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APPLICATIA FOR CONSTRUCI%N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 90201 •257.8810 <br /> DEMOLITION COMBINATION / n BUILDING MECHANICAL PLUMBING SIGN <br /> PROJECT ADDRESS gt,15- 60 r!/ Si S f <br /> O A Yµ.CpR91 E,M1 .0 AMJNf <br /> /rVAJ1/7/J tgw j - <br /> IENYR YAL ADMBS CPl !P R101P <br /> K1C,Amcl RCf6W1ER YILBRVKBB OTT IP RIP4 _ <br /> pF1ERKCOMiMCig1 uAkAWRE61 CIIT !R Rg14 BiBR IICEME• <br /> MCHYKK CCNIRA'WV <br /> �'DiKe,v L u24o" CAPAY STAR <br /> 01=005E.L6Eu• <br /> RtmeH]CONiRlCyp <br /> f�>•tt.7+-�L <br /> uAFAMRE66 [DY !P RLtl4 B1AIF lY.[N1F• <br /> COMRICT FPCE 0 WpBt <br /> }�O p MEATINO SYSTEM: ❑OAS ❑ELECTRIC <br /> MICWBE YIDFIA AAD EOi FwTAOE eNRvfO Cp1rACT RR1W YID RID1A M <br /> E OP ' <br /> S _ <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> maRONo usE a eLaola S PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> IE040EI rl"IF RICVERTY ISI BELOW M A11ICH 5Z CG 61 NOT THE GRANTING OF A. RMIT DOES NOT PRESUME TO GIVE <br /> LOT KOLL or 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 /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> wcu w to MA![R CONTRACTORS LAW 18/77 RCW AND 785700 WAC. <br /> OONBTINCTgNIOAII IENDER.AM1R B1 iFlF1YOE MAY[R S <br /> CITY BUIRf6E lC[NSL ND <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) AIC—AMNOLG UNITS <br /> BATHTUB FORCED AIR SYSTEMS ! <br /> LAVATORY(WASH BASINI HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISP CLOTHES DRYERS <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT(WOOD BURNING) <br /> FLOOR DRAIN GAS FIREPLACE <br /> BACKFLOW PREVENTERS ! OAS RANGE <br /> SINK(SERVICE—BAR,ETC) ! GAS PIPING <br /> EXHAUSTFAN <br /> m <br /> SUBTOTAL S SUBTOTAL 7 <br /> PERMIT 7 ! PERMIT f <br /> TOTAL FEE 5 TOTALFEE IT <br /> FOR OFFICE USE ONLY: <br /> FIKWT5ETeACL REAP IEIBACA WKet1eKR MR�1 70 ^ // FEE WCEPT UO <br /> OYEOrS LOUPtA vACAN1 YR FEES V/lK/CJy VALUATION FEE _ <br /> 17 FEE n <br /> KXFHrtMPATCM ra otTAt"MO musAmil <br /> w11 RIlL1eBU <br /> ODCC nA1CY MOPCPl6 l%CU'W1lOAD MMEANT 1RCIYYCK <br /> nRe Ilw <br /> iPE VPBA4FR P[OD REA6d1 AOpIXINK RAN OIEG <br /> (TITTER <br /> FPEAIAIAATPEOD R[AEON <br /> STAR SUAOWA]SW AFKE <br /> ITPEawH1T R.s r v6D8' CITY OF EVERETT RXLc rrpa] <br /> /� LOCALEALEB <br /> oAif - L � •• TA%GOOF 18 7103 TOTAL <br />