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APPLICATICS FOR CONSTRUCAN PERMIT
<br /> CITY OF EVERETT s BUILDING DIVISION
<br /> DEMOLITIONr, 1COMBINATION DAR STREET BUILDING I I MECHANICAL 9B201 - to
<br /> i I PLUMBING [/ i i SIGN
<br /> PROJECT ADDRESS /a07 SJ'/�t -�✓,
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<br /> y^ Inru_ FoF+k ISL Flm 4 as - SI N� o1�D�'1�1 •r l\ EEi� 1 •ter Sp } 1 HEREBY CERTIFY THAT 1 HAVE REAO AND EXAMINED THIS
<br /> nnfbla APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL
<br /> Rpro msE a MMwn PROVISIONS OF LAWS AND ORDINANCES 60VERNINO THIS TYPE OF
<br /> �l M a0 _;,.n \ �y�s sem, yglo WpRK WILL BE COMPLIED W11N WHETHER SPECIFIED HEREIN OR
<br /> PRESUME TO,[O4p[9CMwrI0rl ar fadfnn lYlOWII N,ON wArrY:R raoconEs, AUTHORITY TO TV OLATEAOR RCANCELE THE I
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<br /> PROVSION OF ANY
<br /> l0i�_Mont or�I'✓ C.�S� O1NER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE
<br /> p !� PERFORMANCE OF CONSTRUCTION THAT I AM AUTHORIZED BY THE
<br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH
<br /> )" mL+ �'b9 Plc caeS ac'T 99-- APPLICATION L MADE AND I COMPLY WITH TME STATE
<br /> CONTRACTORS LAW IB 27 RCW AND 2SB 200 WAC.
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<br /> MECHANICAL
<br /> PLUMBING FEE
<br /> NO. TYPE OF FIXTURE GR OEM FEE NO. _ _TYPE M EQUIPMENT
<br /> WATER CLOSET IT.. NC-AADX)LO UNITS-H P
<br /> BATHTUB FORCEDNRBYSTEMS-B.T.U. M EA.
<br /> LAVATORY(WASH BASIN) HEAT PUMP ,
<br /> SHOWER I UNITHEATERS-B.TU. M
<br /> KITCHEN SINK A DISP I CLOTHES DRYERS
<br /> DISHWASHER I VENT LAiION fAN/��
<br /> LAUNDRYTRAY I RANDS HOOD , 1iC.9wJd✓V+ .�
<br /> CLOTHES WASHER I WATER HEATER
<br /> WOOD STOVE
<br /> URINAL --r
<br /> DRINKING FOUNTAIN METALFINEPLACE(WDDDBUPNINGI
<br /> I TO-'-ACE INS...(WOOD BURNINGI
<br /> FLOOR DRAIN , GAS FIREPLACE '
<br /> BACKFLOW PREVENTERS GAS RANGE
<br /> BINK ISERVICE-BAR.ETC.)
<br /> I GAS PIPING -
<br /> �- EXIIAVST FAN
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<br /> SUBTOTAL E SLID TOTAL t
<br /> PERMIT t I PERMIT f
<br /> TOTAL FEE f I TOTALFEE f
<br /> FOR OFFICE USEONLY: rrcarr u0
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<br /> vr..R,Yrl VALUATION FEE
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<br /> ,rn,r mis, n.M,umrvrQIF CRY OF EVERETT
<br /> �J�3' LOCAL BALES
<br /> L �3 t, TAX CODE IS]IDS TOTAL
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