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APPUcATA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT B BUILDING DIVISION <br />3200 CEDAR STREET F EVERETT, WA 96201 A 257-8810 <br />DEMOLITION COMBINATION )(BUILOING I MECHANICAL PLUMBING SIGN <br />PROJECT ADDRESS <br />41LNI1[Ci OR a8914R Y AtK)E[6E CRI ti fWAX <br />MOP. C.-30-01 <br />RIAIMP fAMNAOIOR WAAOI}IE66 CIIF tP Ala< STATE LICENSE <br />fAMMCr MCF a YFOIBI <br />HEATING SYSTEM: 10 <br />axwlKWSpTwFAluUOeoufAIREDr <br />n.OE A`WX4D <br />dF & <br />del <br />q! <br />RRaArolNaxd <br />ANr.Ct <br />O <br />Air- <br />in <br />I HEREBY CERTIFY THAT 1 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 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 />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 />CONTRACTORS LM 18PZRCWAND 206200 WAC. <br />K Its I Oo <br />mroFwa ur m BUKDINKI <br />(Eau It scRPlroNa FR P" JSPq El BELOWDR Art.cN TYIO CaEP <br />lo. PI><K a <br />PMCEIIa to NArtlER <br />fANE1RUL1✓]N IO.W LEMI� SS THIMA304 MABIER <br />glik WTF <br />G vWM[E6 LIC[NSE NO <br />PLUMBING <br />I MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AT — ANNDLG UNITS <br />BATHTUB <br />I <br />FORCED AIR SYSTEMS <br />! <br />LAVATORY (WASH BASIN( <br />_ <br />HEAT PUMP <br />SHOLVER <br />UNIT HEA-ERS <br />KITCHEN SINK I. DISP <br />CLOTHES )RYERS <br />DISHWASHER <br />RANGE r:AOD <br />LAUNDRY TRAY <br />I <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING( <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />! <br />GAS RANGE <br />SINK ISERVICE — BAG. ETC.I <br />I <br />GAS PIPING <br />I <br />EXHAUSTFAN <br />I <br />I <br />SUB TOTAL f <br />SUBTOTAL S <br />PERMIT { <br />I <br />PERMIT $ <br />TnTAI. FEE f <br />TOTALFEE II <br />FOR OFFICE USE ONLY: <br />FRDNI MrB.CK <br />A[AF EE flex. <br />5. <br />E ETSACK <br />s <br />000 -DU E/99.Z/ <br />E.Zo '9Z <br />"'E Fax p- .T <br />Loll <br />v.cAnIsm <br />yfs <br />FEES <br />VALUAININ <br />FEE <br />NEIGH( MIA' III, <br />S <br />Ala DNTIIM <br />E1EE a Y00T1 <br />RIIWIO <br />=ANcv Wc,swas <br />( <br />OCCIIDANI ltA <br />6'%HENT / <br />❑¢B R/q <br />WOUNILAI <br />.LOIIE]1Yl PlNIMCN <br />FPE 4'R ER REOD <br />REASON <br />O11KR <br />10PE4INURE01) <br />PEAEDrr <br />STATE IAlaaq EIPLT1AllDE <br />TW aCCWT <br />- /Y <br />R.NB.R Vvldjj <br />R.,' / <br />CITY OF EVERETT <br />E9 <br />TAX COOS IS 0103 <br />nMlcwawe <br />I TOTAL <br />