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APPLICATIOIS FOR CONSTRUCTrN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT. WA 98201 •269.8810 <br />•EMOLITION ❑ COMBINATION ❑ BUILDING /t'JA60MAMICAt- ❑ PLUMBING ❑ SIGI <br />PROJECT ADD EIS: 1 S I `I1 f S � <br />C / ^ �-/� ¢ <br />Orrl•f Va <br />aq L { on tIR MIONE <br />A PPLS•A A.. y,, 2,, L-,c - <br />T[NANT Vµ All"M s CITY tM MIONF <br />ARWILCTM CESIONER wµ AOp"Uss CIn tM NAONt <br />A &41'4 LYAwl.ln00Y> 4803:•• 4zs-778-zlyl T � <br />6 M1 IRACIPI Vµ AppPE{t [I^• tM IN N SIAIE ICENL• <br />^TR-f t:i I�1rR-��ACi -27D7 7c�fIJr IL iNc[wA� 9P40 golzI. 115C foo-T21 F Iy7rf clr <br />YfpMRCLL CONIR4tOR Mµ A0 ss fin )M NKAX RIAIf IKENNI <br />�1 <br />MUVSMOCONIRACICB Mµ ACCNESS CIn tlR RUM[ {IAI[IS[MSIA <br />CW IRACT I11C1 OF YAM <br />HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br />ttlCMef wVR+ANo {ouAR[roo^Aq[rrvavm ` <br />Aip0 At Hio,, E,,, rt r-ILa nE,a <br />C....... Rso11ANa'7"No <br />(lAY4'LE4,:02 5ov! n Fr <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED TIM <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALI <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OI <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OF <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVI <br />AUTHORITY TO VIOLATE OR CANrEL THE PROVISION OF AN) <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 WHIC/ <br />APPLICATION IS MADE AND I COMPLY WITH THE STAFF <br />�O�NT C0 A+�-W8,200 WAC.� TU <br />MnrosfD usFa eu.uND <br />.M%RMIId V ANAMEAW RNARAN SEl(ANCIR Ai TNVCXr ESI <br />Lot eLM. a <br />"MEL TAX ID"OCR <br />coxsrRlcnorl:oAN LENMR.AeORu{. ttLEINgvENwe[R <br />]MINIATURE WE <br />CYn BUSINESS UMM <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—MINOLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK S DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATCR <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 />GAS 19REPLACE <br />BACKFLOW PREVENTERS <br />I <br />OAS RANGE <br />T <br />SINK (SERVICE — BAR, ETC) <br />GAS PIPING <br />EXHAUSTFAN <br />A NILLIi R- i-kilADS. <br />SUBTOTAL f <br />SUBTOTAL IF <br />FIEWIT T <br />_ PERMIT S <br />TOTAL FEE f <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />FRONTMISAC. <br />REARSITWI, <br />SIM$17W. <br />MAN OKC+A.RBrR <br />FEf <br />Rfr "tw <br />USE SONE <br />/ 'I.T NNI.Tv <br />` <br />CCCNANCY NIn11lW1{ <br />ORpM <br />I IRE INMANKLER MOD <br />EwE UARM UOo <br />Irl'E or rorsr <br />IOIAMA <br />VACANT VIE <br />OYES ❑ NR <br />FEES <br />VALUATION <br />FEE <br />I <br />I <br />-- <br />eIRIIMIR <br />l vvftEIIINO <br />WEMwINVII <br />MIROMD <br />MCWA41 LOAD eASINENI <br />p Y[S ❑ NR <br />REAsW <br />MECNAMCAL <br />ADOIIfWAI MAN CIYC+ <br />WINE. <br />At.s(M <br />sulE eM.D.aI wALENAmt <br />MANS AINYIWIDe• <br />DAIt <br />CRY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 0105 <br />M..Ir YpII.R <br />TOTAL <br />