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APPLICATA FOR CONSTRUCAN PERMIT <br /> CITU OF EVERETT•BUILDING DIVISION <br /> 1700 CEDAR bTREET•EVERETT,WA 93201 •(425)257-8310 <br /> i DEMOLITION COMBINATION y❑ BUILDING El MECHANICAL 13 PLUMBING f I SIGN <br /> PROJECTADDRESSI /a2I 57A 1`- <br /> �I • d�!P. L-coa �JD!0. <br /> OWMP Yy•fdl[S! Ory jP ppyF <br /> rIWNI Yy 4p1a1S dlY rD KYDG <br /> •aMiFC10R DlYplla YIY MKInili CxY /T — <br /> 1 MIIN <br /> � I �C� � Y • /So7 49KP� s �rAa! 9ss•+__ A55trl.Sl..e <br /> NYrtn4 C0N1aY.1011 W�LpI1yN On pl' ryny/ 61411KfwI <br /> YICNIN ftcmIMfilla Yy41011F15 nn )/ gyyQ NRrIIKIYR• <br /> n 11yND tplllagFlp Yy4lR0 Ellr tM' -- 1'r11M SMiF IKFN9F <br /> Emf"Stl M,I IY WIYN <br /> N6LfL_-_ • S R snoge &v NEATINGSYSTEM: L OAS DIELECTRIC [I <br /> p SCaaf WYY FY11 iGI4x IOprFW NrgND FM <br /> - At1AtY� 4Z S•ZSY•S000 <br /> _5 f R �Ib�''1'O/S 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> mgr"D Yv p mm� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> yF ice, _I� •14 PROVISIONS OF LAWS AND ORDINANCES GOVERNING TI/IS TYPE OF <br /> vim_ yllwn� �V WORK Wit BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> IFD•1 <br /> IN NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> mr. A: _11 p. p AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRICTION OR THE <br /> PERFORMANCE OF CONSTRUCTION THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> uu m N a CONTRACTORS LAW IA 2O RCW AND 2+f 200 WAC <br /> Cd\SyKSKT.IMNIfMDFa 1(ILI11[!!1[IFNUr4 MMFn // !-T <br /> __ fA41W IHI <br /> OTr YIVt lsll`f 4r <br /> PLUYBINO — wCHAMCAL - --- — <br /> NO. TYPE OF RKTURE OR DEM FEE NO. TYPE Of EQUIPMENT FEE <br /> _ <br /> WATER CLOSET(TOILET) A/C—AAINDLO UNRS___ —1 <br /> BATHTUB FORCED AIR SYSTEMS— <br /> LAVATORY <br /> YSTEMS <br /> LAVATORY(WASH BASIN) PEAT PUMP <br /> SHOWER UNIT HEATERS <br /> NITC/I[N SINK 6 DISP / CLOTHES DRYERS <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER_ <br /> GLOMES WASHER WOW STOVE <br /> URINAL METAL PREPUCE(WOOD BURNING) <br /> DRDFIUWO FOUNTAIN FIREPLACE INSERT)WOO)BURNING) <br /> FLOOR GRAIN GAS F.REPLACE <br /> BACKFLOW PREVENTERS GA>Kiwi- <br /> SINK(SERVICE—BAR,ETC) WAS PIPING <br /> EXHAUST FAN <br /> _ SUB TOTAL f SUB TOTAL f <br /> PERMIT f PERMIT f <br /> TOTAL FEE 61 TOTAL FEE f <br /> FOR OFP.CE USE ONLY: <br /> IM1Nr vtA•rN pM NtAY.• — SKF VFW% �nM K[• A FFI RFrFY•1 ND- D <br /> qqll <br /> INt ADM lol Ny F rltpr YII FEE6 VALUATIO_ <br /> ___ DYr! O yl RHIYFI: !q _—�— <br /> Mg411MY1f.♦ NDPIyTI11N0 lNIpRDORI / �. Q$S f <br /> )MIF SS H S,} nIM111111 <br /> IKYN-Y V n.iYN! Ufr111NxIFOF11 IFYNNI � WI.,1•Nf4 —+— <br /> FFK SKnrnHanlvo-- n•Y•. •DDIKnY n•N CIKr• <br /> raw" I <br /> ew•uwlHDo y•irn --- _ <br /> SIAH Yn Dyl YYICWNK <br /> 11M pCp1i1 n•NS Y'14(MDAr •�—� <br /> CRY OF EVERETT "Oh"VFfOl. <br /> Yom_ LOCAL SALIE — -- —�. <br /> mn ID TAX CODE IS]tDf TOTAL <br />