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APPLICATA FOR CONSTRUC&N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />32DO CEDAR STREET • EVERETT, WA 98201 A257.8810 <br />❑ DEMOLITION )( COMBINATION ! I BUILDING I I MECHANICAL - PLUMBING 1-1 SIGN <br />PROJECT ADDRESS l� JC _ 94iS (1 . IJ) <br />7(J V <br />lfY <br />GNRP 447•DGIES9 GAg1f <br />' <br />TawE?A1t�Ma�oaiaaL Mt$ 4o�~SLi ��.�� gSaB{ `J%53553515 <br />Ttl• t 44 •DaR{{ CPY tP RpE <br />•PCWIIC1 OR Cf9E1M 44 MMf{t Lf11 }P RRRE T�9tGgilJf\07yEVf� <br />mom t2Te g615G °.tD6 )62 14b4. <br />[1f 4P4 CON1 1 W4•pplfl9 CITY IF Prl}E STATE lLEr6fr <br />YE . I,Cµ CJNTR•Li(M 4•R •CPRS DpSS�!- IS RrNPL 51.1E 10EN9fA <br />RU4R.M CWIRACIp1 4AafMR 99 fltV 1P P1g1< 61•1L LICENSE• <br />1 at'cI8Z <br />a TRMT FACEargOA <br />HEATINOSYSTEM: (-10AS nELECTRIC 17 <br />DF9UIRF WIXMMXATK TEATIME M'0.vfo <br />cover R •Na PPaI[RO <br />�• O <br />wr- <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAMF 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 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 />ONNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />ADE AND 1 COMPLY WITH THE STATE <br />82? FIC(LW1AjNNDJ(\f�Lj �f 700 WAG. <br />ko ^ <br />Nw <br />_ <br />Prloro9ED use a {UADfu <br />LE0.40ESCRPIM Elf M RRT llN SELEM DR Ar1ALNIWO COPf91 <br />LOT NOL4 or <br />I 0!{�i. +062 <br />3 <br />Puce TU In ruubLR <br />COftlll CTM IOW It TAXR .VMMK SS It lLP1YTi MMSEIT <br />cam, 4A DALE <br />Cl" WSANCSSLKFNHM <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />ND <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILETI <br />A/C —AHNDLG UNITS <br />BATHTUB <br />i <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK a DISP <br />CLOTHES DRYERS <br />i <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRYTRAY <br />i <br />WATER HFATER <br />CLOTHES WASHER <br />WOOD STOVE <br />i <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />_ <br />DRINKING FOUNTAIN <br />j <br />FIREPLACE INSERT (WOOD BURN!;MI <br />FLOOR DRAIN <br />OAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK ISERVICT' — BAR. ETC 1 <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL f <br />SUBTOTAL f <br />PERMIT f <br />PERMIT f <br />TOTAL FEE <br />TOTAL FEE f <br />_ <br />FOR OFFICE USE ONLY: <br />ERIMt SEIeMK <br />PEW SLISAGI <br />SSE MRSACX <br />CRPALATKA <br />E[d <br />ACCEPT ACT <br />USE ta,F <br />AKM1Nll WrA1X.W16 <br />OC'CIIPMCT MOfTOPIf <br />aF -3. <br />IMSWPRDERMOD <br />fPE AUP4 PFOO <br />RIPEa CONST <br />�_ • / <br />tat AREA <br />vACWnPE <br />nRS GM <br />FEES <br />VALUATION <br />FEE <br />1 1 <br />bMLLMO <br />SKF Of %DOTT <br />I <br />cy <br />R SMa <br />CC[IRwiIOM <br />Nf�4l Hr <br />fl YF9 <br />ATEC—SE <br />ADgIKX94 RANCNECX <br />PEASON <br />OIIKR <br />REASON <br />STATE MRDRD E4RCNARK <br />RANSAfPRovfDer <br />CITYOFEV ARE <br />LOCAL S <br />TAI( CODE IS 7103 ITOTAL <br />wxewawa <br />