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APPLICATION FOR CONSTRUCTAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION \� <br />0200 CEDAR STREET . EVERETT, WA 98201 • (425) 257-8010 <br />O DEMOLITION W COMBINATION ❑ BUILDING ❑ MECHANICAL [I PLUMBING CJ SIGN <br />PROJECT ADDRESS: G� �' ,757iI Sr SV'U✓_�£TT- --- - <br />om <br />wNlnH crwmActrn <br />�.o,A/6 ,C��/�nW <br />x.n .wxK vs •�• /•� <br />his-ic�rz'' � � •s�,n <br />,.i✓%j06 <br />� <br />AKCNANKR ctRrn.nuK <br />x.a ultwss n^ <br />F.• <br />RKY snn ltrxu. <br />- IVYII .111111CIVN <br />R IIYlM6 CPIIP.rin'1 <br />V.1 .n.1I55 nR <br />Ilx <br />CON1n"ci <br />HEATING SYSTEM: GAS ❑ ELECTRIC ❑ <br />MaM <br />a" .YJIM AM sou.rt HxH.w MvaVFO <br />0W0V0Alf#Vr- /SAD sG <br />CnM.tt rtKTON.M Np Y/G5'�J'Ib 'l %af iUL ���/�./ <br />�YI'A+ ,✓,Fc¢rA-�,,p <br />H'GL L.TiP257GA/L�Y-'fFZ"�'�i5i3i 7G1e-�?9-(q/b <br />1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW TIIE SAME TO BE TRUE AND CORRECT ALL <br />THIS OF <br />OF LAWS AND T114 <br />SWII`SBE <br />p/;m6/lb^ <br />.�. ,�,y. <br />O%IiLE <br />WORK COMPLIED WITWHETHINANCES ER SPECIFIED HEREINOR <br />NOT. TIIE GRANTING OF A PERMO DOES NOT PRESUME TO GIVE <br />¢m ixRIHKRw rIgRKn ITM']FM XIIOKnK "nAnlTwomR[N <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />ICI Moc. w <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY 10 PERFORM THE WORK FOR WHICH <br />APPLICATION IS D AND I COMPLY WITH THE STATE <br />CONTRACT CW AND 29E 200 WAC <br />IMPGFI rAF I P MIIIMP <br />//� Ts osl/oiN0G73 <br />_!- /_ Od <br />ftwstAlcrKN lo.HIrMrK I.IK+Vsx nHHOIF MA\FP <br />f <br />nir FINES! IKIML AO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />fYK OF [OUIPMENT <br />FE[ <br />WATER CLOSET (TOILET) <br />AC—AANDLG !UNITS <br />BATHTUB <br />' <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />UNIT HEATERS <br />INKt <br />CLOTHES DRYERS <br />R <br />RANGE HOOD <br />TR <br />WATER HEATER <br />WASHW000 <br />M�­ <br />STOVEMETAL <br />FIREPIACF. GVOOD BURNINGI <br />(DLNTAIN <br />FIREPLACE INSERT BV000 BURNNG)AIN <br />FIREPIACE <br />W PREV TERS <br />OAS RANGE <br />SINK (BERVICE BAR, ETC <br />GAS PIPING <br />EXHAUST FAN <br />SUB TOTAL f <br />SIIB TOTAL f <br />PERMIT f <br />PERMR f <br />TOTAL FEE f <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />- <br />rM1NlV1AY'.. <br />wmvtw. <br />Rw NIRMN <br />Rµ FIKL.MKKYK <br />Hr <br />MFr.'rM <br />.oyr <br />10F.M.].K.I.IFFEES <br />VALUATIONIly <br />All.n.0 <br />M <br />Clrlsfs o <br />1(In111 W11.11VV <br />No IV TATUL <br />SIjF w kDall <br />i <br />AI <br />so <br />ITS . M•.,�.=1 <br />wnx.xF 11—^ul <br />L <br />e•vJO <br />m.0 lx lfa9 <br />IIFAM <br />AcolIM4RWfr1A <br />a1.11 4KwK1 MRCWAN <br />CITY OF EVI ETT <br />�+. <br />LOCAL SALES <br />-- <br />--' <br />_ <br />TAX CODE IS 0105 <br />TOTAL <br />