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APPLICATION FOR CONSTRUC*DN PERMIT <br /> CITY OF EVERETT A BUILDING DIVISION <br /> 3200 CEDAR STREET A EVERETT.VIA 58201 •257 BRI O <br /> DEMOLITION 1 COMBINATION F BUILDING ' - MECHANICAL PLUMBING (1 SIGN <br /> PROJECT ADDRESS <br /> C'T JN NRLP[95 CItY IO Ax)IA <br /> '�LSOE,ru�u i �cr (<.as s ` EWA,{,1,'lse <br /> IfNLNI W49IX14S9 CIT. IP RIG4 <br /> W.lmCIORCfs1 . 4µ.MFES CITY 7R RIp[ <br /> 6E Gl TR tOR Y tt CITY IP RIQIIF STATE II Mt. <br /> WCHAWAL OMYRACTOA 4l6 SS GTY IP 1NId4 STAMIIC W. <br /> RWBRWCONTRACTOA 4Ak.LARES9 CItY to RIpE STATE LCENSE• <br /> CONIR.AC1 TACE CF HdM <br /> HEATING SYSTEM: FI OAS t 7 ELECTRIC ❑ <br /> O[SCRat WgMA SWATAE fOOIAOE ANIXY[0 CONTKTKWNArFlM W <br /> I HEREBY CERTIFY THAT I HAVE REA;1 AND EXAMINED THIS <br /> Inlo.o9[ousEa slnow0 APPLILATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEOK OE"VTCHOl RAJPEAN IflW MLOW OR ATTACH IVW)OOARSI NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT KOCR OA AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW PECULATING CONSTRUCTION OR THE <br /> PERFORMANCZ OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> PLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> RYCEt TAA.D MATSER NT ,(/AA[SLAW';27 RCWAN0296,200WAC. <br /> COMiTNCTUM LOAN I[IC(R AOCVESS TELIR MAAKR D7 al) <br /> WAS <br /> DATE <br /> IIY SUSRE59 LCETaSf NO <br /> PLUMBING I MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) A'C—A'HNDLG UNITS i <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY I WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK A DISP i CLOTHES DRYERS <br /> DISHWASHER RANGE HOOD _ <br /> LAUNDRY TRAY ! WATER NEATER I <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT(WOOD BURNING) <br /> FLOOR DRAIN GL5 FIREPLACE <br /> BACKFLOW PREVENTERS GAJ RANGE <br /> SINK(SERVICE—BAP,ETC I GAS PIPING <br /> EXHAUSTFAN <br /> i <br /> I <br /> I <br /> SUBTOTAL S SUBTOTAL 6 <br /> PERMIT f PERMIT f <br /> TOTALFEE f TOTAL FEE f <br /> FOR OFFICE USE ONLY: M DIO OL-D,1_3 <br /> 1T 1SETSACS REMMTSACA SCE KTtrw KANCHECR MAIBFR AEE RECfplq <br /> USEZONE LOYA A VOANTwx FEES VALUATION FEE <br /> DESS D KO KKOHO <br /> HENNA WRATKW WTY OWEum moTKOOTI <br /> KINMIO <br /> OCCUWIC. TOOt1gIl1 OCCUMIIt IOb MSE WNT C� K <br /> OR01I f1Yf8 ❑rq <br /> IPf SPRMII[R PFOO R[A9CM AOOIIgNAI 7'IµCHFCR <br /> 01 ER <br /> AKf 4ARY RFOD <br /> MASON <br /> STA1E MRWU 6YIICAYRDE <br /> TIFEOACOTISI PLANS Apnos.ARRCRY OF EVERETT RueLC WaMt <br /> LOCAL SALES <br /> OAR TAX CODE 19 3105 TOTAL <br />