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APPLICATIA FOR CONSTRUCTION PERMIT <br /> CITY OF STREET <br /> •RETT,WA DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201•257-0810 <br /> FJ DEMOLITION ❑ COMBINATION BUILDING CT MECHANICAL ❑ PLUMBING ❑ SIGN <br /> RROJECTACJRESS <br /> Vw <br /> OIMlR Y"E.1LO11E Ulr <br /> tv n.yA <br /> TEKNrT c r " . , I 9y27/ <br /> calor <br /> 3Go-651759/ <br /> cT aR aPvaR� YYNKAKu clTr D RAei <br /> G3Q A) 191734 99m.rrl� / �/ OF241 n.TEL.n 79_ i-e y <br /> GFIEAlcaNTA.:m�A— HMAAowt� m to KgIE XEAaa. <br /> ds��a� 0111 <br /> _ IfoSt N/CY3.TZ <br /> YEOR.Arx can TOR M.l as t• RA)IE VAX LUNIf. <br /> (Y 3-/0 7e <br /> COMIMCTOR Y•R.ODKIt GIY nIDrE <br /> VAX M 10R. <br /> coxTR.cT RRCE a.w<Yw <br /> HEA NO SYSTEM: gGAB ❑ELECTRIC ❑ <br /> aacRll Rorw.ro wrooT nn Tn wwaew <br /> - <br /> (/� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> 'ppFgEP APPLICATION AND KNOW ThF UAE TORE TRUE AND CORRECT,ALL <br /> S G IL PROVISIONS OF LAWS AND OI.UMANCES GOVERNING THIS TYPE OF <br /> r[aK aiMPTAM6 woIRRn IMIDIIReFiO.Y GR ATTACN nq CDRI WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO ONE <br /> IoT 7A KWK 00 NIL} - AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL UW REGULATING CONSTRUCTION OR THE <br /> T E PERFORMANCE OF CONSTRUCTION THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> v.e I.Tmlo"A"A"m CONTRACTORS LAW 10 27 RCW AND 290 200 WAC <br /> tRucroR MYe URGER amEwvARwER a• 0 aXurYT��� 7��L� <br /> 0 5 7.5tc 1 <br /> Pe 1( GYWEIXMEKEMERD <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT <br /> _3, WATER CLOSET(TOILET) AC-AH TC UNITS FEE <br /> BATHTLXi FORCEDAIR SYSTEMS <br /> LAVATCRY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK A DISP I CLOTHZS DRYERS I <br /> DISHWASHER / I RANGEH000 <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER .- WpGO STOVE <br /> DRINKING <br /> - METAL FIREPLACE IWCOD BURNINGI <br /> DRINKING FOUNTAIN FIREPLACE INSERT(WOOD BURNING) j <br /> FLOOR DRAIN OA9 FIREPLACE <br /> - - BACKFLOW PREVENTERS �- 6AS RANGE <br /> SINK(SERVICE-BAR,ETC) _ GAS PIPING <br /> EXHUUST FAN <br /> i <br /> I <br /> I <br /> SUB TOTAL { IVSUB TOTAL S <br /> PERMIT { PERMIT S <br /> TOTAL FEE E TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> FRDRI tnY{R R[.R YTeKYt / PD[EfIEAtI�. RAMC C.MW[P IEE n RC[PTb <br /> ?o S� <br /> Ist Im.RE. YAfANI aRE FEES VALUATION FEE <br /> RIKMR leIRAfeX1 � nOr owruw aNEo ewml <br /> RUIIeMO <br /> OLCW4Lr M�aKRl1 QCWwTIOW NIE M � IRpMMCY <br /> U1 Z 0KE <br /> REWwiER RDO R450R ApORXXMt PJNplEpl <br /> rat AlNeI IKOr RE.yp, Gnu <br /> n.TE DULDW EUKNYq[ <br /> TrTEacce1 nARa A.wc.Eoer CITY OF EVERETT nrNc wa.a <br /> LOCAL SALES <br /> TAX CODE IS IES TOtAL <br />