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APPLICATIA FOR CONSTRUCAN PERMIT <br /> CIN OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 F(425)257-8810 ff <br /> [I DEMOLITION [$CDMBINATION BUILDING .�.❑.��MECHHANICA�L� ❑ PLUMBING U SIGN <br /> / <br /> PROJECT ADDRESS: N13 S7'a" SW <br /> 1507 49"IV Sw "40 9 C 4.2S-2sx-Boos <br /> OprrlP YM\IdrtEi Pp M' poA <br /> IfrYYI YM•Illlltf! G1v H p[IYI <br /> •Pry�rt LI PUO! w Yr♦IXASi GA Pf FAM <br /> /607 49� Q� Sw 982o3 h2S�Sx•S lL1EccNT/4 <br /> OFMr1R[OYIPKIp1r \tl♦IXMI S! Cllr Pr rvlM FI\II IKINLr <br /> MMMK4C(yIMK1U1r YYl•OtllSS dTr TK AOM M\Ii IKtYR• <br /> p1AM1IA CdI1R\Cipl Y\1♦aplt! CT !A NYJIF !1\If IKCMlf r <br /> COy1MC°p`'T°`"ORI HEATING SYSTEM: L9 OAS ❑ELECTRIC ❑ <br /> tlq ♦ M NX)11p(w 0 C r - tH Y1P.A1r'�9�I�� <br /> _ sF A1i '1 WJK\ANA2S_LSB-Seen — <br /> i <br /> .S n I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> IC <br /> APPLICATION AND KNOW THE SAME 70 BE TRUE AND CORRECT ALL <br /> Hniowov4 www PROVISIONS OF LAWS AND ORDINANCES GOVERNING TMS TYPE Of <br /> WORK VAIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> Itau m7l"tlm Pry IPOIYKRIMMATTKA Rgc sl NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> IOI�aGfll 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 BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION 15 MADE AND I COMPLY WITH THE STATE <br /> 1 ru I D MAAMA CONTRACTORS LAW 18 27 RCW AND 2"200 WAC <br /> tel}-0791 y) , ,� o�`�` .X <br /> CtlpTM1K1OM10W1IMYA NKFrtlfi RIIpOM MUINK 1( �Jfi�4AV `/ZT/ef7 <br /> � 11 <br /> fKMF <br /> Gp fU�Irl[M IclIm MI <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR REM FEE NO. TIM OF EOIRPMENT FEE <br /> WATER CLOSET ITOILET) A1C–Am"UMP <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK S DISP CLOTHES DRYERS <br /> IT DISHWASHER I RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT(WOOD BURNING) <br /> FLOOR DRAIN GAS FIREPLACE <br /> BACKFLOW PREVENTERS GASPFJ/GE <br /> BINK SERVICE–BAR.ETC.) CAS PIPING <br /> EXHAUST FAN <br /> SUB TOTAL S SA)TOTAL S <br /> PERAVT f PERMIT S <br /> TOTAL FEE S TOTAL FEE E <br /> FOR OFFICE USE ONLY: EvvJLiaU U',kka q -2 <br /> f11fpI MfI1KF MMlF1FKS 1KC YC• p1YC1rt CF MIU1fF rfF NftF'I MI <br /> ZU z– i <br /> IMt fort 101 urt• v\CAN,RR FEES _ VALUATION <br /> NO pvF3 OMI M1p G] <br /> MIOHI l�1 / IMIF fMIl11M0 pl!tl K ISS prMIM ✓�L <br /> OCIIWMI Yrnllt�R Of.M1MY110Y1 !F MMI NI:M•MfN _ <br /> f A » <br /> J• V Orff M <br /> IUM NFKMOD M1•Fa' IPPISM♦�pYrCMn -• __ <br /> OIM11 <br /> tq uAMIM00 M♦FTW <br /> FI\II MpOMiPK'Y\r!Y <br /> Irpnrnrar n.Mfi wwmr nn• CITY OF EVERETT rrlhKM(PF ' <br /> / LOCALSALES ---- • <br /> 1� nol J 00 TAA CODE IS 3105 TOTAL __ <br />