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APPLICATIA FOR CONSTRUC*ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 9200 CEDAR STREET•EVERETT.WA 98201 •2',9-0810 <br /> ( I DEMOLITION OMBINATION BUILDING i-1 MECHANICAL I PLUMBIN SIGN <br /> PROJECT ADDRESS �= �RE> <br /> 1�'I� wIdRfsSs5 � t d lre�n ZRr <br /> ,r.T MAXI..;OT-M" 467NIAVI <br /> pM467NIAVI) RCNf <br /> Tf GZL¢ttlSSl6t Rr rIKRf _ �30 <br /> WaN ggQL� (LO(e�Ss�' <br /> G14W !MC u4L NLIKss Cm nr Rldh STAlf\KEME. <br /> wF'�4IT/�lcd.Cld1 wul bdR!! dry Iry MKWE STATE tKiwsE. <br /> MAIL <br /> ,RYUwI`InbwLONIAKLOTT UK ANARESS an zw IYIDNE !TATE tKEWA <br /> JCS <br /> COwtR.L1 MYLf a W01M <br /> HEATING SYSTEM: IlGAB fI ELECTRIC fl <br /> a .R AAEf lbE VTkOI O CONTACT KR ND NO <br /> >< <br /> 31(Q -un l Ch/-- 3z <br /> HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROV'SIO.13 OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> �RI WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> MDa aCsugmTKwa Rn IPgWlI RfITTR !r IIw c sl_.. NCI.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> Lot�emck af�' AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> ��� 1 OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR"HE <br /> t' PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PNKn!AAI o MUMMA CONTRACTORS LAW 18 27 RCW AND 233.200 WAC. �i./ . <br /> C sT,IUCTmt0AN LF"VER,ADd1EM.IFI[RIak MATER X. /Z/G T/7Jp— <br /> lgNAltmE � pAIE <br /> dtt NPAKs!IICkNSF p <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR REM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET RE I AIC—MOAXG UNITS—H.P. <br /> BATHTUB FORCED AIR SYSTEMS—BTU. M E.A. <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS—B.T.U. M <br /> KITCHEN SINK 6 DISP I CLOTHES DRYERS <br /> _ DISHWASHER I VENTILATION FAN I <br /> LAUNDRYTRAY RANGE HOOD <br /> CLOTHES WASHER WATER HEATER <br /> URINAL I WOOD STOVE <br /> DRINKING FOUNTAIN METAL FIREPLACE IWOOD BURNING) <br /> FLOOR DRAIN FIREPLACE INSERT(WOOD BURNING <br /> BACKFLOW PREVENTERS GAS FIREPLACE <br /> SINK(SERVICE—BAR,ETC.) GAS RANGE <br /> OAS PIPING <br /> I EXHAUSTFAN <br /> SUBTOTAL S SUBTOTAL f <br /> PERMIT i PERMIT f <br /> TOTAL FEE S I TOTAL FEE f <br /> FOR OFFICE USE ONLY: <br /> fRCMI RTlRADk REB"TWIT PDE MIEAdI fl"ogmM R TEE' RFCHvIW <br /> Ulf IOIK IGT AREA S/OAYI SITE �fi8 VALU TION FEE <br /> mis n ND "NATO av o <br /> IRKIIT\RRwlKN Aq dUWfllINO PlEaMDdll 3,0 <br /> UMIs M1IIITMD <br /> a V1'AM;I Iq(k flMfS aCINAMI tOA^fl st5[Y[MI yfdlAMf.AI <br /> l N9 TIVs <br /> TUN ALARY IKOP nrAwN AOdtgY411AN]RCk <br /> NY OINfR <br /> TiRf lSP1RIMIfRRFOG AfAbN <br /> N <br /> 0 lIAIF SMOVQ PAfCRAIia I](J <br /> rvR[OT 7 MANS gyfon �r CITY OF EVERETT nMlrwhRns <br /> / NA LOCAL SALES <br /> V OnE TAX CODE IS 3105 TOTAL <br />