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r <br />APPLICATI& FOR CONSTRUC*ON PERMIT <br />CITY OF EVERETT R BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 v257-8610 <br />V'DEMOLITION COMBINATION f/BUILDING Ft/MECHANICAL I,/PLUMOING ! SIGN <br />IPROJECTADDRESS _ ,y- <br />3 <br />7 <br />KW cm1R. MP wka ss OOY 1. RQt SUIE LEANSU <br />coNIR¢r mcEaxgFE <br />CP 00-0/ <br />HEATING SYSTEM: ❑OAS VILECTRIC ❑ <br />aSCRipFWaK 6g1NE ECOtaa rt0 <br />-Es <br />KI R:PSW NOR dAW <br />/ / i <br />rr <br />316or ZINO C <br />0 <br />1O/AL Ll� llo Y/ [JpEOS� <br />R mo USE a XJLMRI — I O - <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING IHIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT 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 I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND M200 WAC. <br />LEUK atcnPipNaPTtacflRlEtU'A'N ULowaariKN lwO canal <br />Lor wocK a <br />�MWA Pelf <br />varciL'. 10 Nuue[fl <br />ECM rPIICtIJHIO'I.HJ`EN%R Kf sr[L[Rn?1F /M.MER'�' <br />3-/2rT //t / %Aoo /� h M1 /. L <br />fJ—�✓�!E^- <br />• l3Cs 1 fY <br />IME <br />1, / <br />jer� <br />VA <br />p <br />arr sOEP[69lKINEF fn <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 (TOILET) <br />AC-AMNDLG UNITS <br />Ig <br />BATHTUB <br />FORCED AIR SYSTEMS <br />! <br />UVATOR\ RYASH BASIN) <br />AT PUMP <br />I <br />SHOWER <br />vZ7UN <br />EATERS <br />KITCHEN SINK 8 DISP <br />t7 <br />CLO '• DRYERS <br />A511ER <br />RANGE H D <br />LAUND TRAY <br />WATER HEAT <br />CLOTHES HER <br />WOOD STOVE <br />-• <br />URINAL <br />METAL FIREPLACE) BURNING) <br />DRINKING FOUNTAI <br />I <br />FIREPLACE INSERT (WOO BURNING) <br />j <br />FLOOR DRAIN <br />GAS FIREPLACE <br />SACKFLOW PREVENTERS <br />OAS RANGE <br />I <br />SINK (SERVICE - BAR. ETC) <br />GAS PIPING <br />EXHAUST FAN <br />i <br />SUB TOTAL S <br />SUBTOTAL f <br />PERMIT f <br />i <br />PERMIT f <br />TOTAL FEE S <br />iTOTAL <br />FEE S <br />FOR OFFICE USE ONLY: .3 1 5A/• 7,? <br />fPCNI SEISKE <br />P[�P EtrsKP <br />BiCE bf llKn <br />R CKCP Nl1KFFR <br />/[E <br />ad. 9 <br />PECFPi MO <br />USE?M* r� <br />LoTZ� vKwrl6ltE <br />nrta pw, <br />FEES <br />VALUATION <br />FEE <br />--or- -111.ler <br />31! SL <br />NEnNILwnsrnNlra <br />urq urz�fO StlJI <br />OC Y tO Cl frWf <br />OCCUPaMiL'xmv <br />MWWNT <br />❑rEE NO <br />yECNWtiK <br />AEa1pNK AAM pKQ <br />' <br />1 EEl"UPPf00 <br />IT i <br />KAI <br />C � 1� <br />01MEfl <br />ERF KARM PE00 <br />Rf LSON <br />/4 <br />'/ n <br />TE <br />alaaulDR66uPbunOF <br />rr oust <br />Rwss ne. <br />CITY OF EVERETT <br />Relc nolwe <br />IH� • <br />.7� <br />o•IE .00 <br />LOCAL SALES <br />TAX CODE IS 3105 <br />TOTAL <br />