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APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT -BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT. K'A 90201 • 257 8010 <br />DEMOLITION X COMBINATION BUILDING MECHANICAL PLUMBING - SIGN <br />PROJECT ADDRESS p.1, 6 2No ST SE Gjfac r WA- 9e203 <br />BRsor A. Wfill? 1701 62"6srsF. EVER r 18203 YAS-7S4-3z63 <br />TE"T WI AOp1EEE CITY !P Mp( <br />N/A - <br />A ftcf Mmsg R W4 AYpIESS CITY 1P hUIE <br />Dclsw" LINE5 1915- MRDIsv, EWaoLlt g92o3 42s 3S3-oS81 <br />OEWIAICCNIR•CTCN YA4A ss (IIT !P "ql( SIATFI"I'M <br />WE(E COST. IMc [5MAn AS wEIRLl*oos.TJ* <br />PLWSMUCMIRACICR MARACME55 CITY IP RIpE EIAM LCIEWA <br />p1NIPALt MCE Of m"I <br />110 5 000 <br />pp,,,, <br />HEATING SYSTEM: ❑OAS I 1 ELECTRIC �(�FLpPANE <br />rx5cnrof lM)RII ANo SWM(roorAnE elvwsto <br />N6w CONSr 2yoo 5. <br />rolllAcl IYRaw Aw RIDM1E Iq <br />seemr w61e t(zS 754.32.63 <br />A i —PLAAl 44 2-120 <br />_ <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KIIOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT ODES NOT PRESUME TO ONE <br />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 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW IB 27 RCW AND 2% 200 WAC. <br />2 1 V94 6//g/0I <br />�/'1 ''TW <br />ImostY u5E a eVAorW <br />LEGAL RF PIKYI(WP RTY I51U1M1 E110Y10P Af1•LN 1WO fAPKAI <br />LOI If etaX p -000 1 <br />_ <br />jLF/ 1 <br />�p�77T <br />V f"� IpML NO M u <br />;WK_Cf uA PN E. <br />5z71-oco-oll -0006 1 oT Z <br />Cp15;ZlXNIY"1ltMEP AMG114S. altR MIM[P <br />LCIL K -SI - 6 O <br />eXIRIM1uM art <br />WrAll powd- WEIR <br />CITE eVLESSlCI M5E lA1 <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />No. <br />TYPE IF EQUIPMENT <br />FEE <br />WATER CLOSET ITOILF.T) <br />NC—AHNDLG UNITS <br />BATHTUB <br />! <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASINI <br />! <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KPCHEN SINK A DISA' <br />j <br />CLOTHES DRYERS <br />i <br />DISHWASHER <br />RANGE HOOD <br />I <br />LAUNDRY TRAY <br />! <br />WATER HEATER <br />I <br />CLOTHES WASHER <br />I <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOW BURNING) <br />_ <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />i <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />I <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC I <br />_ <br />I <br />GAS PIPING <br />I <br />EXHAUSTFAN <br />• <br />I <br />I <br />� <br />I <br />I <br />i <br />SUB TOTAL S <br />sue TOTAL f <br />PERMIT S <br />PERM(' S <br />TOTAL FEE S <br />TOTALFEE S <br />FOR OFFICE USE ONLY: Ob 7 /0 (/- d9w3 <br />I MINT SI IPW:n / <br />S4-5 <br />n[•PErle4:n / <br />SOF 6[I'•CT / <br />OMIAIFI n-O�© <br />FEE <br />mcfvT J <br />usl rlvA <br />R.�� <br />LYI w• <br />V¢"Tsn <br />nns nTq <br />FEES <br />VALUATICA <br />FEE <br />lit 3-46 <br />_ <br />RrMSnIIWnW � <br />MIpgHLLM <br />IMTE <br />eYEp elMOl <br />2351 oo $ <br />ftkw'R <br />�— <br />CL°W,ET <br />IgpFIpMF <br />CCCIIMNI EO•R !•XYERI � <br />YLCMWL4 <br />•Pp1pN4 RM1UICi <br />2eL <br />'E—Rf"(PnnPlEn nl'JU <br />nE•5CH <br />OMER <br />IPEAL•MInEOR <br />MA" <br />slxn MOM EUEHW W <br />"Kmco sl <br />RfANs•waorrne <br />P•T[ Z O <br />CITYOFEVERETT <br />LOCAL SALES <br />TAX CODE IS 710E <br />Puuc MulMe <br />TOTAL <br />LJ <br />