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APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />32GO CEDAR STREET • EVERETT, WA 88201 • 259 8010 <br />DEMOLITION XCCOMSItN/LTIY3N BUILDING MECHANICAL XPLUMBING ❑SIGN <br />PR(JECT ADDRESS: /; V�� 6) �.[ <br />��2.$y�Tl-1 ��Si�JAC�T� GM,4Fz`tFsylU,E� �A.f1• �l 'Zo 3S�( 10 39 <br />t>.wFw �.n AROMas ur. tm noR <br />SAI l6 <br />I[Mwf YMl1nd(fS GIY ICI fVR <br />e— SL <br />.�. "wa �Tr Gof lSt-2u r"� v`7nmk <br />ftf�-ts a _E <br />«\Mw`�4jCW1INLCI«I� uI MdMN all tm I�gllr fdILIKtMM• <br />4Fdw�IL4��G'«1F.IPt.[�.I�Oa Vw ApdILTS a" Im P'q FMtf 111. <br />ftuws Ocml.sclO VkA Sf «n — PP n�On1 btAtf, IICFMf• <br />l TP _ <br />COwIM[t1IW.t— �f <br />I HEATING SYSTEM: �LFGAS Cl ELECTRIC ❑ __ <br />txa«vEe wonP.w fOUAM raat.ne vNavtO 2 <br />t.ct nwu>I.fu.NdR nO <br />400SF �7 <br />__ <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND XNDW 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 />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TU GIVE <br />A)THORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />ON THAT I AM AUTHORIZED BY THE <br />PERWA <br />OWNPERFORM THE WORK FOR WHICH <br />APPI COMPLY WITH THE STATE <br />CONNO T96200 WAC <br />X <br />FR«OfePUR «PALdNO <br />«MOrMtY <br />1 f04 ttEuarTlOr. IfNOvm nowwAn¢nrrq rOnFR <br />l01 llr-> [l0 __« <br />C TRUCRW lOw IFRPER A6RIIEM TEIEIH«IE MIINER <br />6gM.r OA f <br />G1YMIPREEEwiE M <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OIL REM <br />FEE <br />NO, <br />TYPE OF EOUDAIENT <br />FEE <br />WATER CLOSET (TOILE fL <br />NC—ARENDLO UNITS <br />BATHTUB <br />LAVATORY (WASH BA&N) —_ <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />IV <br />LAUNDRY TRAY <br />WATER HEATER <br />_— <br />CLOTHES WASHER <br />WOOD STOVE <br />_ <br />URINAL <br />MtTAL FIREPLACE ROOD BURNING) <br />BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT HOOD BURNING) <br />GAS FIREPLACE <br />I <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />1 <br />GAS RANGE <br />i <br />_ <br />SINK )SERVICE — BAR, ETC) <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL f <br />B TOTAL f <br />+� <br />PERMIT f <br />PERMIT $ <br />TOTAL FEE f <br />TOTALFEE II <br />FOR OFFICE USE ONLY: <br />IRCNT bFTPAd <br />n[w N\PACX <br />POE NtEACX <br />nw GIFCIt MAIM <br />�_>vo <br />IIF <br />30 <br />ftorwl MI <br />use rONE <br />ln1AxA <br />vAcwl yrt <br />a Yf! D w <br />FEE$ <br />VALU TION <br />E <br />MRONR <br />NI9Nl ulwurvn. <br />w«OnEllnO <br />1M19 <br />PR «N0Q'f1 <br />Tf. IVM/OI <br />114,71 ti <br />O;MwCY 1OdatnKf <br />/ <br />OECUMNrIWD <br />PAMIRAI ./ <br />G\If pM <br />YtCN4It4 <br />�n-1 <br />AOdiXWAInwCIA'.A <br />FIRE bIRIA6ER n[0v <br />MA" <br />DINER <br />IPF4NWM <br />M." <br />STAH PROMI PIIIdY00E <br />1m «rdfr <br />_N <br />nAAf ur\KMEPp. <br />wn 1=3 t 6 <br />CRY OF EVERETT <br />LOCALSALES <br />TAX CODE IS 31 DS <br />nlN r.wmne <br />,L7 <br />oL� <br />TOTAL <br />