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APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />0200 CEDAR STREET • EVERETT, WA 98201 • 259-8010 44rrr <br />DEMOLITION COMBINATION BUILDING MECHANICAL 1' PLUMBING SIGN <br />PROJECT ADDRESS <br />o?s'oS (,an05(— sr <br />"w'YTI LLul ulddltxs ,.,. ,in. .I <br />WA-9b'1g�--a_9_o 1p�fi'o <br />lT hMMN <br />.RLIIIECIRp puWim U.4 Ny %% an m A4,1 <br />oft yYMN tS all IVY "PW FMT IXTMFF -- <br />nm4IW(I IRK,1d1 MM APANESS dM1 ^V "K,41F ETNE lUMA <br />AIL PI.Eimil i..% <ntm )4n7N OLAL= IYIALJtU,I_lc 'iBJ 11 &} IGCi Abc— dlJd.ja CUAl <br />roNIMC1IMA. p Wdr[ <br />_ <br />F <br />HEATING SYSTEM: I I GAS I] ELECTRIC ( I <br />p\CIMI[ Nd111 NO {RU.Rt IOptbE NVOIYFR <br />C PV1W.T RRNN AM, FIRM{ W <br />1 HEREBY CERTIF I THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KtOW 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 DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />O'HER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />P:RF MANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY TIIE <br />OWN OF THIS PROPE TO PERFORM THE WORK FOR WHICH <br />APPL TION MA AND I COMPLY WITH THE STATE <br />CTO L W RCW AND 296.200 WAG. <br />X IIIIA <br />14 �� 7 <br />rmooxnlnF p MRMMI <br />Hou pSERRIgNp mpfranlwnwll MlowlXlAnAcx lKocoRFR <br />lot Mill a <br />ANCflmto MNNR <br />LOAtR11CTpN IONIItMYR AIIMrVM RIFAKXI[MAAiR <br />SXVIAIYM wt <br />do M)MMTAf IA:FN9[ Np <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OR EQUIPMENT FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />r <br />AIC—MHNOLO UNITS —H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />LAVATORY (WASH BASIN)HEAT <br />PUMP <br />SHOWER <br />U <br />UNIT HEATERS —Bi. M <br />KITCHEN SINK f DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />VENTILATION FAN <br />LAUNDRY TRAY <br />RANGE HOOD <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />WOOD STOVE <br />DRINKING FOUNTAIN <br />METAL FIREPLACE (WOOD BURNING <br />FLOOR DRAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />I <br />BACKFLOW PREVENTERS <br />OAS FIREPLACE <br />SINK (SERVICE — BAR. ETC) <br />OAS RANGE <br />OAS PIPING <br />EXHAUST FAN <br />r <br />I <br />SUB TOTAL f <br />SUB TOTAL f <br />PERMIT f <br />PERMIT f <br />_ <br />_ <br />TOTAL FEE f <br />TOTAL FEE 3 <br />FOR OFFICE USE ONLY: <br />r1m, xISMX <br />wmvt Y.X <br />mEftMILS <br />nMl Cll[LT MII1Mn <br />Iff <br />Rf.FA1 Nn <br />m MVf <br />IOTAMA <br />MAN, Mlt <br />IIYFf I'. M <br />FEES <br />VALUATION <br />FEE <br />MRIYKI <br />I9MI tUlAtd <br />MpIwY111Mn <br />MIEp ARNI <br />MIA~ <br />Od.11MM:T IIIM1-- <br />MIf1111 <br />IIA UARNAOP� <br />dY111Y1Nllwn <br />SIV NNT <br />NO <br />MICNANY.LL <br />/.(•(/�— <br />ARFIMY1M AWlMIX <br />- <br />RAMIN <br />IMR <br />VAN VYYMHnm <br />VIVA" <br />l IAI[ MRdM151NY:NAAN <br />IV"m[p1AI <br />nAn ummTnfl <br />wlF <br />CRY OF EVERETT <br />LOCALSALES <br />TAX CODE IS G105 <br />mxrr. WRTMA <br />- -- <br />TOTAL <br />--� <br />