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APPLICATIN FOR CONSTRUAON PERMIT/�/s/�✓V/I���fjllf <br />CITY OF EVEHETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERET'1, WA 98201 • 14257 257•8810 <br />I) DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL PLUMBING ❑ SIGN <br />PROJECT ADDRESS: L,J 7- -105 <br />Evcvi-ti 3e Vmcc \ NiLck 101 Slhh+4 M Ave <br />IIY•41 YM YUYIUS I. G1r IY n1041 <br />AMCI•ilClMa[tgMa YM .eIFa SS v CIIr Jv MIM <br />NMIW CO.laAC1O1 VM A41M rs Mll PI' Allnl .I.1I law. <br />nFNj.q��1LJj J(A V� VIM mmss all iv y !1•I11[f45f. f{" <br />IAA �O � •1Jl'i�.rn. � 4�I�Y 'an14� Qom.. OO.rwa. �')n.� dLM <br />caYlaKtal.cYarAKM <br />_ _ _ — _ter_ <br />HEATING SYSTEM: ❑ OAS O ELECTRIC O <br />a AM s°Y.M .O°1.01 N1QH <br />COIIKinaYYl.M rM'IM Aq <br />wnlorfPllN asndn <br />O'tFi+LY_•e /Ala a <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KKIW THE SAME 10 BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING 111IS TYPE OF <br />WORK VAIL 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 1 AM AUTHORISED BY THE <br />OWNER OF THIS PROPERTY 10 PERFORM THE WORM FOR WHICH <br />APPLICATION 15 MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW IA 27 RCW AND M 200 WAC <br />� _ Alzlr+f�.� <br />tg1llllgl PSII <br />ItdlPfxl+rlu1arnslary lYAJarI sT°a�iA K sl <br />101 sop aI <br />IA11Cn iM To IAww a <br />11 B.ff o H/ Cos 49ccay <br />C°YlIMIGlO11°W1fWaApKKlS RIIt•OA Y111nta <br />ClIr M14Yf S51tIM4 MO <br />PLUMBING <br />MECHANICAL <br />no. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF ElTU1PMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C—M/NDLG UNITS <br />�— <br />BATHTUB _ <br />FORCED AIR SYSTEMS <br />LAVATORY GNASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />.L- <br />KITCHEN SINK 3 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 BURN14GI <br />DRINKING FOINTAIN <br />FIREPLACE NSERT MOOD BURNING) <br />Z_ <br />FLOOR DRAIN <br />GAS FIREPLACE <br />SACXFLOW PREVENTERS <br />OAS RANGE <br />(SERVICE —BAR ETC.) <br />GAS PIPING <br />_SINK <br />_ <br />EXHAUSTFAN <br />SUB TOTAL 3 <br />SUB TOTAL 3 <br />PERMIT S <br />PERMIT 3 <br />TOTAL FEE 3 <br />'P6 1 <br />1 <br />TOTALFEE f <br />FOR OFFICE USE ONLY: (R 7L0.la l A (ALJG I <br />1111MITAII <br />pW1411FKe <br />fl°LYIF" <br />NAYC.TIC.MI.MN Ifr <br />MfYVIW <br />Ins row <br />1014A41A <br />r1111 sit <br />FEES <br />VALUATION <br />FEE <br />_ <br />snllMn <br />��— <br />Ons O Ya <br />Mtlry.t IAN1Alm <br />IIto d PMlll.n <br />sm w RtXY1l <br />nlaAwl <br />- <br />) <br />MI:YW{Y <br />' <br />-� <br />OCI:IM4Cr Ytn�lrrryr <br />M011f <br />(XYIvMI IV�V <br />eAYMYI <br />all, OMI <br />A°b IMY4AlnWMp <br />I"SwvwMM n'!TI -- <br />PfAVH. __ <br />IIIKA frVY <br />W." <br />F1A11 Mn PMISIMCYUMK <br />Irn tY ^oYal <br />HAYS Alwll°rr°e. <br />CRYOFEVERETT <br />nMlr.wn•. <br />LOCAL SALES I <br />-• <br />TOTAL <br />- — <br />-- <br />°.t1 <br />TAX CODE IS 3105 1 <br />