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APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT • BULL ING DIVISION <br />3200 CEDAR STREET ! EVERETT. W A 98201 • (425) 257.8810 <br />❑ DEMOUITON ❑ COMBINATION (VRUILDINO <br />PROJECT ADDRESS: [L�o—�5 ST SW <br />❑ MECHANICAL I 1 PLUMBING (' SIGN <br />ovAgIft HAA !! <br />an <br />_ -. _1M wqY <br />-.._ <br />?bdlV �iPiZ�A ZZI/ I�� <br />A_^— <br />/ /•ii.7n2vfj0 <br />5slo$GZ"695Tr <br />1)M\4t VY Yla\SS <br />flTl <br />Df hIDVr <br />_ ____ <br />AtPirvi ��/ <br />/bra 9r <br />/& � w <br />LP/Z%n lw;� <br />k IVY % <br />. <br />[-1 <br />40-13!/�/➢�W�l�o, y¢,T�-- --" <br />�NEn4 CONInACId NY AIKR s! <br />Ca♦ <br />)� <br />l<FNIf. <br />wc..IK4fd1KAfIaD uY AtaKss <br />ary <br />!!' "KYIF <br />alAtrlcFKN! <br />ft."M Ldln•fiW Y111 I(IIylL6S Iav )M ISgrIL f1.rF 11A(VSFI <br />cdMu:l NKI a naw <br />�r90 <br />HEATING SYSTEM: &B ❑ ELECTRIC ❑ <br />pICMIIf WJfM AYD lWAR FOJI•DF NYgVFD <br />[DNI•at ri RSd •M M1R)At Np <br />-V�Ml6lkill WIFLL ID!_ s <br />ihIA1X(}p �� <br />MPInI a 1l Na �nCu�a <br />I HEREBY <br />I HERESY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />AND KNOW AWE SAME TO BE TRUE ANO AMIN EDT ALL <br />PROVISIONS OF LAWS ANO.IRDINANCES GOVERNING 71HIS TYPE OF <br />WORK WII L BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO UWE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REOMATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION 15 MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW IS 27 RCW AND M 200 WAC <br />E /0-f- 9y <br />IFD4 MXl IKN(o rndanM1 ntlollN Klpl pl MlACH 1K0 LVIEW <br />Iol WDfa p <br />wIa[I Iu I D YlIM1 K <br />coDl n fn IDYHrwsa rK.Lls mLI`K,,i wn <br />SKWAl1AK DHE <br />all lalNEsl lcEKSEw <br />PLUMBING <br />MECHANICAL_ <br />NO. <br />TYPE OF FIU ME OR ITEM <br />FEE <br />NO. <br />TPEOFEGUNMEM <br />FEE <br />WATER CLOSET (TOILET) <br />'— <br />AM—AANIOLO LIMITS <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 />LAINDRY TRAY <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE (WnW BURNING( <br />_ <br />CLOTHES WASHER <br />URINµI <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT IV JOD BURNING( <br />FLOOR DRAIN <br />GAS FIREPLACE <br />RACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR, ETC) <br />GAS PIPING <br />EKHAUSTFAN <br />SUR TOTAL s <br />BUD TOTAL S <br />PERMIT E <br />PERMIT s <br />TOTµ FEE E 1 <br />1 <br />1 <br />TOTAL FEE s <br />FOR OFFICE USE ONLY. <br />IMMIMIAAC. <br />OfMlf tFACY <br />fqF Y1FKl <br />ryY11tfI1 MIYKK <br />99�0 /o <br />ILf <br />nIfFK'IM <br />av 1pw <br />IoluK• <br />v[AVI SIN <br />Offs 0w <br />ES <br />VAIUATKNI <br />FEE <br />wnnnn <br />_ <br />44 1.0— <br />MKWIIMI.IKw <br />1 OPMIIM <br />mm FloDn1 <br />1468Z <br />-- <br />ry'4410,n <br />I,fM4t:v <br />F —1 <br />Vr n _MINI <br />� <br />afIMM11UN <br />SL% <br />!• NMI <br />OHs ..n <br />IR('NY(V <br />ADaI[MAIt"voc. <br />^ <br />MElm I.Mlo �-IR.11il <br />YES�FES1'EI• <br />FR Mao <br />,��� <br />MANfv <br />�rc 5a c. <br />a1MD <br />SIAII Mwnf111 S�AnMRK <br />Irorpconl <br />F.� <br />V �"• <br />ft ner <br />IS <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE 153105 <br />--- <br />TOTAL <br />-- <br />