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APPLICAAN FOR CONSTRAON PERMIT <br /> CITY OF EVERETT A BUILDING DIVISION <br /> 3200 CEDAR STREET A EVERETT,WA 98201 •2590010 <br /> 1 1 DEMOLITION f 1 COMBINATION n BUILDING VVECHANICAL PLUMBING I I SIO <br /> PROJECT ADDRESS <br /> DRIRn uM AnDrM an rr n•Art <br /> 1�iof� c �a - W - Z ` v <br /> IENANI u4 ADDRESS an r+ nAnf <br /> A"IECI W n[FIRN[R YW Andlse OTT !,R' AF}IE <br /> 1hf L O 10 A L� 2do � <br /> RfNF14LL[nHl \dl Y4l {{ G TI' nglR b1AH IriR9F1 <br /> 4�l�tuC. SO Pt S l 0 S I C <br /> Y[p1ANON EXAIR IDI YM AODRbb aIY 7R' MIDA STAFF i'ENS[I <br /> "T n J. qzy1Ula RLL <br /> I AUAMgIXNIRKI YM AmRCM a !s ' MOTE SWELITOISIT- <br /> vditd) l�' 4UT A lel <br /> FMIIIRKI rFS[E OI <br /> HEATING SYSTEM: I I OAS ELECTRIC fl <br /> O[SCReE •] f IAOF NVDKo C F InRbDIA A NO <br /> 41 APS A I <br /> n'1 ' l civ W/ <br /> I HERESY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> AlDobfo ux a ewo[Io PROVISIONS OF LAWS AND ORDINANCES GOVERNING TI/IS TYPE OF <br /> WORK WILL DE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> lEO4 R{TT KIR Of AgPE IMIOW11 MlOW AnAaI IRO D0IRN NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> IOI�STOCK-a 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 /> L 1 APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCEL le MMfR�� CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> COR{IRIIOIIDNIOWI[AFKR.ADIrRp.IElIAg14 M11lFR X �" �� <br /> MI <br /> an elllAFM lrFRbE rq <br /> PLUMBING MECHANICAL _ <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OP EQUIPMENT FEE <br /> WATER CLOSET(TOILET) R AVC—AHNDLG UNITS—H.P. <br /> BATHTUB F FORCEDAIRSYSTE —B.TU. M EA. <br /> LAVATORY(WASH BASIN) HEAT PUMP I <br /> SHOWER UNIT HEATERS—B.TU. M <br /> KITCHEN SINK S DISP CLOTHES DRYERS 1 <br /> DISHWASHER VENTILATION FAN <br /> LAUNDRYTRAY RANGE MOOD ' <br /> CLOTHES WASHERI WATER HEATER ' <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN 1 METAL FIREPLACE(WOOD BURNING) 1 <br /> FLOOR DRAIN I FIREPLACE INSERT(WOOD BURNING) 1 <br /> BACKFLOW PREVENTERS GAS FIREPLACE i <br /> SINK(SERVICE—BAR.ETC.) GAB RANGE <br /> GAS PIPING <br /> 1 EX14AUST FAN F <br /> Air <br /> SUBTOTAL !I I rjSUB TOTAL S ' <br /> PERMIT ! I PERMIT S <br /> TOTALFEE $1 TOTAL FEE 6 ' <br /> FOR OFFICE USE ONLY: <br /> HII9fIAKA PrM NIeKX {KK MIeAA W IF K[TMt AO <br /> IDE tOR[ IOI AFAR YKwlbRl[ FEES I VALUATION FEE <br /> IIr[F <br /> I'm AIRI,Mf1 <br /> (KHAT IAAIAtaRwIaO tH sura RAMI <br /> nlAnAn _ <br /> nC "C" MD[IM{ 0001 NI IOW FAuwwn1YK:u <br /> M9F IIYt{ Il MO <br /> rXE NARu a[on nASm •mIXSlAInw Grcll <br /> aim" <br /> IAIE{IYMFIIR ROn MAsfN <br /> b1AI[Nw MKI HroIADK <br /> TIMMI. .I AARs•nmvfne. CITY OF EVERETT nmr%AOPAS <br /> LOCAL BALEB <br /> n•n TAX CODE IS 3105 TOTAL <br />