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APPLICATICA FOR CONSTRUCAN PERMIT <br /> CITY OF EVERETT A BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT.WA 98201 A 257-8810 <br /> DEMOLITION COMBINATION ❑ BUILDING X MECHANICAL PLUM13ING SIGN <br /> PROJECT ADDRESS <br /> YwNrR /� v.uarass ((J I.,, <br /> rr• r. „R <br /> rVAIS7VN .�IKO.V•/ IL LC- <br /> 1fN.W1 Y.LLtpgaE{ EiIY !P IY[Mt <br /> W IECTORMS.INER u"ADDAAS CI71 1, p1AyE ` <br /> li[14R4CdIrRtCiLN YNAODftSS CIT, 1E' Ag1E iRR ICYY• <br /> YECNANL4 CI]N1R1CrCR YAt 1OOR[55 CNv IPAt}( STATE ESENSE• <br /> �A.6dA./ ,OLiMb ay.�si'�/1 W7Y 'QAX �Gf Ak'A/NO�LV �d^1?3 JLOYOJ'7 V6T. r2L'1�L'NLD�L7LlL <br /> I'IUlIM11O CON1MCip1 YAIAOpa6S GIY to PN01E STAR IKENSfA <br /> [aI1RACr MCf Or WORS <br /> T-Z/Qp HEATING SYSTEM: ❑OAS n ELECTRIC f] <br /> ttxawE vlaw Ara SW AM roo*ADE PnovtD corrtAcr MRSMAp Wolf ra <br /> /NfAst F1QE (y <br /> /AV Ak,Y S PYL <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PRVD¢°°¢w suara PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> lEO4 CEBCPO1gN OE P1aP[R111SIgNN SfION dlAl1ACN INO CCOESI NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ml MOCI( a 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 STA*C <br /> PAMEl TAX m IAAAMR CONTRACTORS LAW 18 27 PCW AND 296200 WRAC. <br /> CCNSiRICrgNldNl[IafR,ACpIF{S.iEIEPTU14 MI11SFP X ,L l?�� all/Gjf= <br /> SaMAmM MRS--- <br /> CITY SYLIESS MEN"Ia <br /> PLUMBING I MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) AIC—ANLNDLG UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY!WASH BASIN) I HEAT PUMP <br /> SHOWER Ur11T HEATERS <br /> KITCHEN SINK A DISP i CLOTHES DRYERS i <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL I METAL FIREPLACE SNOOD BURNING) _ <br /> DRINKING FOUNTAIN FIREPLACE INSERT(WOOD BURNING) <br /> FLOOR DRAIN GAS FIREPLACE <br /> BACKFLOW PREVENTERS GAS RANGE <br /> SINK(SERVICE—BAR.ETC.) GAS PIPING <br /> EXHAUSTFAN <br /> i <br /> _ I A <br /> SUBTOTAL f SUBTOTAL f <br /> PERMIT f i PERMR f <br /> TOTAL FEE f TOTALFEE f <br /> FOR OFFICE USE ONLY: Kooga _ <br /> I",LEIWA MARSIIRACN SETS MI4CS PIµGSCRNWSER EEL RECEPTM <br /> USE 10W mr AMAVAL.WISNE FEES VALUATION FEE <br /> :1115 D Ia "ONTO <br /> 11MIM1MRAld No or°RLum wRaw°°1I <br /> IAPre nuAe.a <br /> OCQ/PANCY I AD P SiMf CCCWANI LOM SASEYENI 11LCWNKH <br /> 0115 ❑xo <br /> AM SPRATAIER PROD MASON ADEMIONALREAKCNICK <br /> OTNEP <br /> FFEAIARATMOD MASON <br /> SRR SUACPIO{IMCNYAOE <br /> TYPE ClcOA151 RmSAPPRDYf°51 CITY OF EVERETT nlsLE w°RKS <br /> LOCAL SALES <br /> DATE TA K CODE 19 9103 TOTAL <br />