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APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT r BUILDING DIVISION <br />02DO CEDAR STREET r EVERETT, WA 98201 r 257•8810 <br />DEMOLITION <br />COMBINATION <br />❑ BUILDING <br />MECHANICAL 11 PLUMBING SIGN <br />PROJECT ADDRESS <br />.. n i <br />u., Anwss <br />an <br />m wYw <br />.LUG cE naRR <br />HEATING SYSTEM: fl GAS ❑ ELECTRIC rl <br />of RISE warty Aw souAa[roDTADERrvastD <br />a <br />1' <br />CONIKT C AKorwKEKD (y2.5' 2iY- Z.(v <br />%lll <br />IDLIl <br />mOrb56D usE a suDowo <br />- S <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICAT11N AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISION: OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL 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 AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADD!!1I AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW IS.2TRCW AND 296 200 WAC. <br />Y/�..� ! 4ly- .] - 21-co <br />LEo+L OEscarlloK ar mp4Rrr IYIDWR euowoR ArTAarrOOCWIfI <br />tor SLDDA a_ <br />M LTAUD MMAIKA <br />CONS}RCTA]N LOAN MIQR ACOICSS, TEMROMf MMER <br />rlmE � wrt <br />rcr eus+cs 1KEKU RD <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 ITOILET) <br />At AMNDLG 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 />I <br />LAUNDRY TRAY <br />i <br />WATER HEATER <br />_ <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE IISERT CWOOD BURNINGI <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK ISERVICE — BAR. ETC.I <br />OAS PIPING <br />EXHAUST FAN <br />i <br />1 <br />SUBTOTAL S <br />SUBTOTAL S11-41 <br />PERMIT S <br />PERMIT $ <br />TOTAL FEE S <br />TOTAL FEE $ <br />FOR OFFICE USE ONLY: M nnok-Q 3/ <br />IlW DPHAC+ <br />MAX sE ISAC. <br />SIDE SEIIALYI <br />RA4Mc4TAMER <br />rFE <br />REtErlw <br />ou :aa <br />1m+au <br />Vc lHTE <br />nns nw <br />FEES <br />VALUATION <br />FEE <br />susoro <br />IRIO„I LAOIAl" <br />IFl(Yr 111M1 <br />nu15 <br />61iwIlDD'II <br />RIILW] <br />OCC1A'AHLI <br />6rIQl1P <br />VJO61Y43 <br />CCCMWI LOb <br />FAM14Kr <br />Dm aID <br />1rELNA1rDH <br />ADDRpINL RAR DREDII <br />rREsmIwIER REOD <br />REAaaR <br />OTWA <br />1M.APUREOD <br />MAS)1 <br />STATE IOl0Sr0 SMICIWrOE <br />TVREMlc l <br />RARsAAvnDLtDer <br />DATE <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE 18 3105 <br />lulls awls <br />TOTAL <br />