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APPLICATICS! FOR CONSTRUC70N PERMIT <br />CITY OF EVERETT A BUILDING DIVISION <br />3200 CEDAR STREET • EVI�RETT. WA 9R201 • 257-5810 <br /><DEMOLITION COMBINATION BUILDING MECHANICAL 1 PLUMBING SIGN <br />PROJECT ADDRESS & / 4 90 TP Si S Lt) Evo2e r- WA <br />aw,nu <br />.,14mRlss <br />1.11 <br />rn nrsE (3ti0)bSi-3399 (An� <br />DAVC <br />MADLE fb815 W LK 6cvDEprA✓G <br />!Lf <br />STANumb WA VfZg2 (,Its 339-57tb <br />TE <br />Yy Y%M,ESS <br />tV 1YUIE <br />N <br />— VhCANT" <br />MCM1tcyFCI pI Cf{R1NFR WIROM,fE9 <br />Glr <br />l0 A4C <br />OEAERAL CONTAIACIOP IIAA {{ CITY IP <br />STATE MEW 0 <br />YECWIMCA, CGNiP•[iP1 lw,- It SE Gb m AU10L SWE ICVRI• <br />I,VATIMCd11w" 16,44Y00p[ss cn, m MACAE STATE IKA N'F <br />HEATING SYSTEM: fl OAS Il ELECTRIC Il <br />oEscaeE Wy1K AAq 6WAP[ roorAor +naLxn <br />coq•cr RaEOR Alp RAONE rp <br />1 HEREBY CERTIFY THAT 1 HAVE READ ANO EXAMINED THIS <br />APPLICATION AND Kf IOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORnINANCES GOVERNING THIS TYPE OF <br />WORN WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO '13LATE 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 />APP S MADE A) I COMPLY WITH THE STATE <br />C RAC R V'1027R WA1029S 200 WAC. <br />_ OV <br />mOimEO UEE a puKOMO <br />LEaa oEPcnPTEXAa AmRFaIrIPovArA eEloa oa An•cR lrr'owREP <br />Loy KOOK o <br />u KID a <br />(:dYIMCES1a EOAAA EEgfR •fYa1E SS VELERRYK MNpFR <br />O.1F <br />c11YWPREPSLKf AAO <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 />NC - AHNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />! <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK S DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />I <br />RANGE HOOD <br />' <br />LAUNDRYiRAY <br />WATER HEATER <br />' <br />CLOTHES WASHER <br />I <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE _ <br />SINK (SERVICE - BAR, ETC) <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />S <br />SUBTOTAL S <br />PERMIT <br />s <br />PERMIT s <br />_T— <br />TOTAL FEE <br />S <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />CIM -00(0 <br />AAEATSETSACK <br />SIOE tEIlAG! <br />RAN CIECK MIYRR <br />FE <br />mcm AIO <br />USE rot <br />Lor•a[A <br />r•cuAr sirt <br />nrrE nw <br />FEES <br />VALUATION <br />FEE <br />HEIDAIT1.110MION <br />AND wxug0 <br />EVEar <br />POOTI <br />RUL SKM <br />OCCWANCY gOfiMAS <br />OapF <br />p:CMANI IOq <br />UYMFMTCy <br />nxE nao <br />AOOa'ON4 RAN GA[CK <br />FOE H'aK0110 MOD <br />K." <br />OOha <br />rPEALARYREOO <br />PEA" <br />STATE OIADaU Su1CKA00E <br />Tm OF Coral <br />RAKs•AR•RovFosr <br />DAx <br />CITY OF EVERETT <br />LOCO L SALES <br />TAX CODE IS 3105 <br />PeLc Pores <br />TOTAL <br />