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APPLICATA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT P BUILDING DIVISION <br />32DO CEDAR STREET R EVERETT. WA 98201 P (425) 257-8610 <br />DEK!OLITION )d COMBINATION ❑ BUILDING 19 MECHANICAL X PLUMBING SIGN <br />PROJECT ADDRESS:_ I918 mi tN it -a --- <br />On••rn 111 • YN_._f_..N-. iprytL eb >! b1c_iSR-'/Qn4 <br />\ICMnL1 pP DFLdnR YN •dRft <br />NYM cMq �Kf Ml. <br />ql. M rtrJK SIMr IKfAM\ <br />HEATING SYSTEM: ❑ GAS ❑ELECTRIC <br />r.,e. •Pn tru•Pr foolwr K.a.rn .� I I 1 _ cwl\c n �wP. \xnnRM w w :1.. I.--- 'ISA —117 T <br />neplacc 1vvE <br />_ <br />61 fT LJD IJ d.� <br />---- <br />THIS <br />/� / <br />l <br />1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED <br />TRUE AND CORRECT ALL <br />hAS 4L, QQ <br />ck <br />APPLICATION AND KNOW THE SAME 10 BE <br />IOu <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />Pwofro uY d RnldMl <br />WORK I L BE COMPLIED METHER ECIFIED HEREIN IV <br />-- _� <br />- <br />NOT T EGRANTING OF A PERMITCS DONOT PRESUME TO GIVE <br />ANY <br />Pry IYRMM PEIOKMAnKNIROCQKII <br />IF64IXXMPIgnd <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF <br />lol — am- or <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 STATF. <br />CONTRACTORS I/M•: IA,2T RCW AND 295200 WAC <br />L 3_OI <br />III <br />MRCrI I•t1P MM//Rtt OB O <br />CONSIRIA:IIfIM1nW HMYn KKPKlf mFAlOnfMMin <br />IT <br />cmM11Ma "All <br />pry ]IIRMt]IKIMK n0--,.O2g5B/� <br />PLUM&No <br />iEE <br />MECHANICAL <br />NO. IYR OFFOUIPATENt <br />FEE <br />Np, <br />TYPER%IET) OR ITEM <br />( <br />ET <br />WATER CLOSET (TOILET) <br />. <br />AIC-AMNDLO UNITS <br />FORCED AIR SYSTEMS <br />BATHTUB <br />EAT PUNT <br />LAVATDRY (WASH BASIN) <br />' <br />SHOWER <br />UNIT EATERS <br />CLOTHES DRYERS <br />KITCHEN SINK E DISP <br />DISHWASHER <br />RANGE H000 <br />WATER NEATER <br />LAUNDRY TRAY <br />WOOD STOVE <br />CLOTHES WASHER <br />METAL FIREPLACE IWOOD BURNING) <br />URINAL <br />FIREPLACE INSERT RVODD BURNKMiI <br />DRINKV G FOUNTAIN <br />OAS FIREPLACE <br />FLOOR DRAIN <br />GAS RANGE <br />BACKFLOW PREVENTERS <br />6AS PIPING <br />SINK (SERVICE - BAR. ETC) <br />EXHAUSTFAN <br />SUBTOTAL E <br />—i <br />-------------- <br />SUB TOTAL S <br />PERMIT S <br />OERMIT f <br />hAEEE <br />TOTAL FEE S <br />TOTAL FEE Ill <br />FOR OFFICE USE ONLY: <br />drrrl no <br />_ <br />fPdI1 V.P•rf <br />Y•P trIPKR SM ]r ILKR <br />n C.�;� n rrr <br />FEES VALUAiN1_N <br />_ <br />n4 /O'.f <br />1 OI tq • YK•n1SIR <br />___ <br />p fC{ p <br />--- <br />M nP.II VII•�IUt <br />M)d PM11M0 RBd ROM• <br />IMIR <br />�----.- <br />NIM\M\I __ <br />-.. ., <br />q:(�INY.. V'�. R��MI> <br />UI'111MM11IW1 <br />P•V M41 <br />flll(KI1' <br />prt] pYl <br />_ <br />— <br />rRYTPNfPM09 <br />U\II A�nIMAIARf.MP(Y <br />n*. w'.•, __ <br />�i__ <br />_. - <br />Tqt µAny R1OD <br />Kr\\P'• <br />-__ <br />rtYRV AI <br />n•rt urmMDn. <br />CITY OF EVERETT <br />IOCAL9ALE8----- <br />_. <br />TAX CODE IS 3105 <br />iOGI .___ _- <br />