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APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT, WA 98201 A257 'B1O <br />DEMOLITION COMBINATION 1 I BUILDING CI MECHANICAL 1 PLUMBING SIGN <br />PROJECT ADDRESS <br />.., ii Y4lEDDl1[EE VTV ITS rrr r,l <br />Jo�TRl7rE PrapPl�iPl LLC PO box E.vife"d, 1l3ZCKo (W03,39-AYlLA <br />5253 <br />rf[uur—T'Yu400rr:un crtr [R' aoNE <br />/%b.wAi/L ldLEEfF. CmdT jf2s 7S'P` S/ SaPtoJunk %V her' <br />Amtoi 'c1uRDrscrER uAAARNE Iur. RiDIE <br />DALO ra(r le�ls Enl� uGn�, u.Y he„� �eo3z lvcs�-t5dr <br />6[IERµ CpIiRKip1 W110M[s6 rr rr STARIVINHr <br />DACO [cry Cnm& as Alw* UA[o c*oja /C.- <br />YEC.A At CNird I, YASAUD"Ess C.Tl In PNOIE STAR lr[NS[ • <br />PIWEW Cd[fRACi(111 Y/JI ALGi[SS all 70 R101E STATE IICENS[• <br />CONIMLi RISE O NpR <br />1, p % <br />— -- <br />HEATING SYSTEM: 0 GAS 17.1 ELECTRIC n <br />pE;.cnb[wa+. AND AR[EoorAOExrarTn <br />cavrAcrnRsoN ANU RruE ND <br />I HEREBY C RTIFY THAT NAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND 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 REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION 15 MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW IB 27 RCW AND 29r.200 WAD. <br />X/ S-/b -00 <br />6YWArV11F -/ 1V� DATE <br />vwroslD u,E a evnaln <br />IEtIAI o[scanlgNa rlmRrr rsrv[m xEwvaa AnAa rooweR <br />to, ITEM or <br />rARcu w i R <br />t p� <br />CONS nuCIKwEDANIfICER.ADD SS IEE[rNONfNAWA <br />CRr WSR[661KFN5L Aq <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 />/VC—AMNDLG UNITS <br />i <br />BATHTUB <br />I <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />I <br />HEAT PUMP <br />SHOWER <br />1 <br />UNIT HEATERS <br />KITCHEN SINK f DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />I <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />I <br />FIREPLACE INSERT (WOOD BURNING) <br />i <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENT ERS <br />I <br />OAS RANGE <br />_ <br />SINK (SERVICE — BAR. ETC.I <br />GAS PIPING <br />— <br />EXHAUSTFAN <br />I <br />i <br />I <br />SUO TOTAL f <br />j <br />SUB TOTAL f <br />PERMIT S <br />PERMIT f <br />i <br />TOTALFEE f <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />rRDNt SEISA:N <br />IEAII SErsACK <br />SOE SEISACA <br />RA/N 1CiECR NUAIE[R 1,[E <br />5 — L <br />--11 /] <br />MEW ND <br />USE to <br />NE4 T~Alm <br />for NEA <br />VA THIS <br />OVEs rm <br />FEES <br />VALUATION <br />FEE <br />INI6 OW[llN'[ <br />WEO SEDUT: <br />2 (.� <br />RDYaND <br />• ND 64rYY{ <br />L <br />IRE 6RRIMl[R RfOD <br />YES <br />r RE AURY PfoD <br />�F s <br />Tm sr CDNsr <br />OLCUrAYIIDAD <br />IARYENr <br />nrt[ X�a <br />Y(CMAYCAI <br />ADWIONAIRANLNELN <br />rEAEIN <br />OMEN <br />R[AEDN <br />o n v. i 9 o L•° i <br />STATE YRONJ su tkltol <br />KmstToimsy <br />DAlf <br />• 17 - p <br />CITYOFEVERETT <br />LOCAL SALES <br />TA% COOS IS f105 <br />aus:waYs <br />TOTAL <br />