC10R 4AIl AG(YIESS % CmAP n10NF "All UCF <br />le <br />PIIfMBRIGCfINI HACIM 4A, A.UCgS C., TIP PNGNF STAIF IICENSF• <br />cwr T PUCE a wala <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />CESCa6f MO�L(ANO SWAM IWIAOE.V VED <br />'j - <br />CGNIACI'A"AM PM lW <br />—6NcT /6 <br />/A�<aJ=� F72EES7N44A 161 . ,LSN! 0 <br />/b DrF'R.Ub .%OL L,233/no J <br />��XJIf7I/2P- <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED 'HIS <br />/NF R '—' <br />APPLICATION AN) KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />PnorG�f5F Rlmaw <br />,L SA[Es <br />WORK WILL BE COMPLIED WITH NHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />LEGAL OESCRPTION OF PMWERn ISN(IVM REIOII OR A11A 11IW aF`ESI <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />LOT BlocA of <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 />—/ <br />— 20 OU-0 <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />/—g <br />CONTRACTORS LAW I8.27 RCW AND 296200 WACPAME. <br />m D NIA-- <br />p y, <br />Xr��/ <br />CWSIRIK:IICNLOANIEWER. NXMESS. IELEnIONEAW%ll <br />SKAA OOE 033J8� WE <br />ary WSIMSS LCENSE ND <br />PLUMBINGMECHANICAL <br />NO. <br />TYPE OF FIXTUREOR REM <br />FEE <br />NO. <br />TYPE OF EaUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C—NHNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />NEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />_ <br />LAUNDRY TRAY <br />WATER HEATER <br />HER <br />WOOD STOVE <br />METAL FIREPLACE (WOOD BURNING) <br />NTAIN <br />FIREPLACE INSERT WOOD BURNING) <br />GAS FIREPLACE <br />EVENTERS <br />MNF <br />CAS RANGE <br />— BAR. ETC)) <br />GAS PIPING <br />EXHAUST FAN <br />SUBTOTAL S <br />SUB TOTAL S <br />PERMIT $ <br />PERMIT S <br />TOTALFEE $ <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />I OGNI 4TRAC%� <br />nnn SETRAC. <br />SIEIE SETBACK <br />USE NONSI ^, <br />IOI AMA <br />VAUNT SaE <br />C///, <br />DYES ❑ NG <br />11f IGNT IruGAT10N <br />No OF CAYNOW, <br />IIMTS <br />s4Ea BIRGITI <br />❑Ifs 0 YO <br />r1An CrIEEn NULWn ItI <br />(�n3 <br />FEES VALUATI <br />RIAIMNG <br />nounlNG — <br />4FI HANIC.A1 <br />ADEMIIONAI rIA4l1111K <br />oD.[n <br />c:AIF Rulloma SljMI.AM4 <br />CRY OF EVERETT nIR lr.woaKs <br />LOCAL SALES <br />TAX CODE 19 3105 TOTAL <br />