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APPLICAT11IN FOR CONSTRUCAN PERMIT/��///!V/���►T <br /> CITU OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 90201 •(425)2578810 <br /> ❑ DEMOLITION 0 COMBINATION BUILDING ❑ MECHANICAL 0 PLUMBING F1 SIGN <br /> PROJECT ADDRESS: QII �,B/I�D� �5� .SLV �/ � 1A.)A <br /> ��'4-?-ids &AieA'j32k0 6414- aoy '�srSwLlayugra4 _ i'sJd�I91 <br /> pWln YN.00IlS! PIY !f 1nUML <br /> Z4�15 Aj G. <br /> Irw.wl u A ss nn n nawf <br /> 4104 l4j.E 12)��lommQ SrYTE/AS SKlI�lE_(,l,',{� 98/68 a4S-M3?-e9Q� <br /> U1LM1IGI an(yrp y.x SS CITY /T M(Y/ <br /> SQ4 LC!C �oK.'(V'� 6414 2o4�'sr SIN �yysy.�wtLd (N{4 /Fi/-//�8-7191 <br /> tKwlny cowlnArlap YAx Aa+lse <n. m nrr! sun lrrwy. <br /> wc..MCM[.M'.Kfp YAA NUI!!e OM1 !r nfi! ty1{IKIne[• <br /> n1111lrq Ca '"KIM m"MC!gef Cln M AOA sutrorthm- <br /> CONIRY:I Mv,:f M wYYFt '— <br /> �,� HEATING SYSTEM: OAS ❑ELECTRIC O <br /> KxMIf WYw.MI SauIK fOU11W y1V1VFa .CTM•+afA.mm, <br /> vl osF oFF� U ati gc-A <br /> �HTZrxwK.sS e ^a-Iq <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW TIIE SAME TO BE TRUE AND CORRECT ALL <br /> I'xQpyUlrA nr MMdNa PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LA.= #Lsa WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> Irak mx.'l wMl)MU'IM lenOYM KIM MATIw MLazy NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> l a] KOCA p S AUTHOR17Y TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> Caaaam VA+O O PERFORMANCE OF CONSTRUCTION THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> '1104x 00 APPLICATION IS M E AND I COMPLY WITH THE STATE <br /> /'ApcR lu lD wlrwp CONT TORS A 1 7R AND2%200WAC <br /> Z a <br /> CUYSfMK11rIw IfYNHMfn IiRMLs1 RIfMIOFf yMllln <br /> eOnAIIF! �l <br /> aneusrtts lrlwN wP <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TV"OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET AID-ARMDLG UNITS <br /> BATHTUB ' FORCED AIR SYSTEMS <br /> LAVATORY GNASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK f(ISP CLOTHES DRYERS <br /> DISHWASHER RANGE HOOD i <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT(WOOD BURNING) <br /> FLOOR DRAIN GAS FIREPLACE _ <br /> BACKFLOW PREVENTERS GAS RANGE <br /> SINN(SERVICE-BAR.ETC) GAS PIPING <br /> EXHAUSt FAN <br /> SUB TOTAL f SUB TOTAL 3 <br /> PERMIT f PERMIT f <br /> TOTAL FEE f TOTAL FEE f <br /> FOR OFFICE USE ONLY. <br /> IIIrINi VrAV. KIR N11Yf.11 flll[1f14Ce MWCIICt K 2� Ilf RflPl lq <br /> DA/ <br /> IHf/UK IaIAKA vKAN,wit FEES VALUATION FEE <br /> —_ <br /> MMM: 7 L <br /> KKMI I WIIMMIN Ma fA lIM[IIMa WIII ammi.,violiv <br /> V <br /> )MIR Iq , <br /> all <br /> MIxYMn <br /> LLI.IMW'.. ,An.,•N• (K[IhM11U•0 I.LNbI <br /> fn0lll' NI xya[M --�-.. <br /> fp SMYnI[n Ka'U KAS(M� l� <br /> yds a1Kn -- -- <br /> fMI MApy lnoP KAMr, -.. <br /> 7� �� RIAIIMMbMIIMAY.WMr _�.j�� <br /> I'M fr<vm nllnt.rrpovrn K. CITY OF EVERETT Mar., <br /> V_/11 t� LOCAL SALES — ---- <br /> pY{ / TA%CODE IS 7105 TOTAL _ —� <br />