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OCT-03-00 TOE 03:47 PM EVERETT PERMIT SERVICES FAX NO. 425 257 8857 <br />APPLICATION fVR CONSTRUCTION <br />CITY OF EVERETT • BUILDING DIVISION <br />02000EDAR STREET[ EVERM.WAB8201.2578810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAI <br />A`V.ym R1a[➢6IAn KNIt[oRt{ dry H �� <br />♦P. 02 <br />PERMIT <br />OL <br />n DI IIYRIun .. ...�.. <br />0n45 <br />~WRGCONInN:11T YNN�Y mF � hV( [Ni[LfAMMI <br />�1 7 in tn TnI <br />No n <br />HEATINGSYSTEM: OGAS OELECTRIC I7 <br />RII[I rnodc[ .o � <br />�! +a"ilo'°�"`eYl <br />��[�MnIAIORIpeAa <br />s-n u ace rf <br />It- t 5 m u)aA K- -lank. <br />^--- <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />r"woommilnRNAre <br />�F <br />S F <br />MYLICATION AND "W THE RECT ALL <br />TO BE TRUE AND <br />PROVL%MS OF LAWS AND ORD MNUNCFS <br />" <br />GOVERNING TE HIS TYPE OF <br />[ aMG1I1p1 W TON)In IRIRVAM1awq ATMW INOmrKA1 <br />WON( WILL BE COMPLIED WITH WIETHER SPECIruG HEREIN OR <br />NOT. THE ORANTINO OF A PERMIT GOES NOT PRE OLIME TO ONE <br />LOT Rao d <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION <br />OF ANY <br />OTHER BTATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION THAT I AM AUTHORIZED BY THE <br />OWNER Of THIS NgPEflTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1B3F RLIYAND FFO 200 WAC. <br />KV4L W Ia MAN[l1 <br />,��� ��- io-9-f.L <br />[A{TI{ICIgNLAW Hb11r IR'lit{,DiPIgI(ItA�[p <br />onnlRKnL"ww <br />PLUMBING <br />N0. <br />- TYPE OP TDITIIRE OR IIEY <br />FEETYPE <br />OF EWIPIIFNT <br />FEE <br />�—I <br />WATERCLOSET SET <br />AfAAG UNTO <br />TUS <br />Nq BYB1EM9 <br />ORY ASII BASIN) <br />IMPEflATERSEN <br />Wl— <br />SINK ► DISPB <br />DRYERSA6/1ER <br />OObRY <br />TRAY <br />EATER <br />8 WASHER <br />TOVE <br />URINAL <br />NEPLACB BUNANO) <br />NO FOUNTAIN <br />FSERT 9URNNG) <br />GRAN <br />GAS FNIERACE <br />BACKFLOW PREVEYN�TnERS <br />� flM10E <br />SINK ERVICE--r_y ETC. <br />EXHAUST FAN <br />.._ BULB TOTAL I <br />SUO TOTAL 1 <br />PERM( E <br />PERMIT / <br />TOTALFEE 1 <br />TOTAL FEE i <br />FOR OFFICE USE ONLY: a0 <br />IaOMI RIM[w NMtF14Y1 t4 {LIat4 1UNORAMY[II M <br />IKS[ KO <br />w{AIM <br />10T N<A w[AKl{m <br />FEES YALU TO" <br />FEE <br />_ <br />KCIn LdnATK1n <br />�� n[nl[a LNE orNdrTL <br />rtu�wl <br />0�4C. Iodtmlo <br />modrwrLao <br />MlttatrT <br />—' <br />Kmw.nL <br />ORE D HID <br />rMl 4MwLrA KOP <br />II[Atan <br />[npIDN1LRYIpQII <br />nl{orFwar. —' <br />STAN u Prro ILmMlla[ <br />nNN{AN1MI[eo{. <br />CITYOFEVERETT <br />rIKLcK <br />- <br />LOCALBALTB <br />TRIAL <br />an <br />TAX CODE 19 alas <br />