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APPLICATICi FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETL WA 98201 Y (425) 257-8810 <br />DEMOLITION [ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING C! SIGI. <br />PROJECT ADDRESS: ! CJ( 2 'L/ rr Drz, tra to. 6kz99 — <br />n6�rMCaFsrnc✓.CoRp.../'�',Anx3M EaTnonlDS QVP o2,0 V25)77V-3/s/ <br />iWNI , Y�II AIP,INM11"Ji CIIY !M• NMI <br />ZS2 <br />TIP <br />52zr$ <br />LY54sl. ['7Y2.ICTYnYJ --- <br />HEATING SYSTEM: WGAS ❑ELECTRIC ❑ <br />---- <br />U SOU,uf tppt,GF wvolvlo <br />.,.PG�4Y1_�IBLf.�_--- <br />cONr,cI vrnSOn,Nn rl Mr N0 <br />ckXLEMM l2CG) ssr-4t45- RICU' <br />— <br />i HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />NE(J S/Al 1I C • ES 1 li <br />A.iL6 <br />APPLICATION AND KNOW THE SAME TO DE TRUE AND CORREC' AL'. <br />rROV190NS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OT <br />;;Ilvc<.1U l<, DI PIPIDIND <br />WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OH <br />—..,,_._I.......... :p lmol'Lnry lS•Klwu of Lax di,nun*wo ca+csl <br />NOT. THE GRANTING. OF A PERMIT DOES NOT PRESUME TO GIVE <br />3__ PLacN Ur (3 <br />D <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OR THE <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />PERFORMANCE Or CONSTRUCTION THAT I AM AUTHORIZED BY THE <br />— - ---- <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />//''//��..�Y"" //11 QQ OOAj O�� <br />_ ._/T--71/— —(---- --- <br />—'-- <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTOPS LAW 18 21 RCW AND 296200 WAG <br />ILI .�I x SA✓/tiEl / L�. !'�aL L"/7n13 �Ct n ��'��')))))) <br />'�1' III YIIIIµ IFN1Y11 ,IN41 S, IFIIw11wI. NUYni11 <br />,Il41SZ�1t <br />�����-�7T'J <br />J <br />%- <br />`� ' 6.T 1�FAI W <br />:!WIAIYIIE n, <br />CI1Y 0U5111ES5lKVR1 HU <br />_-_-- <br />MECHANICAL ----- —_-�_ _---- <br />_PLUMBING <br />NO, <br />TYPE OF FIX :UIIE OR ITEM <br />FEE <br />ND. TYPE OF EQUIPMENT FEE <br />WATER CLOSET (TOILET) <br />NC--AMNDLG UNITS <br />-� <br />BATHTUB <br />FORCED AIR SYSTEMS <br />�'�'---- <br />HEAT PUMP <br />- <br />(WASH BASIN) <br />FUNITLAVATORY <br />SHOWER <br />HEATERS <br />y_-- <br />/—�DISIIWASHER <br />KITCHEN SINK B DISP <br />I <br />CLOTHES DRYERS <br />... <br />-_- <br />/ <br />RANGE HOOD <br />—�-_ <br />WATER HEATER <br />_ <br />/ <br />LAUNDRY TRAY <br />1 <br />CLOTHES WASHER <br />WOOD STOVE <br />_ <br />- <br />URINAL <br />METAL FIREPLACE (WOOD BURNINGI <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT(WOODSURNINGI <br />--- <br />- <br />FLOOR DRAIN <br />GAS FIREPLACE <br />�. <br />BACKFLOW PREVENTERS <br />GAS PANGE <br />_ <br />I SINK (SERVICE -BA ETC.) <br />GAS PIPING <br />' <br />""�"'------` <br />E%HAUSi FAN <br />SUB TOTAL f <br />SUB TOIAL f <br />PERMIT f <br />PERMIT f <br />- - TOTAL FEE f <br />TOTALFEE f <br />_ <br />FOR OFFICE USE ONLY: <br />Pu Km5 <br />an' <br />IUI YI <br />2$r• n.Il, <br />I gful <br />W3�1.4 <br />p IA .H <br />1 w,w <br />IY ANS <br />0 <br />SIDE SFTIIc. <br />J <br />1.1AN f]'l CA NUYxrn rrF /nau/3 <br />-- <br />_EE <br />lo/Ily# ..7S <br />q ,/ :oO <br />._.. _ .., <br />• �O. OV <br />__. _ . <br />-- aU'00'r <br />_ _ ._ <br />_ 3 X ^), <br />21 <br />SIM <br />FEES <br />VALIDATION <br />-------..- <br />- -�--- <br />IIM: <br />SN OI PIpG91 <br />5 40 5f[ <br />wUYAINr, ----- <br />4r(:IIANM:.1 <br />NI <br />DIES <br />������ <br />ADDIIKwN n,N LIFE- <br />OTIBO <br />ST'" nIPI WNi 51"E""miE <br />^-- <br />nrrrm <br />/q <br />CRY OFEVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />rlrwY:MfP1As <br />TOTAL -_` <br />