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APPLICATIA FOR CONSTRUCAN PERMIT <br /> CITY OF EVERETT+BUILDING DIVISION <br /> 32DO CEDAR STREET+EVERETT,WA 98201 +(425)257.9810 <br /> ❑ DEMOLITION 6XOMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRESS: 107 L ldJ` ",-& el«i _ <br /> aw 7,2 <br /> u.n s] aM1 m " <br /> L <br /> iFruN1 n&4AIT <br /> uu ulmr s nry n noxr <br /> •na]1rC1 aR R YLI.11rIR{!{ 611 lf ry1(Mr <br /> Jnr �_�s7�f.�?1cXL•,v _ �I.?,�cr�, �.?�J s <br /> WINTRY CONIRKI�'V YYI +4'.] all r•' 1"r1YM K ISr f <br /> .iCY•VCK f.OVTKIOP VN VKNSS OM1 !n nK]Nr Sr•11l4rNNr <br /> n llrt♦naCWIRK1aR V4 YRA!!S ah !N nRY11 11KFIFtblrl <br /> CON111Kr Pr11[[d M`dV <br /> (J � <br /> HEATING SYSTEM: ff46A8 Ll ELECTRIC Cl <br /> mlk I wJ+I AW VIV•n •N YTo caMi•Cll]IIION•w1'MMw <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> ANO v FKO+In PROVISIONS OF LAWS.AND ORDINAWFS GOVERNING TIILS TYPE 0' <br /> F WORK WIIL BE GO&ML'ED WITH W IEIHFR SPECIFIED HEREIN OR <br /> ltMLMXCn INnol4Rrr Is erlaKWArIKMrrq CdKll NOT THE GRANTING OF A PERMIT 00[S NOT PRESUME TO DIVF- <br /> lot aloe+ or AUTHORITY TO VIOLATE OR CANOEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> T_ u ILO- PERFORMANCE OF CONSTRUCTION THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPFRTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION 15 MADE PND I COMPLY WITH THE STATE <br /> wen m I D AIA44R CONTRACTORS LAW U127 RCW AND 2"200 WAC <br /> mYstAlK:rnNlo•rllrMMR AnnKss rtlrnlvA xlrMn <br /> an MINAts lctxfl w <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUNMENT FEE <br /> WATER CLOSET ITOXET) MC—A/INDL.UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) r HEAT PUMP <br /> SHOWER ' UNIT HEATERS <br /> KITCHEN SINK A DISP _ CLOTHES DRYERS <br /> _ DISHWASHER I RANGE HOOD <br /> LAUNDRY TRAY WATER NEATER ' <br /> CLOTHES WASHER WOOD STOVE �— <br /> URINAL METAL FIREPLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT(WOOD BURNING) <br /> FLOOR DRAIN I GAS FIREPLACE <br /> ^— BACKFLOW PREVENTERS GAS RANGE <br /> BMA((SERVICE—BAR,ETC.) d,, OAS PIPING <br /> EXHAUSTFAN <br /> r <br /> i <br /> SLID TOTAL !I Bl1B lOTAI S <br /> PERMIT $ PERMIT f <br /> TOTAL FEE $ _ TOTAL FEE S <br /> FOR OFFICE USE ONLY: <br /> r1YlYr vnlK.+ KY1 w1Yf.+ ]EL WRIMM MAY,C.4c.MIrRRR rrr mrfo,w <br /> 0- <br /> INFroNr Ia Aw•wR:AN1INE IaM 1UI A14•w.CANI FREE VALUA� E <br /> Orls Ow <br /> 14MWIlM1AIpN wOIRS]!lM ]RIP FleN11 — <br /> 'IIMM.t Y�n.ln.lf P(IM•MIIU•Il r• VI / yrr.NINI:4 <br /> - <br /> rx4NSwRMRRJo—� RrAVY1�__ AoblMr4 n•+Cxlc+ <br /> Iff AUnI moo - A•SRv _____ <br /> R1xrR <br /> ysalt elRll•AI SIRcwmr <br /> lrrtvrXnll n•N]•rrmlvrn n. CRY OF EVERETT — <br /> / LOCAL SALES - <br /> uul <' TAX CODE 15 3105 TOTAI <br />