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APPLICAI%N FOR CONSTRU&ION PERMIT <br /> CITY OF EVERETT F BUILDING DIVISION <br /> 9200 CEDAR STREET'EVERETT,VIA 98201 F 259.8810 <br /> n DEMOLITION fT COMBINATION n BUILDING ECHANICAL PLUMBING n BIO <br /> PROJECT ADDRESS ock.0 �� 1_1 <br /> � <br /> op"t" ."MC)pEss on nr n"t <br /> �loK o C 18 - wtN 7"i 5AM U,l) P <br /> ,[Mx, yr Aoontn rnr rip rroN[ <br /> AnpAnclMOErAIIRn Apl,lt{f an n,014 <br /> ` OEIRM LGY,R IOn u.R {[ G I [II' ng1R {l.i[IKFNSFr <br /> 't-klkLu f ':1oNyJz Lx,% About RiTcokoWILL <br /> YEp1ANKy COMM rp;tT MAA AOMESf dR rM PIKAA: IITAIEIKFNf[I <br /> W�ttltw��vn TL� Q7Dx � ,l0.�lQ �IJUt 1( 131J/' Nlll �1.1 af t" IDL <br /> nlAgrq[p11nWi uulamR[ss a �s` ry nax[ u furE llctlrsEl <br /> C <br /> JA . oV UA 1 <br /> coxrMcl nIK[ar <br /> HEATING SYSTEM: IIGAS ELECTRIC n <br /> otecw[[ • r rAOF INravEo a , crrrRE1XI n no <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> Nor aw;i1O I PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> _(i�L1�'Tj_f1 WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> lIo•lp�14j]IONp rI1RP[ I41ORN RlOW An¢xIAO IXIr,FR NOT. THE GRANTING OF A PERMIT DOES HOT PRESUME TO GIVE <br /> for MOM a AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> I PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TOP RFORM THE WORK FOR WHICH <br /> f L [ APPLICATION IS MADE AND COMPLY WITH THE STATE <br /> MJCtt Io wr{[R�L, CONTRACTORS LAW 1821 RCW AND 296 200 WAC. <br /> L/w <br /> [ON/rpK,ION IO.M I[NOrn.AOMEO.+ilf1'IIpR MIu/[R X - <br /> TURN "Al <br /> dR MKAR66lK[N[F MO <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OFEOUIPMENT FEE <br /> WATER CLOSET(TOILET) AC—AMNDLG UNITS—H.P. ' <br /> BATHTUB ' FORCED AIR SYSTEM —B.TU. M E.A. <br /> LAVATORY(WASH BASIN( , HEAT PUMP <br /> SHOWER 2,, UNIT([EATERS--BT.U. M <br /> KITCHEN SINK 8 DISP Yj CLOTHES DRYERS 1 <br /> DISHWASHER VENTILATION FAN <br /> LAUNDRY TRAY RANGE HOOD <br /> CLOTHES WASHER Ef WATER HEATER ' <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN , METAL FIREPLACE(WOOO BURNING) 1 <br /> FLOOR DRAIN ' FIREPLACE INSERT IW000 BURNING) ' <br /> BACKFLOW PREVENTERS OAS FIREPLACE <br /> SINK(SERVICE—BAR.ETC.) , OAS RANGE ' <br /> OAS PIPING <br /> 1 EXHAUSTFAN ' <br /> � 1 <br /> , I <br /> SUBTOTAL. f ' SUBTOTAL f <br /> PERMIT f 1 PERMIT f <br /> TOTAL FEE 9 ' TOTALFEE f <br /> FOR OFFICE USE ONLY: <br /> rRONI FrIFAGn RARMTi KaF fEI/Kll nAx r[F 11[C[M,NO <br /> i <br /> us[Im Im AMA "A716,1[ VALUATION FEE <br /> rlv / 11 W /UI <br /> IRmI„tMATAIM WWMLILMO s1temaOORI <br /> mix n.wm <br /> CCCI,I'ANCr W IFSIMS p.YUPANIWW /ASEARNI I;a,ANK4 <br /> p pA <br /> RO 'I'l) <br /> IMEHMUREOP rIEAMM AM,KWy nul diQ 1 <br /> OORR <br /> rmrserpA1[RRFOn n[Arp1 <br /> FIAT[/.RN fIXCxA1KlE <br /> nrEnr,mri WANE yNNKv[o/r CITY OF EVERETT m"r-vIpNA <br /> LOCAL SALES 1 <br /> wR TAX CODE IS 3105 TOTAL <br />