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APPLICATIO*FOR CONSTRUCTION PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257-0810 <br /> I DEMOLITIO14 I I COMBINATION O BUILDING U MECI-ANICAL 11 PLUMBING <br /> 1 SIGN? <br /> PROJECT ADDRESti 1.Zr -1�Tt1 � �aV• L`-'LL t( <br /> CRL Y_ <br /> iIWKK Ytt ta1NF 99 CIII <br /> gal �-Rldlf <br /> n�o LmxJr1 �aZo43�` (k,Q,t�,u,. Mr wde a4:r81 _ <br /> IENAIIT YAAADDTIFSe direr 20 IDrrt <br /> R <br /> YICMIEC\al <br /> DrON[R gILL Y%IIIf{{ lY I! ngllE Iri�4u�Tt1'rmi� 91 - IR7Tt q8� �Irh33Tub SUi�eK <br /> DEME t4tI\MCI WLl1aIE 9 MY I! MgRi ET.LTE LICFML0 <br /> -Sl►� �lo <br /> wE I u 1KIDn Yq 9DDTIEO air !! PNDY 6TATE lt•,[TR[L <br /> S Irl. SCoE. h�ItinSn V�knwo� 419 ?1ac'�d-7?tii C�,sr1 Ig�JD <br /> PYI CON\PK WltpaR{{rL.�E� LIT1' IF IP PrIaA: {iAIF lYEM9EE <br /> CONTRK\glCi P'WpMt <br /> �QI HEATING SYSTEM: OAS O ELEC�T�RIIC Opp <br /> oFecEveE u' Yrc ooTAoc%vavwq• � EaR wgz -ILEI luOS <br /> 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> TPlonos[D u9F a elnLnu APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGAL DE6PPId Li PRa\PTY lilt MCIVI a ATTAa1 IPO CDP" NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> Lot� _elorn a AUTHORITY TG VIOLATE OR CANCEL THE PROVISION OF ANY <br /> i _ - / 1__,y,ey OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> �J04. (T;p-+ t* PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM 714E WORK FOR WHICH <br /> uus <br /> Aw. et ZOoCMZI A50Db APPLICATION IS ADE AND 1 COMPLY WITH THE STATE <br /> PARCEL Tu ID N RI11TER -w ORB W B Z7 RCW AND ZFf ZOD WAC. <br /> -ccj4 <br /> COI4SfA Ikill l0411[�R Mp Sj TNEpOhEY A I I ot�,-vI <br /> FyrKtl; LS-�I CRY eDME9{LICEMIC ND <br /> PLUMBING MECHANICAL <br /> NO. TYVE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> "L _WATER CLOSET(TOILET) AVC—AMNDLG UNITS <br /> BAT14TUD FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHI,.VER UNIT HEATERS <br /> _ KITCHEN SINK A DISP CLOTHES TIRYERS <br /> DISHWASHER RANGE ROOD _ <br /> LAUNDRY TRAY WATEP HLATER <br /> CLOTHES WASHER WOO'. STOVE <br /> URINAL MLVI.FAEPLACE BURNING) <br /> DRINKING FOUNTAIN HAE.LACE INSERT D BURNING) <br /> FLOOR DRAIN GAS FIREPLACE _ <br /> _BACKFLOW PREVENTERS L OAS RANGE — <br /> _ SINK(SERVICE—DAR.ETC.) OAS PIPING <br /> NITA-ST FAN <br /> _ SUBTOTAL f _BUB TOTAL f <br /> PERMIT f PERMIT f <br /> TOTALFEE E TOTALFEE f <br /> FOR OFFICE USE ONLY: <br /> HICINT win <br /> I REmurl Cw tpE EEIEKI{ " Ck M1MER FEE � PECFv1M <br /> z0/ / <br /> 11{f Ea[ pp LOT MEA YACN 7 i FEES vuumiDN FEE <br /> F�I5 WLi OND KaEAxn 6 <br /> MEK9N1 lYIlATY]N I I�eeTB aAELLeq EOEd{ILaII. <br /> b +zs SAC. ^LAIIIIIIIII(I <br /> Q�CJC�yu'P�'Ycr Moa[Ta1[{ ocalirdli lOAD eAE[ 11[GIAIAEIA — <br /> (('S J. DrEE iw- — <br /> FNE9MnILFRRLoO PEA{ll,l AoalION4 NNORQ <br /> OI11ER <br /> inc r:tml nEOo PE.LEON <br /> EIME e1YDEq 4DRCNAIgE <br /> Tim a Dollar nAN{Amkiv[u eY CITYOFEVERETT IVMIOvw(X,,s <br /> �I LOCAL SALES <br /> 7J WTE2- 'dol TAX CODE 183105 TOTAL <br />