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L � <br /> APPLICATIO` F OR CONSTRUCTISN PERMIT�— <br /> c Y OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET a EVERETT,WA 88201 •257.8810 <br /> <I DEMOLITION I 1 COMBINATION ❑ BUILDING ❑ MECHANICAL t I PLUMBING I I SIGN <br /> PROJECT ADDRESS <br /> 1`10Q� (;GYxr I i7 cd��PUe A� u 111 T ..A X1 U71 3,n AM 099 <br /> IF &I YEAWOREtt OTT FO g1Qi <br /> _1. <br /> glFCrdA NEP HWORI{ OTT l� AW <br /> -EHEC W^"�f�x5, 1,45 pos?�Iko Mi,� o" N�E�15 4�S�+*N�EbE. — <br /> 5�A NDRw giyemio1RJ <br /> '"I Z IMCIOP lul F[ arr n H9N[ ErelE l[ENFE. <br /> lazS l�a11!4�q xU�y 111Aiyn ��r l�mwee. �1BZ72 34n 7� 7. 6!5NFpWIND <br /> uf.,S Tln�21Mu�EL7- �[ • LF4.� -wZ 1'1tlM pcoLIF'141 <br /> Cq.Ig1Cl TEF Of W(MM <br /> / HEATING SYSTEM: OAS ❑ELECTRIC ❑ <br /> Ixsc.gwaN,vo uIEA I vEO ITK NO n1016 xo <br /> - <br /> _ 5 <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> rncrouP usf a evtO.0 1 APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> (p� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> 181140E Pe'1EHR OrEFEgM1 INgWII EEIOq OR•OdW TYPO OwEN NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO ONE <br /> lOr NOp a 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 /> A�� l,� e OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> ia ria-t IfIOeO 121 Cl SLB L, APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> PMOEI lu I O MgRq- _ _ <br /> C9.NTRACTO W 1121 RCW AND 206.200 WAC. <br /> COHS,I CIIONI WlElO OR[tt IflfhEHr Mq![R X- <br /> tpN.IUPE w,F <br /> 4z5-5j14'o7/' a Ysutr EEE LLENM 0 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOUT) AC—ARINDLG UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT RUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK E DISP I CLOTHES DRYERS <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT(WOOD BURNING) <br /> FLOOR DRAIN GAS FIREPLACE <br /> BACKFLOW PREVENTERS GAS RANGE I <br /> SINK ISERWCE—BAR,ETC. OAS PIPING <br /> EXHAUST FAN <br /> SUBTOTAL i SUBTOTAL f <br /> PERMIT i PERMIT f <br /> EE <br /> TOTALFf TOTAL FEE 0 <br /> FOR OFFICE USE ONLY: •-i <br /> FRall tFleWR REM EEHACN tfi XETENXI IENI rAweFA -7 Fel map,w <br /> I T • Q�Q�-�� / 72 <br /> 78 <br /> um Inco 1 LOT ATFAO YACWrRTE FEES VALUATION FEE <br /> F- �J77 LB1(f ONO µ 7 <br /> Mo.,LWAI ENI <br /> / IMppIT Daum mEVR l <br /> /S7Z 14f, <br /> R 1 FNT <br /> OOCHeuE, W wOtRNFE OOWANI LO1 MOINE04 <br /> O <br /> �('j y DYEE — <br /> FOE 6PPO D RFIE011 AUORIMNAL"Ma <br /> A OTHER <br /> I W AluN77 REAFON <br /> ETME EUAONO BU1pWMlE <br /> I,R Ul carer Nunurwv.on CITY OF EVE SETT T C VTOFlge <br /> LOCAL BALES <br /> At w,E Z4 G TAX CODE 183103 TOTAL <br />