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APPLICATIN FOR CONSTRUCAN PERMIT <br />�* <br />CITY OF EVERETT I BUILDING DIVISION <br />3^L,) CEDAR STREET I EVERETT, WA BB201 I (425) 257-8610 <br />11 DEMOLITION C] COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: L ;Z� 757"' ST SE C a/I�:'-FYr 99t17'i <br />AmF <br />IIMMI YM YIPICf! all !IR nUyf <br />IRfMiCt011dL(VI{R YMY ss Cln lil' M1R1Y <br />,VF Jtn. a 60 Lsf' _ �iz5l2sl 9t91 -- <br />wwC cmIR•CIOI YN YNIRf S! CIIY !M M1IM M. .It MICR 1 <br />n IRy4Cd11R4:lm YM•nKf1 C." fi NIOIC ll4i Ict4w. <br />cd101•clwlcf a RCRw Yn <br />9 <br />HEATING SYSTEM: ❑ OAS ❑ ELECTRIC ❑ _— <br />d M,Y•p 1IyM 1M tOU•w 1p'1 WF 4Y4YF0 <br />Q <br />CP11•LI.1Md•M MYIIM <br />SrAy <br />S �-<l •� <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING URS TYPE OF <br />WORK WAIL 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 PT.OVISION OF ANY <br />OTNER 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 WORM FOR WHICH <br />APPLICATION IS MADE ANDANpI ZCOMPLY WITH THE STATE <br />CONTRACTORS RAW IA 27700 WAG <br />FiIt U 7-9^) <br />Iw Il Ilkt d PAtAM <br />G - <br />IFau lXxlwllwd monRn lflowtl ptaR'al•ro[I tR0 [drtH <br />mt N9G d <br />�• <br />MK[UaIp MIY111R <br />I'IxfiRICMIN ItYxHY'fa •awlaF mtnol!4IrwR <br />+vl• dll <br />GIt FI91[S81cfxY M <br />PLUMBING <br />MECHANICAL <br />NO. I TWE OF WUNIMOT FEE <br />NO. <br />TYPE OF FIXTURE OR REY <br />FEE <br />WATER CLOSET (TOILET) <br />AIC—AHNOLO UNITS <br />BATHTUB <br />I FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />I HEAT RUMP <br />SHOWER <br />IUNIT HEATERS <br />KITCHEN SANK E DISP <br />I CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WFSHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />W <br />BACKFLOPREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC. <br />GAS PIPING <br />EXHAUST FAN <br />SUB TOTAL <br />S <br />SUB TOTAL E <br />PERMIT <br />E <br />PERMIT $ <br />TOTAL FEE <br />S <br />TOTALFEE E <br />fwp va x <br />w•R pIF•CI <br />POf p1YCR <br />nwaAdlKM ft <br />V/Y✓1 <br />rrf <br />;0-c�v <br />wn�Rt 4o <br />mF loll <br />t01YXA <br />r•wt Ulf <br />Or1t O M <br />EE <br />VALUATIONFEE <br />FR Iwn <br />wKMt1N1•Igx <br />KMI11d PM111M <br />11RdFlPWt1 <br />1 <br />OCtINY.t MIa III.If <br />MdIR <br />dC11MY11I•D <br />FAp1441 <br />OaFF O M <br />MCM•Yf.4 <br />•[OIIfW4 n41 CrWd <br />IN SMµ[Rw09 <br />wFYn <br />OIIIfR <br />``--,, <br />C�CI <br />IM NIw MO'P <br />wfa11Y <br />SYtI MAG4K PKx•nd <br />i <br />tnrt rcl'd1t1 <br />n•n nn <br />uu► - L1 <br />CTTY OF EVERETT <br />LODAL SALES <br />TAX CODE 18 St06 <br />- — <br />TOTAL _. <br />--- <br />