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APPLICATION FOR CONSTRUCTON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET.EVERETT.WA 38201 •:.57.8810 <br /> DEMOLITION COMBINATION i,/BUILDING i-1 MECHANICAL PLUMBING SIGN <br /> PROJECTADDRESS J0 It? IL A Sul <br /> I.COPFSS CITY to P"CAN <br /> L7owhid IMP 1051^Aye SE 511neom.14 gjAyt Y%S 739 3yf9 <br /> qN...T <br /> um AOpCSSI p[ <br /> CITY 10 PM <br /> _Af.{ .fAcl Alpri Wesl Mp hV'Ile 9yb7;? 475yrg- yFir <br /> APauIFC I OR L1E�SASSCR SUAAO is CITY tv rwaA <br /> TAr{AAI lleyelPAmLAi SA7'+A. - TARTi 111 CB <br /> aqw"AA CCWIDKTOR [ u4 Applfi{ Crtr lr PNaA STATE LCFNSF[ <br /> T3,N K/J u7f`�A A/E tK 5099Itt 98rT5R Y.'S 71Y Y/t/ <br /> Vfc^ CK calrRKl u...tKMRSs cir. tr Ip.f .1Pi l[[NSF• - <br /> tjtAT NAcccs 11 PNr'1'^7 7-05 1710051 NF A76^910m gp233 aas 750's/'13 <br /> "T IN CCW1nKlOR u.p A, AS C." !D PN01.[ STATE JCfTSE• <br /> Ca.1RAfr%ILA a V.aA <br /> w2w SFE 14 HEATING SYSTEM: VGAS i7 ELECTRIC ❑ <br /> aSCRMF Wal^4q SayY1S SOOIbF HVpS(0 CONIKIISRSCW' o'W <br /> IJ L1,21 23q 3 <br /> 1 ,4-3 <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> 1'ncwuCusf a ewsOPu 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 /> [taO afcPrT,WaPror[RrrlNow..enow oq/y/11CN TSW N NOT THE GRANTING OF A PERMIT ODES NOT PRESUME TO GIVE <br /> LOT—(> aoa a J H AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> 7 OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION THAT 1 AM AUTHORIZED BY THF <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> _ <br /> . gS.{i0E poo&Ing ocoo APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> w..efl m i u MIVefP CONTRACTORS LAW ntaiB icar <br /> 10 27 RCW AND 296200 WAC <br /> AIA <br /> dl YDS ^SB- 6 X DL xl;-�^ <br /> CITY <br /> CryRt110lA.fl^ StFlfP14.F:A It- <br /> s NANM <br /> 01r BVSWS SS ICI NSF MI <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE 1.0. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET ITOILETI AC-ANNDLO UNITS <br /> BATHTUB FORTED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER i UNIT HEATERS _ <br /> KITCHEN SINN 6 DIS• CLOTHES DRYERS <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY I WATER HEATER ! <br /> / CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT(WOOD BURNING1 _ <br /> FLOOR DRAIN GAS FIREPLACE <br /> BACKFLOW PREVENTERS _ OAS RANGE <br /> SINK(SERVICE-GAR.ETC) OAS PIPING <br /> EXHALSTFAN <br /> SUBTOTAL S SUBTOTAL f <br /> PERMIT f PERMIT f <br /> _ TOTALFEE f TOTALFEE f <br /> FOR OFFICE USE ONLY: <br /> InA.t Sf TIK+ RfAR Ef If K+ flK[ASe.fJl ryAN'MC+MIMIIEP f[5� PfCfrl rA7 <br /> uSt ICA, to,APER w"T YG 'FEE& VALUATION FEE <br /> /Z- I 1PhB n Ko <br /> •I n1Ml'A' l WaDA7LLWa M7EaKM1 <br /> L(S .IS , S 3p RlI1MWa <br /> rafMWEI accuPwlww eAStOANr-1 OttwNSO <br /> r � Z Ft -w <br /> ' [5 fw MOC PL.SON .SaTKIN4 KAM CN[CA <br /> U W.I. <br /> I.n_.I.PY PA00 PEAEa. <br /> 51.1E eua9[4 BUCNWF <br /> l.Pfa CplSl KAN1..W Ca. CITY OF EVERETT AVBIK WOR.s <br /> LOCAL SALES <br /> IJ, yTf �7 Z'7 TAX CODE IS 3103 TOTAL <br />