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r <br />APPLICATA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT - SUILDRq DIVISION <br />3200 CEDAR STREET - EVERETT. WA =01 -2"10 <br />1l DEMOLITION Fl COMSNIATION VNIUMMO fl MECHANICAL I PLUMMMO n SIGN <br />PROJECT ADDRESS 4312- Ruakor AVtIIUt <br />rnar <br />vtCNAMfx COM1RACFMI 4R4.V:OE55 llry m FIb4 STATE IICEN¢I <br />Al11UNO Cp11RY.Tm Y ALVE55 LIM1 1- r11(n.F SIAIEIICFNSE- <br />--- .. '.. C_i 1'_ _1_ 451AA AAA HEATH SYSTEM: I 1 GAS NELECTRIC I I <br />I 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 />NORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN 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 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITM THE STATE <br />OONTRAC70RS LAW 18.27 RCW AND 2FS.200 WAC. <br />S-u- 9/ <br />SIONA,uRF DAM <br />OTY RVyK%IKYNA W <br />PLUMBING <br />MECHANICAL <br />NO. TYFE OF BMAPAwIT FEE <br />NO. <br />TYPE OF FlXTURE OR ITEM <br />FEF <br />WATER CLOSET (TOILET( <br />AM—AANDLO UNITS — M.P. <br />BATHTUB <br />FORCED AIR GYRTFMS — B T J. M EA <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS —BT.U. M <br />KITCHEN SINK S DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />VENTILATION FAN <br />LAUNDRY TRAY <br />RANGE HOOD <br />T <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />WOOD STOVE <br />DRINKING FOUNTAIN <br />_ <br />METAL FIREPLACE (WOOD BURNING) <br />FLOOR DRAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />BACKFLOW PREVENTERS <br />OAS FIREPLACE <br />SINK (SERVICE -- BAR. ETC.) <br />GAS RANGE <br />OAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL S <br />SUBTOTAL S <br />PERMIT S <br />PERMIT S <br />TOTAL FEE S <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />fg tY1R6M <br />RMRSfiRALN <br />9M SFTRnCn <br />fI nN CIN(nMMFR I <br />... '7 /� a <br />67� <br />.",wl N0 <br />USE EO? <br />1➢1 A.FA <br />VACANT 911 <br />Ilvf$ I: HO <br />FEES <br />VALUATION <br />FEE <br />PNiI IwVC. <br />_ <br />Sf � � <br />n <br />V�L� <br />ITIOII1lIM1AlKIN <br />1MOI Cf UWf.IIIM <br />STEP pl I <br />ruAwmD <br />i <br />fpC(, TANGY IIR RI fIrvpS <br />aNO <br />IX:ONANi IOAO <br />RAif WNi <br />yFCNAMf:M <br />Ad111K1YAl rInN ON t+ <br />,ME 4A. NfOR <br />MASpV <br />DINER <br />fIRf SMIMq FRRFOfI <br />'^� <br />RfApM <br />/{�/'T <br />[lA1E RlIRDM(151RiCNARFd <br />1t^ <br />,/I <br />'�YYLII�GGG <br />nRur WpinR <br />1rrt Of CfY151 <br />— *( <br />V 7 <br />rIANSAEMOV`ffDF/ <br />nuc <br />CRY OF EVERETT <br />LOCAL So <br />TAX CODE IS 3105 <br />TOTAL <br />