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APPLICATIA FOR CONSTRUC1WIN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET E EVERETT, WA93201 •257-BB10 <br />DEMOLITION COMBINATION n BUILDING <br />'.-/ MECHANICAL PLUMBING SIGN <br />PROJECT ADDRESS <br />'I fir, SLJ <br />E\/r2E 7T <br />IyLo <br />Il..11 Y\I MrlIK55 <br />1 P <br />4 <br />40C ✓. <br />TEIMNI Y4LLCIE8E EIfY <br />I/ <br />S, A.A, <br />To, qF) <br />UlClnl(Ct OR OEiNAR MN KOEbf Gn <br />t/ RIPE <br />OENER4 rpNIPACNR M•l A!CRiEf CRT <br />!P nAY( W.A.M LATNSE <br />�p <br />i :n4PL:s1'.Jf��C A l_tll ISS n„r S[ SAICHu'Asrl <br />G.•� <br />oIECE:O L9T>")335-'i//l5 TTlII�..a�VTJ7Nt: <br />4ECMaNCµC IFACTOR M•4 •P1R(8f UTT <br />1/ P1g11E fl•tF\RNSf• <br />n,W cc,NTRACIoR MAl"Do"E B CRT <br />i/ AAT< STATE LICENW. <br />,nHON` <br />HEATING SYSTEM: ❑GAS ❑ELECTRIC G <br />71"(1 <br />UfE-111ef W(MYl AM SOIIAR[ rombi M'DIYEo <br />COMIALI MPp14U MOrt W <br />��,E alc.i �P..-TArtnay L�,aA\R!l �6 <br />/'Pl0 C2NW NG I"1Ii /i�i LDS <br />t� <br />A ms-1 A��r <br />Ato Oprh< <br />HEREBY CERTIFY THAT I HAREAAND EXAMINED THIS <br />TRUE <br />5 I e7T�f� <br />APPLIC CAT AND KNOW THE SAME TO BEAND CORRECT. ALL <br />mCRouC usE a eLua <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />r•! SE <br />WDRK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />LEQkDESCRPTKM CF r'IgnRTY ISII VELOTIPIAnAaI TSOCOR%W <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />a <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />for 0. c <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION On THE <br />PERFORMANCE OF CONSTRUCTION. THAI 1 AM AUTHORIZED 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 ;tLLeQWAND 21E.200 WAD. <br />RMC(L w I O MIaM(R <br />FATE oo <br />CCNSIPUCigNLOAN IfrCER.1ppIFB9 RlEng1S MJAlFF <br />SAE T% p7 <br />CITY eJS MLCENSf W <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 />AC — AHNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <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 FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK ISERVICE —BAR. ETC I <br />GAS PIPING <br />EXKAUSTFAN <br />SUBTOTAL f <br />SUBTOTAL f <br />_ <br />PERMIT f <br />PERMIT f <br />TOTALFEE f <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />2L <br />IPCVR f(IfACK <br />r mfe <br />fR SFre•CF <br />RW CMLK ruue(R <br />FEE <br />PECEPIW <br />uef zuk <br />mi ABEA <br />v"CmiBITE <br />FEES <br />VALUATION <br />FEE <br />171,13 n No <br />Nlaux6 <br />NEKINt LMITAIM <br />W <br />imoYounT. <br />IS <br />n A RPn <br />wauLnf <br />occuR.NT Lo•o <br />e•E(YEMI <br />KGIfArAC.LL <br />nne n NC <br />•PBItryMln/N LriGI <br />4 <br />FNE SW ER MOD <br />MAEg1 <br />o1NFR <br />IPf AINYI RE00 <br />PUSaN <br />EfIIE eUlldU NRCIMROE <br />fYREacorm <br />nAxf •rR Cer <br />CITY OF EVERETT <br />Ml"Y"W" <br />O�J <br />LOCAL SALES <br />TA% CODE IS 3105 <br />TOTAL <br />pATf <br />