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APPLICATIf1 FOR CONSTRUC'AON PERMIT <br /> CITY OF EVERETT A BUILDING DIVISION <br /> 3200 CEDAR STREET 4 EVERETT,WA 98201 A259•BBIO <br /> DEMOLITION 1 I COWNATION I I BUILDING 11 MECHANICAL I I PLUMBING I-I SIGN <br /> PROJECT ADDRESS n�7o� _ /_ .fry <br /> 4M YROIE`59G (•!/C/ nq /r nKMr <br /> ��«+ l� aao9�tb EJ�Qr7� 98b1i'r 353 sir/ <br /> IENAMI� YAA YMfSS M, PV MFTF <br /> AIICIS,Fct Ontrtww. YM SOV�NFySs v" M' MIO4F <br /> [JClIAIC'(L <br /> OFMIIM CONMSCIPI ��MyA&��ApS1ESS OTT Pr MgNE SISIF IICFNSF• <br /> oco IV� - <br /> YFLMAMCAIC 111CTOfI 4All AOINRSS Cm ),r MIONT 6TAIF lKFNS(A <br /> QUAIi+y Meq+;Y4- <br /> mTT'. OCONiRAC1fY1 YN 9 Pq /,r - rNOAF STATE l4N5F1 <br /> CPIIPACt rySCF f1 YFN11t ^ <br /> HEATING SYSTEM: OAS ' !ELECTRIC fl <br /> T(SSE WOIIMA gSp1APE fO01AOf 14YgNO cfMlAClgNf MMIMIIM <br /> rl 1110 E Aovo Hoostr p TD <br /> A9 6%Nt*/E [W w;A /cqe G9F e- <br /> DId � FT 17611w V32, 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE GAME TO BE TRUE AND CORRECT ALL <br /> rYP ' S n PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> 1� WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> IFOAI MKfIrTKq OT fYpgRq IM9AK IKIORd1Al1Af.N IRO CORf]I NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> 101 Naw a AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> S,JY9-Dol-ooj Mo 3 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 1 COMPLY WITH THE STATE <br /> f .n TAX IP MAwFR CONTRACTORS LAW IB 2?RCW AND M 200 WAC. <br /> C TTNKT 11OA411NOFR YIMFSS IFIFPNLY1F M11MFR X fa;zQfiy- 3-3/-25 <br /> NWAIuq wq <br /> cYq SUSINIS ICFNY NO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR REM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> WATER CLOSET TOILET ^ AA:—AHNDLG UNITS—H.P <br /> BATHTUB ' _''ORCED AIR SYSTEMS—BTU. M E.A. _ <br /> LAVATORY(WASH BASIN) /r I +,EAT PUMP I <br /> 1 SHOWER UNITHEATERS—BTU M <br /> KITCHEN SINK 8 DISP CLOTHES ORYERS <br /> L DISHWASHER VENTILATION FAN <br /> LAUNDRY TRAY RANGE HOOD <br /> CLOTHES WASHER WATER HEATER <br /> URINAL / WOOD STOVE ' <br /> DRINKING FOUNTAIN I METAL FIREPLACE(WOOD BURNING) <br /> FLOOR DRAIN I FIREPLACE INSERT(WOOD BURNING) <br /> BACKFLOW PREVENTERS OAS FIREPLACE <br /> SINK(SERVICE—BAR,ETC.) GAS RANGE <br /> ' OAS PIPING _ <br /> f EXHAUSTFAN <br /> SUB TOTAL t SUBTOTAL f <br /> _ PERMIT III PERMIT f <br /> TOTAL FEE 51 TOTAL FEE f I ' <br /> FOR OFFICE USE ONLY: <br /> ,IYwt Sf, f IRARM1 Rf FIRE {, y ACTH ll MSNPF' R qF E Ara/VI <br /> ,NO <br /> Z 117 <br /> u=r IMI W ill'-MA VACA47LIF FEES VALUATIONFEE <br /> G ?Gb I,qS ✓----------' <br /> AI elAlw«1 D - <br /> IKARR1mM.xr, innir lMllMO t V�Ny'Sf i- 7 <br /> gy Sf G�a�i MIANAAI i <br /> lT%URYM.Y MrA f•4Y8 fF.11NAHI1VAl1 RAV NNI NfNAMLAI O <br /> IiI1FMAl14RFOV I4AS[M AOOItN1NAl RAN C1(Q <br /> AIJ _ OIMR <br /> ISM fM.Mulnl4nn nA�(Y1 <br /> tJ !IM[e1wa4Y RSICNAfnE <br /> T.q or CONST nAvf ArlmmnRr CITY OF EVERETT nfAlc Aawe <br /> Ih1 LOCAL SALES <br /> out /0 95 TAX CODE IS 3105 TOTAL <br />