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J APPLICATION FOR CONSTRUCTON PERMIT <br />CITY OF EVERETT A BUILDING DIVISION <br />9200 CEDAR STREET P EVERETT, WA 98201 • (425) 257-Ml0 <br />DEMOLITION COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING O SIGN <br />PROJECT ADDRESS _�(rI�__ Z / D%L . • lJ . <br />14 2T& C12Esrae'V'C ?c. nx3k _EDn,CAID� /�O2D (Y2s_)7.7�'3/°1 --__ <br />wn umrss an Fm vrK.A <br />uu1 .410Ors5 nn nr PM/Y,r <br />1pll'(ZFi510h( DESrbU—ZyIF'+-C Ceu£Qa�•Ea• r v vq•r..,Rb�l__-�25_)zsz- 93�rA ._ <br />',n ff:l (1n rM[,rr,ln unI1 nMN'r4G CnY <br />NCH rgEsT nry ceR P. v pA 3Yo E.A'fTaA/DS _28'Nzo _( > s Z�ti' 3/tsl NDA-A. [D /SbAi <br />___ ..... ._....... nn ;v rnwnr cur! „cr N^F r <br />uFp'v„CeL tovrn.OUn N.M1LAnFss Cln -lil' mgvr vuF UCENSEr <br />ple,_J l/1Le1245?-C/nn AAVAAIPLLbzzPS <br />OIYtr✓L u rI:'Jf g'oyj - <br />N,INflr.f.CONIWgIW MNI AMInL55 CIll <br />- - - - - <br />I,P rrNnF $,.IF ICENSfr <br />��ClT10�1>�L <br />HEATING SYSTEM: X GAS ❑ ELECTRIC ❑ <br />COA/s7F2 7E FJ <br />- <br />prSCnrorw]nyLNUSW.nrFOOrYiFmv A20 ZTr <br />",.r. 101' <br />cCNvcrornstlNAMl rpOrT NU <br />6 L.EM Zt_L�$SC>= 24- Mc ICE. <br />v <br />1 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 />_ <br />rhbFnSFD usL OF eminoln _ I <br />VIOPA Wit BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />CANCEL THE PROVISION OF ANY <br />u l.., IEKFr l'nON OF PFIOPEnn 13gv BLO"OluT1ACNT CORES, <br />l <br />AUTHORITY TO VIOLATE OR <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION THAT I AM AUTHORIZED BY THE: <br />-- - ' ---'- —"—"-- <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />Hi70 o�0��-0a E%/O[p <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />RCW AND 296200 WAG <br />_ <br />v.rcrt IAuo wlunrn <br />Alex fAVe A-*J l'0- C97M IqAijkmb <br />CONTRACTORS LAW IB 27 <br />X�I, — — <br />COIr�ltilnl 1,:W ItuNIrNI1FP SS irlfl'IIONE NUNPFII 9gN{uj�Ff7�1 <br />S�(INMUNI, DAI <br />CITY BU9NESS LCENSL NO <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF EWNMAENT <br />FEE <br />-- �— <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />. _ <br />WATER CLOSET (TOILET) <br />A/C-ArHNDLOUNRS <br />/..L.---__ <br />BATHTUB _ <br />FORCED AIR SYSTEMS <br />.. <br />LAVATORY AS BASIN) <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE MOOD <br />TRAY ---- <br />WATER HEATER <br />--_LAUNDRY <br />CLOTHES WASHER <br />WOOD STOVE _ <br />- <br />__ <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT( WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />PREVENTERS <br />GAS RANGE <br />GAS PIPING <br />_BACKFLOW <br />::INK ISERVICE - BAR. ETC.) <br />'- <br />EXHAUST FAN <br />SUBTOTAL f <br />SUBTOTAL f <br />PERMIT f PERMIT f <br />TOTAL FEE f TOTALFEE f <br />rUR OFFICE USE ON <br />. 1-. <br />nrrN$r1NMar- j <br />/�J�Y/(_ <br />Slot ,nR.cR / <br />MAN NLa rn <br />c�` GL'9 <br />rU <br />12G.go <br />InC n•i rw <br />I01 AWA <br />MACAW snr <br />FEES <br />FEE <br />PUIMNr. <br />_VALUATION_ <br />��L zq <br />�IAA�F/ILWWjf JJ <br />❑rr5 ❑No <br />..... , <br />--- <br />- -_ <br />---__ <br />NU UI PWI ItIrHi <br />N"'IK <br />flit IX nlw", <br />512E S.f. Cr R <br />.._ ._ <br />MINAR.Na <br />"b R's <br />M.C. INI IUZ RASFNNI <br />NfCNANlf.4 <br />-- <br />ADdI,(WU NANCIIrd <br />�3/J•1 _1 __ <br />ml-v <br />❑.rfl INN <br />NFASIn <br />_ <br />UIIKP <br />PIA11 RIVIIIm(: y1nC14�r <br />rrnur.wrwAF <br />'. <br />new u•rvinvro n+ CITY OF EVERETT <br />- <br />L LOCAL SALES <br />OMLg / TAX CODE IS 3105 <br />TOTAL <br />_ <br />L <br />