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APPLICATIIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT A BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT. WA 98201 •257.8810 <br />I DEMOLITION COMBINATION V BUILDING ! I MECHANICAL 5t PLUMBING SIGN <br />PROJECT ADDRESS <br />Z421 �j "� PL_ S.E EJeeETs WA 9'x2-Z3 <br />Mmn YAAlwltss call In pICIt <br />L106C-W C GReNle�2 Z4al 81� VL SE E�coETr Qgzo3 47S 3V74s51 <br />lE4ull Y.u[«1f SS onr M nV4 <br />AnC.IECI OII«SYJNEP YAn. COU4ES CIT, 11 "t"t <br />RWBWSCCMIMCIOY 4•A AOWI[Y6 CIIY In "t"A SIIIE MIME. <br />COM1RACr PACE RaR. <br />HEATING SYSTEM: 1-1 GAS gELECTRIC i-'. <br />«scR4E Y.ORN AIq souwf roolAOf Nv«vEO <br />ASIM closer goo!n,N SW 0kee¢r <br />INFER'ru <br />C w ,ea- 4ZS 97o 41Pb4 <br />A*sT TL 1'Ar" AVDITTDa <br />RIIO oUSE «eUaOen <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />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 />NOT THE GRANTING OF A PE.IMIT DOES NOT PRESUME TO GIVE <br />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 IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW IA 21 RCW AND 2%200 WAG. <br />X �A�/�.Hp1 IZ MV+a-01 <br />EEG PESCRIFt M« PIIPRPIY IYIOMR UUM OP111•CN 1NOCd'IEEI <br />EOr Nola « <br />wREfUu III M qrl O oV/ OD <br />CONSiR11CICNlWNlfM1[R ACUII[651[l[Rg1A MAMER <br />6G iWIE p11E <br />CIl[SUEM[ES l[U15E IP <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO, <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET ITOILETI <br />AG—AHNDLO UNITS <br />! <br />BATHTUB <br />! <br />FORCED AIR SYSTEMS <br />I <br />LAVATORY (WASH BASIN <br />I <br />HEAT PUMP <br />I <br />SHOWER <br />UNIT HEATERS <br />! <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />i <br />DISHWASHER <br />RANGE HOOD <br />_ <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNINGI <br />—T <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />! <br />GAS FIREPLACE <br />DACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR, ETC.I <br />! <br />GAS PIPING <br />! <br />EXHAUSTFAN <br />I <br />I <br />! <br />SUB TOTAL f <br />! <br />SUB TOTAL f <br />PERMIT f <br />PERMIT A <br />I <br />TOTALFEE 51 <br />1 1 <br />1 <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />rFICNE Ulm. <br />WARMIMN <br />6CC YIeACa <br />nm mc.HI4SER <br />— 0/03 006 <br />I <br />MEC[IRI All <br />USEmRE <br />UOTAREA <br />SALAMI SITE <br />n Mo <br />FEED <br />VALUATION <br />FEE <br />"Unna <br />""'J n5 <br />m E1MI lYRA1EIN <br />IMI6ff IRYCLLIMI <br />41E «eleSll <br />nW.N4 <br />of <br />« AM:. paEIOM! <br />xcv'.IUUAv <br />eASEYEIn <br />n rEa n Rfl <br />Y[CMAMCAI <br />✓ <br />(, <br />.PpIgM4 nYl [HELM <br />iPF 6MHFALR RF04 <br />REAS(]N <br />Own <br />IRf AEARY ROO <br />REASON <br />EMN elnuen sMICMAROE <br />CD <br />r.PE«coast <br />nAM ARRnOn�eE <br />O•rt <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 810A <br />n cnconns <br />TOTAL <br />