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APPLICATA FOR CONSTRUCON PERMIT <br /> CITY OF ET•BUILDING DIVISION <br /> 3200 CEDAR STREREETT A•EVERETT,WA 98201•257-8810 <br /> DEMOLITION COMBINATION "-'. BUILDING [I MECHANICAL 1 PLUMBING ❑ SIGN <br /> P JECT ADDRESS <br /> n <br /> YUINWIIFSS riTrTR PAY4 376'.1 <br /> i51 ^f4UYEJ SOI -7�� PL 4L uF -IT 01X,203 tLy�yo- <br /> nIMNI MAE ADDRESS Gn lV R YM <br /> LPCNRLcr OAmmwR W&ACCPFLS Orr IV ADE <br /> pMERK LpI1RKIDP WR•CPCSS CITY 7V gOIK SIAM LKSMfI <br /> W BN✓n1ER. <br /> 4FCNAN44 Cp1rRK1pP MAL rDpI[SS G1Y IV pC1E 591E lKENSE• <br /> HDMEXq rANiPAC rDN LMR ADdrtS5 c'" IF MdK SIAn=ME. <br /> Cd1Tl4tr 1PtC p RMR <br /> z�= HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> p 6CRIR YXXM�SDDM[rODI INV vfD CON1ACr PLR6pNAM llg1[Iq <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> HrorouD usf p suaurlD 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 /> LFDALRRPPTKINpPIgMPrvIMgWII RLowaPAn.cN TNOCLPV51 NOT THE GRANTING OF A PERMIT DOES NO. PRESUME TO GIVE <br /> LOT KOCN Of AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION I^ MADE AND 1 COMPLY WITH THE STATE <br /> uulD R CONTRACTORS LAW 1527 RCW AND 296200 WAC. <br /> LIR ti&. ^7 <br /> Cp1811111LIgNLwNILNt(R AC01 5 nIIMKFt MN[P ��^���j�O� <br /> CR1 SVSr4SS LCILWA W <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO, TYPE OF EQUIPMENT FEF <br /> WATER CLOSET(TOILET) AC—ANNDLG UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) NEAT PUMP <br /> SHOWER I UNITHFATERS <br /> KITCHEN SINK A DISP CLOTHES DRYERS <br /> DISHWASHER i RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER I <br /> CLOTHES WASHER i WOOD STOVE <br /> URINAL METAL FIREPLACE RVOOD BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT(WOOD BURNING) i <br /> FLOOR DRAIN I GAS FIREPLACE I <br /> BACKFLOW PREVENTERS I OAS RANGE I <br /> SINK(SERVICE—BAR.ETC.1 OAS PIPING <br /> EXHAUSTFAN <br /> I <br /> I <br /> SUB TOTAL f SUB TOTAL f <br /> PERMIT f PERMIT f <br /> TOTAL FEE S TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> rFKMTMTT MAP ltmAS URAI mm(Wc• RLVr No <br /> usE taM <br /> OTAPIA VIrC/.Nt 511E FEES VALUATION FE[ <br /> � <br /> (ina emcm,l �Z <br /> MUN1lYIIA1 M p gnLLM PiEpp 0.G11/1 <br /> UMTS I Vo J.f. RNRM <br /> CCCWANCv gp6TCwE1 OCCI:1'WILOAD "AEMLNr LKGMMC4 <br /> 'I I <br /> (1n$ DNET <br /> rpf SPRMI[PPfOO NEASCN ACOITKIN4 FLYICMCN <br /> OTMP <br /> rPf.LLMMPFOD MAEON <br /> u. <br /> E?An eDAGND SUCNMq[ <br /> TrrEpcDNsT nANe.wroVTDer CITY OF EVERETT rmcw s <br /> / LOCALSALES <br /> TAX CODE IS 0105 ITOTAL <br />