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APPLICATIA FOR CONSTRUCI%N PERMIT <br />CITY OF EVERETT A BUILDING DIVISION <br />32DO CEDAR STREET A EVERETT, WA 98201 A 257-8810 <br />DEMOLITION I-! COMBINATION n BUILDING I I MECHANICAL n PLUMBING SIGN <br />PROJECT ADDRESS. <br />Io-ly - 7N Pl. �•�. <br />TVNER Y4N%MY69 CI[T )x qp( <br />I.f�;y—�tY1' L% ��d✓y^ %��' Pl. J.�r hltiPl/ <br />L. Y4/DOn[BI CrtY IP 'wowAPLPot[Ci OP D[69MEP WIApdR9[ CrtT M AqN[ <br />116 <br />PlW9MUCMtP•Ltpl Y•4 •pIRES! OTT li RUf4 6111E L"ITSEA <br />Rl�h PIuA kal 1 1A <br />UNTR•CT PTTC[ M wave <br />35�a [Vi �HEATINO SYSTEM: (-1OAB 1'4ELECTRIC f1 <br />DFS[PME WGMI NID [gll•P[IOOTb[ENIXVFD�/ <br />qp �/'PISti AM -NX�7 <br />c i•Cr ryn9pN.VOI'rgt[W <br />.. ✓✓�.S?� ,-&ge; l%7_33 <br />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 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 I 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/(LAW 10 27 RCW AND 296.200 WAD. <br />�� /I(G6I�fE. ���� <br />M1O°OxO °f M <br />lfOAl OEBCRV10MOf PIgRR1Y 1l1VA1f E[lOW OR AiI•CH T[fO Ca'EEI <br />LOT SAM a <br />PMICEL YJ 10 TAAM[R <br />E'Dfl{fgK[IDYIWMIEN%R. Appi[E 1FlE1YCI4 MIMlEA <br />Cliv WSH{S l4EN9F M <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET( <br />A/C —AMNOLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />! <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />1JW <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />1 <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 />OAS FIREPLACE <br />SACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC I <br />GAS PIPING <br />_ <br />EXHAUSTFAN <br />SUBTOTAL f <br />BUS TOTAL f <br />PERMIT f <br />PERMIT s <br />_ <br />TOTAL FEE f <br />TOTALFEE f <br />FOR OFFICE USE ONLY: (7 0-;L I <br />fn/vf15[1nH• <br />PE•R{lw! <br />EIDEEETIKR <br />KAR CKC R <br />I <br />R[Cfv1 ND <br />osr, sx <br />l°TAPFA <br />vKAR1 LATE <br />n[n Elm <br />FEES <br />VALUATION <br />FEE <br />wmowu <br />nEgNllNit•TAYI <br />MOF OwFLLM <br />rs <br />EYF DF R00TI <br />1114,11M <br />OCCIM•11C1 1gU{ip1[{ <br />MDII <br />OCCUP•IfT IO•D <br />MEEww <br />nns am <br />Y[CPA1ACAl <br />ACYMIgN•l FlNlCwftR <br />iREEMEw[ER 11f00 <br />WASDN <br />01 11 <br />fPf ALAPY PEOD <br />R[AyW <br />ELATE MAICEq BU4WtlF <br />Tm(x CONST <br />0.ANE AFp4VE0[/ <br />DATE <br />CITY OFEVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />T%xAc waves <br />TOTAL <br />