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APPLICATIA FOR CONSTRUJON PERMIT <br />CITY OF EVERETT - BUILDING DMSION <br />32DO CEDAR STREET - EVERETT, WA 98201 - (425) 257-5810 <br />❑ DEMOLITION ❑ COMeNgTTp(�_ ❑ I RING, T MECHANICAL ❑ PLUMM IND ❑ OON <br />PROJECT ADDRESS: T AIAc�T✓�� <br />WQIl5 l�Ar+ t5&26 K wl ZX4,41A All¢ f.�e2ETf YtS-25� pgg3 <br />iFrYMI � Yy 4'-IIf S$ LrtY )P PYJ,F <br />MI Ll OR MYWII MAR\aME55 <br />MA*cmTnH;,m 441 AD«RSS clry ]If M.'M Sr\rl I1 A%A <br />M AtD-M1/W G�•Y1Q ntio� AeiQo/t SITS .Savf/k 9S/OG za -40r.- d,c "I)o1ec <br />4FCM\4 A L(N1PACrUn V-1 AgT455 CIh )n' xb4( []\r{IICFNS[r <br />Ry* CrV'IRAfIUP 4AII AIIIYI(sS CIiY }T Nr«At SUIT 14TX9 I <br />tea. 900 <br />c5imfR -, wIM « RpM <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />Ms«-x ArJrM A..n SwAm roorAM xvM(To <br />acF= L � urPPare 5a.nc6 <br />cwlAcr Mr150M ARn rXM 4D -- <br />Pulse f- <br />i HEREBY CERTIFY THAT I HAVE READ AND EKAM.NEO THIS <br />APPLICATION AND KNOW THE SAME TO SE 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 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 IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS I AW IA 27 RCW AND 2" M WAC <br />f <br />Rroozo vsE a Rnoy1 <br />EFGAI Mscmvrro4a mroMRh 19roA1N NIOx OR ATTACX iMO casFs <br />S . %Y <br />A7RK A�� io FJtIt+1 Qof�1OF AI.K I9- <br />40CA z 7b0/ S. SYi LO <br />R41LF1 m I D •(yR(R <br />GL2-001-01 C) 10 <br />f.ONSERIFIIIHIMXI(MYR AaA($5 r(I(AVIFMMFR <br />}C,NAt«C DAI( <br />CIIY AIlY1ES5lICIMSf MJ <br />/LIMING <br />MECHANICAL <br />NO. <br />TYPE OF R%T1111E OR REM <br />FEE <br />NO. <br />TV" OF IOLIIMENT <br />FEE <br />WATER .:LOSET (TOILET) <br />AOC—AMD G UNTS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT MATERS <br />_ <br />KITCHEN SINK ,' DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />_ <br />RANGE HOOD <br />_ <br />LAUNDRY TRAY <br />WATER HEATER <br />_ <br />CLOTHES WASHER <br />WOOD STOVE <br />_ <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERI (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />flACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BM. ETC) <br />GAS PIPING <br />_ <br />EKHAUSTFAN <br />SUB TOTAL f <br />SUS TOTAL f <br />_ <br />PERMIT f <br />PERMIT f <br />TOTAL FEE $ <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />I R111 SI IAAIX <br />mrR srrRACS <br />9M SrleAClt <br />ny clrcclt Mlyltq./ <br />rFr <br />Rrm A*rq <br />um ?Mr <br />lm Amr <br />v\c\XI svr <br />FEES <br />VALUATION <br />FEE <br />_ <br />� <br />GYFS D uU <br />_ <br />RIn IRVf. <br />IKIGXI (MWA)g <br />Np M IM'1111V <br />5,11 ,1 am" <br />Mlt <br />RIIIMIINR <br />yr1,AW,A1 <br />OCE«I TrAVrl <br />YJ (Y 51M11 <br />pCI1ryV11UAD <br />RSSIy Vi <br />U Vli OAo <br />ADnlRxu nA4 cmcw <br />nM swmREw Mo'D— <br />mASar <br />URI Al.. MOD - <br />m A —cm — <br />nut Rul D.w: slrncmm:[ <br />rnTa cowlnAXSAMRy„tne. <br />CITY OF EVERETT <br />LOCAL SALES <br />--- <br />---- <br />TAIL CODE 19 3105 <br />TOTAL <br />DnF <br />