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APPLICATIA FOR CONSTRUCAN PERMIT <br /> CITY OF STREET <br /> -E •BUILDING 8201-2 <br /> �� 3200 CEDAR STREET•EVERETT,WA 98201.259-0810 <br /> ❑ DEMOLITION I/COMSINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRESS: 4= -7- L e% s d-, %I- <br /> YHJs Tir Al BPowA/, LL-c 2LI'F rHCSF..rE Ar.-•r.s s.F•a F� w7 9FZ7, (415)10-1192 <br /> 01MIFA runrmlFM OM1 In MO( <br /> IrwKr ur.Am�aa on n more <br /> DFsrC-+J LrJES 14rS YaA OrAe..l [T 6r G2� WA 26 sea c4zs-) ffi -ocsI <br /> MMRC1 n10Ef�IRA uM ADM[ba pM1 l.' hW <br /> F"..,JSRrJ 6rh w.1,Ls-G tFrsE AS o .r.IGL <br /> or.KKN wIm.n - F>rs7t # Esc f! <br /> Orr M MOxr <br /> Ar RE loPcE ArnrIXxKM• <br /> 40rAwfY tINIP.LrOR YNI A ss OM1 10' 'IVIF a,ATF law. <br /> P"m R[J(r <br /> wourw coNmN;,w YM AooKtaa an n nASA nA,Er[FAu• <br /> mKIKAc,r1aOL O[YAl•I <br /> HEATINO SYSTEM: 911MAS ❑ELECTRIC ❑ <br /> os•o••[r[oIM Arp sown[roorAo[M.aY[o rdrAcr nA[an AM nw rro <br /> Rfcr►E.1 T*l IS6,L4sF <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> •Knoarow[v auowo APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> MGL R•W1 wMKIM rY Rr10MIR 1MGAA"ACjr(XX AN WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> �S NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> rm aau a GO SF. SP AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> //ry OTHER STATE OR LOCAL LAW REGMATING CONSTRUCTION OR THE <br /> r '7 O 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 /> 1•AL8[MIO NASEK CONTRACT94 LAW 1A 21 RCW AND 2M 200 WAC <br /> 47/7 - <br /> 7/7 - D3/ -4646 / <br /> GM1 tM1 F— MwFa It w.sK X ,e.�. C ..{�I ,. 7 3_, s7 <br /> q l nR <br /> lr`) 'K i� aax..lAr[ <br /> w,N,D W4 11,!(, bM1FIAII[M RYNFLso <br /> PLUMBING s1ECHANICAL <br /> NO. TYPE OF nrnM[OR ITEM FEE NO. TYM OF EOUIPMMT FEE <br /> WATER CLOSET(TOILI.T) AA—AIHNDLG UNITS <br /> ( SATHTLIB ' FONCEDAIRSYSTEMS <br /> LAVATORY(WASHBASIN) r HEATPUMP <br /> I 61gWERLMIT HEATERS <br /> KITCHEN SINK f DISP CLOTHES DRYERS <br /> I_ DISHWASHER RANBE HOOD <br /> _ <br /> LAUNDRY TRAY I WATER'HEATER <br /> r CLOT)/ES WASHER WOODSTOVE <br /> URINAL METAL FIREPLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT(WOOD BURNING) <br /> FLOOR DRAIN OAS FIIEPLACE <br /> BACKFLOW PREVENTERS aS PANOE <br /> SINK(SERVICE—BAR.ETC) OAB Plpyp <br /> EXHAUST FAN <br /> r <br /> i <br /> SIB TOL` f SUS TOTAL f <br /> PERMIT 61 PERMIT f <br /> TOTAL FEE f TOTAL FEE 8 <br /> FOR OFFICE USE ONLY: �( <br /> FIAOMIFI•ALA rMMTY� a[•u,4tar • n�— MKi,MO <br /> Q � .0 <br /> YM 1m AwA YKM,a9F FEES VALUATION E <br /> -.Z 33/ M,Fa OKo BM1rA, <br /> r[lplwN,ld mayOrr[uFa YtIp RCMr zzJ <br /> '011 �, 7- I nlArMn <br /> q�'UANCr Ion[Inys acQwrH[on • rw, J/ ��wy <br /> FfL�s UI Z rnr[ b'Mi <br /> m r',Ilpy IIAap1 A•d1UKr1 RANMC• <br /> M OD A[A[d Orrs• <br /> Mu[auoKK1 awcwrKl <br /> rrs[omK<I HANE ArYrrpYlPn CRY OF EVERETT nIBK:MMaa <br /> LOCAL SALES <br /> wR 5/fly TAX CODE 18 3105 TOTAL <br />