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APPLICAT& V00% CONSTRUAON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />32W CEDAR. STREET • FVERETT, WA 08201 • 269 WO <br />❑ DEMOLITION CONRINATION ❑ BUILDING ❑ MEC4ANiCAL G PI. IMBING ❑ SIGN <br />PROJECT ADDRESS•_7c) <br />►NIa3GaQA <br />CO111uC<IV�r <br />Y.14V11!!/n� <br />!n F4f <br />'n�yyIXYMl <br />� /�C�rr <br />Ag /T CT it <br />��t/1.l�L:KIM}♦• <br />J�'�]Qtl1ll <br />tl/.111 C11Y! <br />�d2 <br />- �.i�i+'T <br />W1lNA-U,kN , =i71 <br />Eacrerr- 9YInK �4 • {J�'X'/ *SFAl4wyocsa;� <br />t1111aNG CONP ICIp-- <br />�l.l_g�cF PAW" <br />Y.4 /.mySJ <br />3io4 fT<-0 <br />Si: IRIS <br />PI rvICI.E lNli lTiNll1 <br />Z sa-sAao ALLiaPSn4 C� <br />cwrPNa lMMwwwaw <br />rT�KLy{I�aMAl��POIIt MD bW14 N%IrMI o 8"* Rom'] <br />HEATING SYSTEM: OAS ❑ELECTRIC ❑ <br />IKT RPYJMYO.IOY YO <br />S erg_}ZqZ�! <br />atoL'y�%,Atnc.E <br />I HEREBY CER11F THAT I HAVE RE.\ 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 />NIT THE GRANTING OF A PERMIT DOES NOT PRLSUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THI PROVISION OF ANY <br />LATHER STATE OR LOCAL LAW REGIAAnNG 03NSTRIICTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I Alt AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM n1E WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />RACTOFIS LAW IS 21 RCW AND 296 200 WAC. <br />X _ O �i� <br />n llll w�' <br />uAN wauiwAlwN An Il110WIMLCM OI.RICIITW KR <br />Im—�_Raa wA L/I llN&47 <br />--'— <br />INKeI r4lo IANxn <br />CONlKLTICIIIow LelO[P.lmPl M. rt11n1aY MMrFK <br />DIn7jgI� wr[ <br />ury t11�lY ¢[ MO <br />PLUMBK/G <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR OEM <br />FEE <br />No. <br />_ <br />TYPE O: EOIR►A -w <br />FEE <br />2 <br />WATER CLOSET (TOKE <br />AIC-AAINDLO UMIS <br />BATHTUB <br />FORCED AIR SV STEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UN.THEATERS <br />1 <br />KITCHEN SINK A DISP <br />CLOTHES DRYENS <br />DISHWASHER <br />RANGE HODO <br />_t <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURVINOI <br />_ <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT WOOD BURNING) <br />FLOOR DRAIN <br />I <br />OAS FIREPLACE <br />BACKFLOW PREVENTERS <br />1 <br />_ <br />OAS RANGE <br />SINK (SERVICE - BAR. ETC.) <br />OAS PIPING <br />_ <br />EXHAUST FAN <br />SUBTOTAL f <br />I <br />BI*TOTAL { <br />PERMIT f <br />1 <br />PERMIT f <br />_ <br />TOTAL FEE III <br />TOTAL ?EF f <br />FOR OFFICE USE ONLY: <br />rAp11 Yr�� . <br />K.N Ulm. <br />1"6 t/ <br />nwL1RC11rAAA11 <br />rtt <br />Kllrrm <br />ua tW* —/ <br />, <br />larwl• <br />vlcwl n <br />►EE <br />VALUATION <br />�— <br />2 <br />KNITI UTNN <br />Iq tb PMFLIM <br />II <br />mwftM <br />/ lip vuJ. + <br />NIP�lq <br />7 <br />OOIIAIt <br />OFLWMI l010 <br />4VFKMr / <br />Orlf d/ <br />wCPw <br />APUIIbIN tlw TKw <br />tK KOD <br />KAad <br />OIKA <br />IK NNW KOD <br />KLWII <br />alYl MIAl11K1 rFICHNm <br />-N <br />Iv S <br />wn •h4 4t. <br />CRY OF EVE <br />LOCAL 8ALE8 <br />TAX CODE IBB103 <br />nRlcwown <br />= - <br />` <br />TOTAL <br />