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PROJECT ADDRESS: <br />Sus i—R-1c__s� <br />nrrwe <br />APPLICATION FOR CONSTRUC IT ON PERMIT <br />CITY OF EVERETT • BUILDING DIV(SK1N <br />3200 CEDAR STREET • EVERETT, WA 98201 • (425) 257-8810 `n <br />DEMOLITION COMBINATION ❑ BUILDING ❑ MECHANICAL 0 PLUMBING [) SIGN <br />Id <br />�\IAAAYlOV ss Gn 1" nlpyr <br />{MNnCI wrl TKVlp VM NMIA S{ DIV )y. IyRM <br />TusT Rift. cons♦rywo- 4.o. PpK 7043 6vue;f 9EIo3 y��83174 SusrQci4n,�gG <br />awnu dIDAGiw Mq ld%1{S GI{ )P AVM SISII IKfMYI <br />IMwA.At4 CdIKACIW V.CAr91VTT nn !/ M1VM {IMI ICTIN. <br />F�MMCdIPKid Mn AHIMT3 Orr )ro -- M./ TIM. I KTNQA <br />cwr I n.d ur rYKM <br />i C 1 <br />HEATING SYSTEM: 0AS ❑ ELE)CTTRIC ❑ <br />Af[MF1Y.fIM AY\SOUVVI SODIUr NV01HIID <br />CwIKI + I'MM VO V[ pa Jl /1 <br />I CC :9 MCC <br />IM d e1ADnr1 <br />LOT <br />uoN Pr M.Ilwd Km{rlDawNlaMw m.d lwoLrohl s' <br />III- kW. d <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WIIL 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 />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORW AND 7%YDD WAC <br />p <br />A• �' I • 9S <br />!YIN/\W pHl <br />rKllc .62v MIAMIM <br />/ ovQ C»o <br />CdMTRIKIKNIDAK IrVMM AN"Is Rlr%dE MIA111 o <br />GL FUV.[SS ICI MI V(1 <br />PLUMBING <br />I MECHANICAL _-.____. <br />NO. <br />I TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />I TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOIL" <br />BATHTUB <br />FORCEDAIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNI• HEALERS <br />KITCHEN SIMf E DSP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE H000 <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT MOOD BURNING( <br />FLOOR DRAIN <br />(MFIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC) <br />GAS PIPING <br />EKMAUST FAN <br />SUB TOTAL S <br />SUB TOTµ f <br />PERMIT f <br />PERMIT f <br />TOTAL FEE 3 <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />r%Ml vl. V <br />wNl ¢t 0 <br />ej <br />4oL Mruc. <br />n4l nac+MrwK <br />Nr <br />wnlnr MD <br />_ R �• <br />Io�l /ule <br />/f O <br />WC1VI41F <br />OnT D NI <br />FEES <br />VALUATION <br />FEE <br />MM616 <br />_ <br />T <br />VFId1I1Md\Kn <br />VO d PMIIMOj/I2 (MIS <br />{l.` <br />r <br />h�rlM.n <br />WI:MAM'N <br />L-1 : <br />OC IIVK. V�naA�Ml. <br />1 <br />d'fVYlII 1 MAP <br />eT {I <br />5 �, <br />rq hN[K%99 <br />dTV% <br />_' <br />TPPI[%4 n WCMP <br />I <br />PIWM <br />IP[NYN NI4P <br />W.a•n <br />1.IA11 MnPMMK 14MGN <br />�— <br />4 <br />I.p drd.{r <br />'� <br />n.Ys.mvnrne• <br />DAn as 9 <br />CRYOFEVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />-- — <br />TOTAL <br />-- <br />