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' APPLICATIQAI FOR CONSTRUCTWN PERMIT <br /> �T.�OF EVERETT•BUILDING DIVISION <br /> 0200 CEDAR STREET A EVERETT,WA 88201 -259.8810 <br /> ❑ DEMOLITION ❑ COMBINATION R BUILDING Lq MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTAODRESSR 3,>` firl-I JT Jcr PyAeT/ til -7oJ <br /> /OY3'TN(14 C/1VLOJJ -?.Pis YT/l arror [rr-If'A-f7T• 9Y2pJ Z.Sd'- ZfSS <br /> 'ti4 Ao0Rfsf an rM I+YO.R <br /> v <br /> I[M411 YM 4'.4113 city to hqn[ <br /> ✓.'L,vereu EAJJ+ enae-tr✓ at . CrFaeJ gIiYY <br /> DeNrI, ClAgAF 3zl%e77 <br /> AIKIRncr on TxfaNfR wyrml[af acn '� rr y06-2771 <br /> I{ > Z C fNJ I /��AJ. fJr/w1ryJi`!'MLhr_ lrFs Hca 6eJ•7Yo•r7t <br /> mYf:iM GWtNtran urR utW s1, un t+• nRIHf xut[IK[M[t <br /> YFCHAIK4 CGNINACICR Y4 ADDInSS ON rr nRnE %Wt IKENU. <br /> n11MRl000NIRKTOI aft ADOREM of, m mmM STATEIKENpf <br /> cwIRKiOTNaF o IvOIIA HEATING SYSTEM: ®OAS ❑ELECTRIC ❑ <br /> 0 <br /> RaCWp wOrR•W SGIAREI fgNiKrrfRfalfNn ngNE NG <br /> ICY Z co <br /> s r �9.$) 33fi-S�'IS K�ssl�r <br /> 1 hEREDY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> flgra us(n APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL DE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> IEa4c OVTYYIa R TLKMN MIOMOI AbKN Vq CdRSI NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> tot goal 1,r AUTHORITY TO VIOLATE OR r,ANCEL 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 /> L/7000003ro3C1APPLICATION IS MADE AILD I COMPLY WITH THE STATE <br /> RNKn to IO IAARKR _ <br /> CaTR1RlKlldlla"lfNpFR fC1ODNATRAC LAW.182)RCW 0206.2DOWAC <br /> AGMfSfXaum, 6 <br /> /ia�57 <br /> .rewQ4rey - 274-[s7f-c <br /> GIY 6lRnf Sf IKTNSE Na <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) NC-MINOLG UNITS Y <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY ASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK&DISP _ CLOTHES DRYERS i <br /> _ O:SHWASHER RANGE HOOD _ <br /> LAUNDRY TRAY I WATER HEATER ' <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE RODE)BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT(WOOD BURNING) I <br /> FLOOR DRAIN GAS FIREPLACE <br /> BACKFLOW PREVENTERS GAS RANGE I <br /> SINK ISERVICE-BAR,ETC.) GAS PIPING <br /> EXHAUST FAN <br /> SUBTOTAL S SUBTOTAL S <br /> PERMIT S I t I I PERMIT S <br /> TOTAL FEE E TOTAL rEE i <br /> FOR OFFICE USE ONLY: <br /> ETIGNI YISK�RJTIE"mwk mull"R./ IQ <br /> use rove IDI AIKA yKANi"F FEES VALUATION FEE <br /> OyEa 0 A pwnNRl <br /> IKIaNllnN14 ND PIMYIIRq pR 1lr pGalll <br /> IF --- -� <br /> UMIM1IIItlIIRI <br /> CC pA%y IU PfIIMIf OCCNMNI IaAn fASFMw wCNANCH <br /> Ovis DAO -- <br /> rpEenrwltRnon NASbe - Aaci1KYlAl nAN G;n ' <br /> alMn <br /> (M[4ARYRF00 RE A[(n <br /> AtA1E pndNa S,RKNAna( <br /> I'll n 10-11, n"A AfR 061 CITY OF EVERETT <br /> LOCAL SALES ---- —�— <br /> nAIE TAX CODE IS 010E TOTAL <br />