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/4PPLICATIO1 FOR CONSTRUC"PON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERFTT. WA 98201 • 259-88 10 <br />Cl DEMMUTION COMBINATION ❑ � UILD G Cl MECHANICAL ❑ MECHANICAL PLUMBING SIGN <br />PROJECT ARDRESS: %j/ - ia� ��, <br />wl? <br />kWAWLE Fb.N.4 '3ieA /145 4T AlPr I_, <br />caIrRRCIfRwarpw <br />HEATING SYSTEM: OAS ❑ ELECTRIC O <br />MYM RM tWYlt fOwl-0! MYOlVE4 <br />/sa ar - �r *I <br />o9 <br />11C1 RR]CN RM fNpy[ M <br />P,rrrA� sue- 5 -za'Er <br />4GL��S AtpteF <br />S S rq - <br />rtlorouolsF a MIKNO <br />C <br />I HEREBY CERTIF THAT 1 HAVE REA 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 HERFIN 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 WORN FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />ZTRA�, SLAW IB 2T ACW AND 296 200 WAC <br />�1275I19 °" /oi�gL <br />level ul/clwllo,a rAorlRn nlgRx YLwIa RnKx1A000IXA <br />1O1—Ip_Roa a r 1IIILI <br />RACR To I MI11MR <br />CdIIMICIKM LOW L[xOFR RpI111F53. RI[nOS MOMFR <br />Rn wPx[M Ir.F XM <br />PLUMBING <br />I MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR OEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENF <br />FEE <br />2 <br />WATER CLOSET (TOILET) <br />AC-ANOMMUNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />FEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK B DISP <br />I <br />CLOTHES DRYERS <br />DISHWASHER <br />— <br />RANGE MOOD <br />LAUNDRY TRAY <br />I <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE MOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />OAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK ISERVICE - BAR. ETC) <br />GAS PIPING <br />EXHAUST FAN <br />SUB TOTAL 9 <br />I <br />SUB 72741. t <br />PERMIT ! <br />PERMIT t <br />TOTAL FEE t <br />I <br />TOTALrEE t <br />FOR OFFICE USE ONLY: -iH . r /,I n/) P.i, i - -r•r • . ,I,.vf . <br />IIIOIP IXIlALR � <br />RMFFINCR <br />FIR MIFRDI <br />RW g4CR MAAIFR <br />IFf ��RffIRI <br />NO <br />(Ile lo,N <br />- � <br />wl �4y�FFR <br />(09� <br />Vawr&IF <br />,RAF! O Ib <br />FEEB <br />VALUATION <br />FEE <br />Au AK <br />—T <br />le go <br />RUxI W MIKRI <br />Zd <br />xo a Orl[IIRIO <br />lRR1A f <br />FYI a 3, <br />IS 20 Sf C�Vv..� f <br />RIMM <br />72: <br />INW[r tlVn elMlf <br />OLCYRMI IOu] <br />F1Mul MI / <br />On! [NI <br />y(MWK4 <br />IIDxRRWCMw <br />rR yRRMlrR R100 <br />RRpN <br />- <br />GIMP <br />rM[µI/1u Rf00 <br />RRRb1 <br />flelFlUfPM!4XCIUMF <br />I.rt aFOxsl <br />RAxs RrFl�ovsr el <br />�JH <br />wq 10 °/_ <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS J105 <br />nr r,warn <br />TOTAL <br />�-}— <br />2 Q <br />