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APPLICATIA FOR CONSTRUCAN PERMIT/�/�//✓��/�7��7(�F� <br /> CITY OF EVERETT•BUILDING DIVISION \J <br /> M'COMBINATION <br /> CEDAR STREET•EVERETT.WA 98201 v(425)257-8810 <br /> C3 DEMOLITION L7 COMBINATION U�BnUILDDIIND U MECHANICAL 0 PLUMBING O SIGN <br /> PROJECT ADDRESS:,{S�pQ`SS7'a', V SLi ��"'IO y <br /> l,L),�.f. f4 C.W4 +nr /607 +V* PJ- SW 9W-A ?M4 -?zS--"sC -Sloe_ <br /> IrN.nl MM 0Wss tlIY r� PgrR <br /> •^�RLt OR KYlV1rn uM Y1C%54 LILY M' <br /> La i , /CoL�y� ScJ <br /> tl&AA3L2a�:s.tsl-saoe (L)GeNzl+?Q-r,, <br /> MMln4 COnINLrp1 VV1.A1%55 CII) M' nfM aMII IKfMV r <br /> MCM.MCa COMrnlfrfM VN.f4K55 do )1' PrryF SINS tclw. <br /> rylnllM COIIPK.l011 MN.fllPrrrl CITY IM nKINf STAN I[rMr. <br /> co+rn.ct rl.cl a«IIM HEATING SYSTEM: OAS ❑ELECTRIC [3 <br /> _ _ <br /> por,RTSfR / SF <br /> Of SCMH YI!PM.M,pI.%rnWIKO C ,Cr. .M .I M <br /> _ �4�5-LSd'S`o oa <br /> t p Q /�. O//_ I HEREBY CENTIFY THAT I HAVE READ AND EVAMINEU THIS <br /> 17 APM ICATI,v AND KNOW THE SAME 10 BE TRUE AND CORRECT ALL <br /> YrI\nr rc MarNn �/�A/ PROVISIONS OF LAWS AND ORDINANCES GOVERNING TIIIS TYPE OP <br /> J-/O IfM[g44 WORM W7. BE COMPLIED VWTH WHETHER SPECIrIF0 HEREIN OR <br /> I <br /> TO orfcMnrgrn lmePn l—udN xl W6M Pn.CM rWOCOMfI N01. IHE GRANTING OF A PERMIT D(VS IIOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL TaE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATINU CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTKNI THAT I.M AUTHORIZED BY THE <br /> OWNER\S THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS tAW IP Fr RCW AND Z%2M WAC <br /> �cf11NIPMMM ` \ <br /> CfnItIFCrInN lan I SHIP rPITKn rtIFIMC'R rPMOn <br /> TenN +n <br /> OM1 MI9M55IKIM4 Ml <br /> PLUMBING MECHANICAL-------- <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOVIPMENT FEE <br /> WATER CLOSET(TOILET) AC—A NOLO UMTS <br /> BATHTUB ' FORCED NR SYSTEMS ' <br /> _ T <br /> LAVATORY(WASH BASIN) NEAT PUMP <br /> It_ SHOWER UNIT HEATERS <br /> KITCHEN SIM(A DISP CLOTHES DRYERS <br /> / DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> / CLOTHES WASHER WOOO STOVE <br /> URINAL METAL FIREPLACE IWO-00 BURNING) <br /> GRINNING FOUNTAIN FIREPLACE INSERT IVrCOO BURNNU) <br /> FLOOR DRAIN 11 GAS FIREPLACE <br /> BACKFLOW PREVENTERS MS RANGE --�— <br /> SINK ISERVICE—BAR.ETC GAS PIPING <br /> EKHAUSTFAN <br /> SUB TOTAL t SUB TOTAL f <br /> PERMIT t PERMIT t <br /> TOTAL FEE S TOTAL FEE t <br /> FOR OFFICE USE ONLY: <br /> 1~97IHF,, Ar.n Iy fUI MIJIE, / n oKn MNKPOD /L 'rf rKrrll'I NO <br /> ux.,gl�w^ +— to y,�I v.c •vh/N FEES 7 VAIUA <br /> y _ 1 %/ '+yy rrf O Ko PyryMn 7 <br /> L(� 1MIn FIIINInR _ <br /> OCL1nYM♦ M '.� wl\ ULIIWFIIO,P I AVrMrnl NI:nNIY — <br /> �.� <br /> .GpIKw.I n.MCMCt <br /> ImI fIMrrIMTP RND R,MI -- — <br /> ,'`,O Olxln <br /> rMl AIAnM Peao � w.,m : <br /> U.II Tn TAMI sIKMMH <br /> Ir%rcrolN n,+„IVMINron <br /> CIT 'OF EVERETT nIK Ir PYr., <br /> ', II LOCAL SALES — — _-- •� <br /> N roR116PAj TAX CODE 18 3105 TOTAL <br />