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APPLICATION FOR CONSTRUCTION PERMIT <br /> �TY OF EVERETT•BUILDING DIVISION• <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259.8010 <br /> (J DEMOLITION ❑ COMBINATION ❑ BUILDING MECHANICAL= 5�� BING O SIGI <br /> PROJECT ADDRESS: IM `40" S1,141 " rnU pm ff <br /> Alter <br /> - t"tin aeNS• zbzV may <br /> �Dw+nn An ADCn1{ 9037 91998 <br /> ON <br /> ,fNYli Y.A wrn(n ul—. n. maA C11'V <br /> °gpmee OF FVFq <br /> Ancr.l[cl an asroNtn uAn tnon[ss PM1 ). PNPNP -Seryfiej <br /> O[M(n4 CPIlMCIP1 V4ADD11Fl{ Cil, ),1' mgNE flwmtNl1• <br /> 'IRToz4T 9a" PRfTOA.T 2101 TN` AMft C 1f1Ed'1►A 9eYs4 Jcf•va NI09e p/\1-RFt4ViACM1 <br /> Y(CN(MCAt CWInACTGG YbI ADPIEIS OM1 IN' m10N[ 51.151K[NS(1 <br /> Plum.a CUNG..cToI YM l"ES$ CiIY ISP mrONE STATE L1C(NS(• <br /> cw,,ACI rm b NpIN <br /> HEATING SYSTEM: ❑GAS DIELECTRIC <br /> DCSCM1IE AM TWAn(toow(NV WD c y�^ lr(nsaN Alq nNP No <br /> 2 yeG pr °C itrT{ an zsS- `I14.Z-'to <br /> ago 1h�.6 5P(tcnlnlsll. Peo,�c�_r�� <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THI: <br /> f`�"`1 M6zaANCAIe L bFIV1L716�`'b y+/{LI.S• APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALI <br /> PnorOs[D usE orewaNn PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE Of <br /> WCRK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OF <br /> .(xacwllM W% P"I51fP5'N euaw an•nAcn ltlO corns) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO OIVI <br /> toT eLDCA ar AUTHORITY TO VIOLATE OR CANCEL THF. PROVISION OF AM <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THI <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THI <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WI <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATI <br /> PA [t TM ..A2 — CONTRACTORS LAW 16 27 RCW AND 296.200 WAC. <br /> -CJ`ti� �r� � - 12•b-9� <br /> co-nrlLu:TwN tow Mxlxn,ADDnns,FLt%gvF rwetn — <br /> 5,„,.�.� DAIf <br /> aM1 eUOMT!lC[NT(W <br /> PLUM9ING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EQUIPMENT �F — <br /> WATER CLO:ET(TOILET) NC-MiNOLG UNrTS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATGRY(VIASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SPIK 6 DISP CLOTHES DRYERS <br /> DISHWASHFRRANGE HOOD <br /> LAUNDRY TRAY WATER MATER <br /> CLOI)TES WASHER WOAD STOVE <br /> URINAL METAL FIREPLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT(WOOD BURNING) <br /> _ FLOOR DRAIN GAS fIREPU"E <br /> BACKFLOW PREVENTE.iS MS RANGE <br /> SINK(';ERVICE-BAR.El C.) GAB PIPING <br /> E%IUUST FAN <br /> 1 <br /> I <br /> I <br /> SUB TOTAL t SUB TOTAL f <br /> fli HmI1 s <br /> TOTAI FEE t TOTAL FEE t <br /> FOR OFFICE USE ONLY: <br /> fnpxl5fin4• nFAn SiIpACA TlN SfIPI� %AM [IIMMt F(! `a MCIMI VD <br /> VS[I(Nrt 101 Anl♦ Vr[nNl Sili <br /> FEES VALUATION FEE <br /> ptfi ❑Nn Ilm1wf <br /> ',V VwlAlil�N N0i1P Dni•,INO SAIF O(01.11 1 <br /> nIMM �— <br /> OCCWANCr AV dfV'nl{ XCVrpI LURI nAS[ul Nl ,ypyKy <br /> DIbI1V ❑,f5 ❑Nn <br /> --- AmIaNALnwattcn <br /> NNE ymMIIR Xao <br /> Nit., <br /> tNf ALMYn1O0 m(A SIAtI MOeM PXCNAro( 1 <br /> 1— <br /> TYP[M CONST CITY OF EVERETT %inl r.•'1^'n .L <br /> / o LOCALSALES <br /> own 2- ° U TAX CODE IS 3105 TOTAL <br />