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APPLICATIO* FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT B BUILDING DIVISION <br />8:IX7 CECAR STREET B EVERETT, WA 98201 B (425) 257-8810 Ofiff <br />❑ DEMOLTIION LJ COAdBINATl1`N AI "B�U"I"LDING ❑/MECHANICAL ❑ PLUMBING O SIGN <br />PROM ADDAESS: lb ;[.A&)L44-l-u/- ,(yit/ <br />fir- UFr /2,(,(1 GLP Jia7 C +ILQ/� �`"e°-93Co� <br />p FR .GPIEBS olY rm <br />1D0 %I3riRD1 5 CUcIOU aa00 Ob) /VUA4.4- &i Seal, A) (aoN)7Xs -opss <br />TENANT MM.IKIIESS MET !N PN(WE <br />ARLNT[CTORnESHI R NAZI ALGP-SS cIft lm nFyE <br />GrNERAI CONtnA(JUP WAIL AEBINFSS CNY bP mgm STATE Ll rNSF A <br />MECHANICAL CON1nACTp MAk <br />I'MURMG CONTRACTM NNI AXPESS cm 71P PNJNF STATE IICENSEA <br />cwPAcT [OTwCG. <br />HEATING SYSTEM: GAS ❑ ELECTRIC ❑ <br />o[ IE WORN ANp sa•F FooTAOE EIvaLvto <br />co•FI!FTTYRsoN.wn w <br />- dos t _ <br />.J-UUc) 5 <br />. <br />1 HEREBY CERTIFY THAT I 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 />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE DRAWING 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 WORK FOR WHICH <br />APPLICATION 15 MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 2"200 WAC. <br />X���nv✓1L/ �(�"j��/ <br />srD USE M FUTLOING <br />t[GAL GEScnn•TION Lr PROPERTY ISIIONM KU(PN M ATTACH TwV CORESI <br />toT _ RMK .ITr <br />M1KtL UB I g,Nue[n '/ 0Od(' n lcl', <br />CWS1MIUUNt0ANt[MYN, JUICINESS. EElFP1U11E M1M11ER <br />W.NAILBE�O.t[ <br />LILY RISK{ iS ICLMS[ NJ <br />PLUMBING <br />I MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF EOUVWEMT <br />FEE <br />WATER CLOSET (TOILET) <br />ArC-M/NDLO UNITS <br />_ <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />_ <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK f DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD _ <br />LAUNDRY TRAY <br />WATER HEATE. <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />_ <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK(SERVICE - BAR. El. C) <br />GASPIPING <br />_ <br />EXHAUSTFAN <br />SUB TOTAL S <br />SUBTOTAL t <br />PERMIT S <br />PERMIT f <br />TOTAL FEE f <br />TOTAL FEE f <br />FOR OFFICE 113F nNLv. <br />I NON1V1RAr\ <br />nrAR Sr1BACK <br />SILT SFIBACII <br />'LANCIIFCI HUMFR <br />I <br />RFCFmT NO <br />US[ 7UNF <br />- C <br />ml APE. <br />vKANI ATE <br />— <br />FEES <br />VALUATION <br />FEE <br />Bl"EAW, <br />f 000 <br />_ <br />Ut".1 TNITAOpN <br />Np' <br />NG aA vwl1tUw <br />amprvTl /y <br />— <br />MIGrWICAI <br />GUtnmANlT <br />3 <br />MfY51M35 <br />pCCOPAN1l0A0 <br />27 <br />AS <br />DIES Nn <br />AMI.n Al PIANCNrC. <br />1w <br />JCL..�� <br />'EE SflIMI<[ER Mo U-- <br />`%�S <br />RE AiG`I ff <br />iJl)( EOAO I�VL 17. <br />puKP <br />Inc�OW'D <br />/LS <br />PTASnN <br />0170 1907 - Ql <br />SIAIIMMUMp SURCHARGE <br />"PE7 r:ornr <br />_ <br />PTANS AP pvron, <br />/ <br />DIUL/ �I 1- ) , .11 <br />CITY OF EVERETT <br />LOCAL SALES <br />1 TAX CODE IS 3105 <br />nUm, m. W(NUS <br />-- <br />TOTAL <br />- <br />