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APPLICATIA FOR CON•STRUCAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />9200 CEDAR STREET • EVERETT, WA 98201 • 259 8810 <br />DEMOLITION ( I COMBINATION ;Q BUILDING I I MECHANICAL PLUMBING SIGN <br />PROJECT ADDRESS <br />�s51.E <br />pM11� VN 411M1f89 OIC !M Mlpl(, <br />NQAIA jr"j~*jF§L lely Ila AtA.7 6j9FE eam IA1S gb3 • WA <br />AM IfCTp p9l . A. V tS My )II• RKWi <br />MIIIIMCONIWjm VAl1I ss ryM m mI 91AIEIRh9E• <br />CW"WIg pVVom <br />•) <br />HEATING SYSTEM: AS I I ELECTRIC I I <br />p wgn9A adVq roolAp tYo <br />IAclrc AM1 <br />ZD <br />rllolovquv gwwaan <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE ANO 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 REOIAATING CONSTRUCTION OR THE <br />PERFORMANCE Of CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />APPLICATION ER OF HIS PROPERTY TO ON5 MADE AND PERFORMICH <br />KR THE STATE <br />II COMPLY THEWORK <br />RAC�W 1827 RCW AND 288201 WAG. ./ <br />X ��"jA�� <br />I F,ML qV WPMOF Fl An ISIIpaN KIM on AllACa IYA)CpR9l <br />107 am or <br />FAncfl lu 10 MAAKa <br />lDVS1aIICIgN1gV11Iqta Y9Ya9i IHFAIdE MWKP <br />Laf fVlf <br />p1YAMA691CIMAt ql <br />PLUMBING <br />I MECHANICAL <br />I NO. TYPE OF EOLIIPMIITT FEE <br />NO. <br />TYPE OF FIXTURE OR OEM <br />FEE <br />WATER CLOSET (TOILET) <br />1 <br />AIC—AMNOLO UMTS—H.P. <br />_ <br />BATHTUB <br />FORCED MR SYSTEMS —B.T U. M EA. <br />LAVATORY ASH BASIN) <br />HEAT PUMP <br />SHOWER <br />LRRTHEATERS—BTU. M <br />KITCHEN SINK f DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />VENTILATION FAN <br />LAUNDRY TRAY <br />RANGE HOOD <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />WOOD STOVE <br />DRINKING FOUNTAIN <br />METAL FIREPLACE (WOOD BURNING) <br />1 <br />FLOOR DRAIN <br />FIREPLACE INSERT WOOD BURNING) <br />BACKFLOW PREVENTERS <br />; <br />GAB FIREPLACE <br />SINK (SERVICE — BAR. ETC.) <br />GAS RANGE <br />GAB PIPING <br />EXHAUSTFAN <br />I <br />SUBTOTAL <br />f <br />SUB TOTAL f_ <br />PERMIT <br />f <br />PERMIT E <br />_ <br />TOTAL FEE <br />$1 <br />TOTAL FEE f <br />FOR OFFICE USE ONLY. +' . 291=' .CCU - L . - mf-wQi C <br />'Pohl Vlow. <br />qAa glnAl'M1 <br />Vq glnMx <br />MAYI'IIMKINA E.n <br />♦Y/ <br />FIt 7,1 <br />gpa'I NO <br />1111E Ma <br />Im A1pA <br />vw..AM1 Vn <br />I 'YFA I'. MI <br />FEES <br />WLUATKIN <br />FEE <br />nIl1I1M1 <br />• l <br />yJ[ /11 J1 <br />1KMY111MIAIIIIN <br />Mp1lMllaq <br />'"M� <br />Vhpnll111'il <br />� <br />MINnNO <br />_�_ <br />,y- <br />_I 97��• <br />"lWA • Vl Mtli'Vli <br />pC19V1IV11WlI <br />NIA 4I <br />yIry1AVf.Y <br />Al1E)1l1VY M AV 04" <br />- <br />1 YAa/YM OBI <br />gAVw' <br />WA%M E� <br />l �iS Fa <br />fwl9 11agg0 <br />VI <br />— <br />c1A1I 11lY1VR1 VIgJIAMH <br />-I %/1 <br />IYIT 1i ft14c1 <br />AAa9 Pnr <br />I.T <br />CITY OF EVERETT <br />LOCAL BALES <br />TAX CODE IS 3105 <br />TOTAL <br />