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APPLICATIA FOR CONSTRUC7*N PERMIT <br />GITY OF EVERETT • BUILDING nIVISION <br />7200 CEDAR STREET! EVERETT. W498201 •257.8010 <br />DEMOLITION COMBINATION n BUILDING MECHANICAL PLUMBING 5 <br />IGN <br />be V-L. <br />fRc.xrzcf oP aeofAP <br />waAroREse <br />oIr <br />fP wlor4 <br />T[f<PN corlfRKroR <br />wA woPEss <br />nrr <br />ry PrcnA <br />alArF ILfME. <br />MEGM1MCµ COP1PK.lOP <br />M4 KOPElI <br />crtr <br />ry <br />wlcrA erfrticfxsE. <br />RWlM1CCW1PKrOP <br />Y4 LWP[66 <br />Ciry <br />!r P,gfA <br />eIAIEIA:EA6E. <br />ppH1P"'P"`E0`"'p1M <br />HEATING SYSTEM: ❑GAS rlELECTRIC fi <br />acR9K WEY1Afm aglfR fw•Aa fPgEvro <br />f9 K+R.1EME,o A. ' <br />eu ,t 425-3hi-VIVO <br />�F, rtfc F/ �ZLC Z•Sfu-y <br />a <br />r3' x <br />I HEREBY CERTIFY THAT 1 HAVE READ 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 />Rnnlnn use a euKEwo <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />l9PprH eEl,r.rn WE( Of IWO CM*61 <br />NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />all ascnrlKwo-PPafP+r <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />l0. xpw p <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION THAT I AM AUTHORIZED BY THE <br />— <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION 15 MADE AND I COMPLY WITH THE STATE <br />CONTRACTYARS W IB 27 RCW AND 296200 WAC <br />P <br />� <br />Cp19�,�1�E1glP fOr��1[,FPIdh MIWFP <br />fly Yf+`f7y�01 <br />Mf <br />Clrr W SH95 LC[N9F ND <br />PLUMBING <br />MECHANICAL <br />UIPMENT FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />PEE—AMNDLO <br />WATER CLOSET )TOILET) <br />UNITS <br />BATHTUB <br />I <br />FORCED AIR SYSTEMS <br />LAVATORY )WASH BASIN) <br />I <br />NEAT PUMP <br />SMf7VER <br />UNI' HEATERS <br />NITCYEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />W000 STOVE <br />URINAL <br />METAL FIREPLACE(WOOD BURNINGI <br />_ <br />FIREPLACE INSERT (WOOD BURNINGI <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />OAS FIRFPIALE <br />BACKFLOW PREVENTERS <br />I <br />GAS RANGE <br />_ <br />SINK ISERVICE — BAR. ETC) <br />OAS PIPING <br />EXHAUSTFAN <br />T <br />SUBTOTAL f <br />I <br />SUBTOTAL f <br />PERMIT f <br />PERMIT f <br />TOTAL FEE f <br />TOTALFEE f <br />f <br />FOR OFFIUC VOC WRIT: <br />fPplf Rlafft <br />( O I <br />m..sElaKIP' <br />fl,tfgf �+ <br />Vm KIDEC" <br />vIL.VIf VIE <br />Cf. MIMEP fE!' <br />/KI i�FEEe <br />1 // <br />VALUATION <br />PfCEriM <br />FE! <br />MgPI IPIPA+ry .28 <br />IMMNLv NJq frGPf( <br />E <br />-1 E.- <br />Sf M/EILWI WEp V.YnTI <br />fy/E ( / <br />OLLUnfI11 LOKI MLYENf'i <br />nrta <br />n.114eM11 <br />YECPUM'.4 <br />Mpfl(KuIRUI CIAc. <br />f�0 <br />fPf 9MPMl[PP[on <br />PEPVIf <br />nIIMP <br />fN(4MYPFtlP <br />IREA" <br />E4If WRIMIn 61RCP <br />EEmlcE s <br />1rRpcpnl <br />�, <br />RAHsfrvrmrEo e. <br />y0 <br />CITYOFEVERETT <br />LOCAL BALES <br />TAX CODE IS f106 <br />TOTAL <br />" <br />