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APPLICATION FOR CONSTRUCOION PERMIT <br />CITY OF EVERETT"BUILDING DIVISION ��L,.� <br />3200 CEDAR STREET" EVERETT, WA 99201. 257-8810 "5"`� <br />DEMOLITION COMBINATION BUILDING 1i MECHANICAL PLUMBING SIGN <br />PROJECT ADDRESS <br />[OLKNIN IIyf{ 1- . vlw!,iaL�f FEr /Yv—M I{LIL• t0wF - VA— <br />.CTY v � <br />n(cCITY <br />l xsrra u•• a�'� j,Ln f.� �I l�,�/a iT.y I/{BpppGl{eIII�(({�'[jLN�.°'1-',.�.� Q1}��] .AeT.�■ Ip•�ry LrL1 &fty��ry� �pA,�eAl IL�f <br />��1{IILP��J'IY 1 ' <br />11 <br />Y[Cr�y1FNC0N1 rOw •1•E •ODw[EE < !P IwwA O•R lt[T6F• <br />yr{.�R'V [ITY !P rr.ai 6I•R ISFNSf• <br />0. W Y.O cDwlw•r nxI IYA •ODR6E <br />•9T CE C` HEATING SYSTEM: OAS '' ELECTRIC r _- <br />`` �rtw <br />wA wKrn swuR•MY �Hn V <br />bu bsoco E - <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />PROVISIONS <br />AND KNOW THE SAME C BE TRUE AND CORRECT ALL <br />r{Ep ny p II PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />ti %a DsscnPlaw orrroRnrr lvdn nLwr ow •n•a Twocorcn NOT THEE GRANTING OF A PERMIT DOER NOT PRESUME TO AWE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />Lor ua" DI OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION THAT I AM AUTHORIZED BY THE <br />OWNER OF 11115 PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLIffAl'll <br />E LA"ND <br />OMPLY WITH THE STATE <br />OO R200 WAC <br />w».LL ••Io Iue[n <br />CpBrwucrAar Lo•w L[ro[w •oaKss rtL.RorA r xIe(w X. MR <br />ur. {I!{R[asluwsa w <br />PLUMBING MECHANICAL <br />NO, TYPE OF FIXTURE OR ITEM FEE AC — ANNDLG UNITS EQUIPMENT FEE <br />WATER CLOSET ITOILETI FORCED AIR SYSTEMS i <br />BATHTUB <br />LAVATORY (WASH BASINI HEAT PUMP <br />UNIT HEATERS <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK A DISP <br />RANGE N <br />DISHWASHER <br />i EAT <br />LAUNDRY TRAY I WATER NEATER <br />CLOTHES WASHER WOOD STOVE <br />METAL FIREPLACE ISVDOD BURNING) <br />URINAL FIREPLACE INSERT (1VOOD BURNINO) <br />DRINKING FOL'NTAN GAS FIREPLACE <br />FLOOR DRAIN GAS RANGE <br />BACKFLDW PREVENTER5 1 <br />SINK ISERWCE—BAR. ETC) I GAS PIPING <br />EXHAUSTFAN <br />i <br />I <br />SUBTOTAL S I SUBTOTAL S <br />PERMIT S i PERMIT S <br />TOTAL FEE S TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />rwwr KCEIwr1U <br />EEre•cw ww ure•cw <br />0.•M MCw R 'O� I[E <br />us[sows LDI • .wr ant FEES VALUA FEE <br />'iv(F mw0 pyp <br />rIEIOrII LYII•t Klw fi,6 WR alL I)� RNMU <br />OCC'JPYIC. N! V Pprle 1LCUr'•NI l0•D !•MYLMI 1[CN•KM <br />27 :Ins wo <br />ADpllOw•I RNINI[G <br />eRIM1.Ltw rYOD w[•pw <br />DM[K <br />IRE •lArU w[OD P[AW {I•r[{uaLYll aI1K6URK <br />nl4a""Y" R•Na•191gV e. CITYOFEVERETT Iuelc HOwl{ <br />LOCAL BALE8 <br />wR , Z TAX CODE IS 3105 TOTAL <br />