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APPLICATA FOR CONSTRUAN PERMIT <br /> C,V OF EVERETT r BUILDING DIVISION <br /> 3200 CEDAR STREET a EVERETT,WA 98201 •14251257.8010 T <br /> ❑ DEMOLITION p'COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ WIN <br /> PROJECT ADDRESS: 4-o*5 40 Aw.} s E <br /> FtvlcnAJ Sftmap,A4A X411 I+V, r1F�sY1�404- ea F (4LAf)1a1-7Acs <br /> owlwA Yw•oon. nn n Hurt <br /> +fM•MI YM NKrti1 alr !>• Mux / <br /> Dit/e,J L.IAF6.f 1910 iN.A►Isad 4T�rBUAp7r u+A aJ0ao3 6A.0 try-di fl <br /> •KNIICI OII r(YpI11P YN Y]IIMFS Cln � Im nq{ <br /> F,.dfnd Ld,u.c 941 41 M *4% __ FYtJ1TA—.AIF oAstS <br /> orwnM Cm1w.IpN VM•RrrlS Cln !m nfY( [NIIICr"I <br /> A-I ff 4pRC6 <br /> we«•MC•Lrarlr•IIIF Yw•LIONS) an !,• 6,07f rY11LICfW. <br /> &0464 Pt. w rt JG- <br /> MIIIIeMCOrleKlal vAAW,n 1/1 an SI•NtIC[«MS <br /> cwm•ct MISt w+wKY — <br /> HEATING SYSTEM: &fAS ❑ELECTRIC ❑ <br /> Ofe�+!s WJIM•MI SpY•M t(IpIbr MV(IIV[0 COMKI MRld•.II MIW MJ <br /> I`BSIAy A'1. IS'iL GF <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAAII•.•.D THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CONAECT ALL <br /> imrouo ast+m MMtMAI PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WR L BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> +[n IMWA"ImM MKKlftn IYbIrM NtawCIA•n•&rfq conte NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO ONE <br /> Iol MOGI a Go - s t. s p AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CON57RLICTION OR THE <br /> PERFORMAI'CE OF CONSTRUCTION THAT I AM AUTHORIZED BY ORE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> IYKc[n•.ID YyMa CONTE ORS LAW 18 27 RCW AND M200 WAC <br /> R 11'�—oLSD� oil - A�ooR <br /> COYSIMK:IrMIIY«IrM1Fn NKeltex rtl m"% f <br /> Gt bAT.I FAr11 <br /> s / l4><• S'�f'3 stw+ln o•n <br /> �4f�NAllo'�,wA�Piv•y an [slr:l«4110 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR REM FEE NO. TYPE OF EQUIPMENT FEE <br /> Z WATER CLOSET ITOILETI AIC—AAMDLG UNITS <br /> BATHTUB / FORCED AIR SYSTEMS <br /> 2 LAVATORY(WASH BASIN) HEAT PUMP <br /> 1 SHOWER LIMIT HEATERS <br /> 1 KITCHEN SIM(A DISP CLOTHES DRYERS ,— <br /> DISHWASHER / RANGE HOW <br /> LAUNDRY TRAY WATER HEATER <br /> 7 CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE MOOD 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 /> EXHAUST FAN <br /> SUBTOTAL f SLOB TOTAL <br /> PERMIT f PERMIT II <br /> TOTAL FEE f TOTAL FEE E <br /> FOR OFFICE USE ONLY: <br /> 1 MIrI 2vVorI mm"IFKM ta[MIeKR n M r a -�� III gnll'I Np� .2o ' S " <br /> usl rorrto/� • r•cw+vt[ FEES VALUATION FEE <br /> �'� 1 G. ralnr« 'AlzzJ <br /> 14Kw1llwulgrr M IM•fuMO sw 01 MIKVII <br /> I SL-61-1 <br /> MI rF <br /> 75 -.---- <br /> 1�«Lr .0 n+InY\ M:nswllwn UMIi«1 / wt.lYxY - <br /> -I <br /> IM LEKM09 KI•rnr •ea1KM4 MWCHCr <br /> 01411 <br /> IFS NM00 ff.." <br /> F1.11 MMUM1 FIPKllAAM •-- <br /> ngn'rOrrl M•«s.rnYlrrne. CRY OF EVERETT nee x:rxF•e -- 4 <br /> LITCAL SALES -- <br /> o•+t $ S 9 TAX CODE IS]105 TOTAL <br />