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APPLICATI1% FOR CONSTRZICAN PERMIT <br /> ' CITY OF EVERETT a BUILDING DIVISION <br /> 3200 CEDAR STREET f EVERETT.WA 98..1 a(425)257.8810 <br /> I DEMOLITION ❑ COMBINATION ❑ BUILrING �J-M �HEA�NIC ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRESS:11(1 69"_ �`+ "N e917�'2?1 tfs�SW*AZ <br /> I R. <br /> PAV08 MhND R>Ny Lyn AL 9�D3G <br /> ,(IYY, 4Y 4fllf!! IM � <br /> .wp.rtc,alawa4lw YN.n111rt5 cn• /f hW <br /> cm lir mw14( n•N law <br /> ryµnll Cllllw•(I(A 4.n NltMllf{ <br /> pA l a, F 2'r0� �Lf Mc-IL j?azn __ 9Q42Y tssuL I, FY{fICTFPb°195 E— <br /> YrfN•4C4 r.[NIn•[IOw 4.4 AIaYY!! <br /> Clry If mKIR f,.q IKFMf[• <br /> M111 mG CQI1RY:101 YN.nlwllff <br /> CIM1 !f r4NM1 fl•I(IKl4H• <br /> HEATING SYSTEM: ❑OAS ❑ELECTRIC ❑ <br /> �FrA c ,•Ll mnfvl•Nn NO Vg-, <br /> vrFcw�.Nn snu•w n10,.O(FmdYTo <br /> SP <br /> "f0 NEAa oFru� APJ� L>•1f4K - <br /> Ao I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> FlmcJ l'� `W FT^ <br /> PROVISIONS <br /> ROMAPPLICATIONIONS AND KNOW THE SAME C BE TRUE AND CHIS ECTTYPE <br /> ALL <br /> i4u ouvine n mndM WORK ONS OF LAWS A D ORDINANCES ER SPECIFIED <br /> THIS TYPE OF <br /> NOT <br /> WORK <br /> )GRANiTIING OF A PERMIPLIED WITH T DOES NotPRESUMETO GIEIN VE <br /> N nlxnnlo4a moNnn lflawN HlOww.n•cN cp+ly <br /> AUTHORITY TO VIOLATE CANCEL THE PROVISION OF ANY <br /> l01 Hvc. M OTHER STATE OR LOCAL LAW <br /> REOVLATINO 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 IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW IA 77 RCW AND 296700 WAC <br /> wNICF I"I D MAWn <br /> COMfIMKIIRYIN41fMrn NKfM fl Rl(ngKF MMM^ lgM.,Uwf 1.,1 <br /> p1Y FI)YI[FSIKLNf[110 _ <br /> PLUNEINO MECHANICAL <br /> NO. PE OF CHEE on TYFEE NO. TYPE Of[OLIIPFABIT FEE <br /> WATER CLOSET(TTOILLETT) AIC—AR0IOL0 U111IE <br /> BATHTUB FORCED A01 SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> UNIT HEATERS <br /> SHOWER <br /> KITCHEN SIM A DISP CLOTHES DRYERS <br /> RANGEHOOD _ <br /> DISHWASHER WATER NEATER <br /> LAUNDRY TRAY WOOD STOVE <br /> CLOTHES WASHER ------ BURNING) <br /> METAL FIREPLACE WOOD <br /> URINAL FIREPLACE NSERT MBURNING) <br /> ., DRNANG FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN OIl9 RANGE <br /> BACAFLOW PREVENTERS GAS PIPING <br /> SINN(SERVICE—BAR.ETC) EXHAUST FAN <br /> 1 <br /> 1 <br /> SUBTOTAL T <br /> SUBTOTAL T PERMIT A <br /> PERMIT $ TOTAL FEE 4 <br /> TOTAL FEE II <br /> FOR OFFICE USE ONLY: r(r wr(fl wo <br /> IwrMl vlwv rrw u,YCA fK(ulF.cF 7 ^ (} O 'A <br /> py tpgF IDI Mfw I--' 1( <br /> 4 <br /> V LUA L110N1/ �T <br /> D•FI D KO wM <br /> N(KwIIIMIIAIAW IMOPw111W fIIFd NOOnI IN <br /> �Nµ:Y IIIm 1Nw11 (11'.I:If•YI ID41 f.YNMI Yfl'N4K.M <br /> ^ OHF G n <br /> AwlM ft"cwc* <br /> rwiswnl•1(wlrtvv-- n.Hn O . <br /> O,Mw <br /> rfK NA^4 wt0o M•afn <br /> FI.11 MAW)IIIRCNAnry __.1_ <br /> I•r(vrl:v l nA4F vrnw• CRY OF EVERETT <br /> /` LOCAL SALES <br /> oAlf TA%CODE IS 7105 TOTAL <br /> G• (DO <br />