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PPPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT A BUILDING DIVISION <br />0200 CEDAR STREET • EVERETT. WA 98201 A 257-8610 <br />DEMOLITION COMBINATION BUILDING MECHANICAL K PLUMBING SIGN <br />PROJECT ADDRESS <br />/tiz5 /I;t>ti sT .5lJ <br />ulE��aB Inl. ls, pgRF <br />•••,�� LT ti.� Gam. /�JDOLL - <br />x �17H2YSViWA <br />YILNTFLI Lf801{P WM R{DY4S G1Y IF Aldl <br />OFNEP4LON1RKip1 WL4[OPf 58 Oh tP R1g11 — 5LIF lKINSI• <br />M[LRwN:4 CW1R4LfOR WPAD011E6{ CITI IF RYG4 SIP[ISLNS[• <br />RNRBXD CGIIPACigI YL4• 6E Cllr tV PNJIE 6141E 1Cf N5[l <br />M �g7eTpaw0.l�yY T15 �CIYLNND 0 ZGc bt -11111 <br />HEATING SYSTEM: FI GAS FI ELECTRIC l <br />DFSLRiBF WDIIM 4No 6W V4 Eo01wF NVQYEo <br />�t ( <br />RPmouDuu o °�OWO <br />c01R4CT I'(RSCN 4O Rlp(1q <br />I HEREBY CERTIFY THAT 1 HAVE 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 />AUTIIORtTY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. TH 1T I AM AUTHORIZFD BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18 27 RCW AND 296 200 WAC <br />X "t / <br />LEU40ESCAFTXINd MURPfr 16LgWN BEIONOR AIt4CM 1N0CDPKBI <br />Lor___BLacK a <br />-- <br />1A4RC L TA. 1 D NDIABER <br />CCNSIRUCT" LOw LEW R A. WE65 TEaNbIK 11VMBER <br />6S1N41URE DATE <br />)Air BR6MESsl"TlZEIq <br />PLUMBING <br />MECHANICAL <br />l NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIC—AHNOLG UNITS <br />BATHTUB <br />I <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASINI <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />_ <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />I <br />WATER HEATER <br />CLOTHES WASHER <br />i <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR GRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />I <br />SINK (SERVICE — BAR, ETC 1 <br />i <br />GAS PIPING <br />EXHAUSTFAN <br />i <br />I <br />i <br />SUBTOTAL S <br />SUBTOTAL S <br />PERMIT S <br />PERMIT E <br />TOTAL FEE S <br />TOTALFEE S <br />FOR OFFICE USE ONLY: <br />fwNT 6ETB4CK <br />PE.MMACK <br />MX[EIB.ALK <br />"E CK MA![R M <br />W� <br />R[ <br />PECEFTAD <br />USE roAt <br />I<gR1LNInucN <br />LOTAPEA <br />VAI4 T VIE <br />n 1T{ ❑w <br />FEE <br />VALUATION <br />FEE <br />waorrtu.a <br />urATs <br />{YEa BLD(LTI <br />nuwVa <br />OCCWARCr FO V ETMss <br />OI101F <br />LPE SmYIIIER PFOD <br />tf1E AlUW N'00 <br />aCCUvwrLOAO <br />NYY[M <br />nYEs n w <br />Y[LRw[4 <br />4CGTUN4 HA11 CRECM <br />P[ASON <br />OTN R <br />PEA60N <br />6141[ BULDIIIfI {UI1LMwDE <br />TIME DE LDRST <br />RwsAPTNg54UBT <br />DATE <br />CITY OF EVERETT <br />LOCAL BALES <br />TAX CODE IS 3105 ITOTAL <br />mmlc vroTKf <br />