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APPLICATIA FOR CONSTRUCTIN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • (425) 257.8810 <br />❑ DEMOLITION ❑ COMBINATION 3d BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDF <br />rN NI lAtgAr/'AN�,ORSS flly lT �� <br />rp /�1_v'n'rr/rIM"�f ,1`/,�/� �////u,+�•1I •xrm/r��tssgy/'���/.. ram— _ � -L cr�! del--J�. <br />nl H-"r;1.i (;1-ITII_11.1 v;i uYVNss" cr��� "- �•1 /�,(� <br />coNffr .I rn�n wlm+ <br />_-_----._ <br />HEATING SYSTEM: IKGAS ❑ ELECTRIC ❑ <br />IK[Cn nr W111X HI mr IMI.Gr MVMYin <br />�A�GI- y llafllLN1±��G� <br />_ fib SF_ • 1ife����,�%ILA%TiidlcOc.-- <br />iiiV•_ <br />/A�`lME�{( O(fDly 4*)W.v <br />rlxYns nlrl -imiNG (,_f��y� <br />�r.cnn9 <br />CwIACI n nNY, rllx tW <br />�i41n—�� — <br />-- <br />I IIERF.CERTIFY 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOWWTHE SAME TO DE TRUE ANrI CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING 114IS TYPE OF <br />WORK MIL BE COMPLIED WITH WHETHER SPECIFIFO HEREIN OR <br />NOT. TIIE GRANTING. OF q PERMIT DOES NOT FRE SVME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PPOVISION OF ANY <br />OTI IER STATE OR LOCAL LAW REGULATING CONS IRUCI ION OR THE <br />PERFORMANCE OF CONSTRUCTION THAT I AM AL THORI2EO BY THE <br />OWNER OF THIS PRUPERTY TO PERFORM T14E IVORK FOR WHICH <br />APPLICATION 15 MADE AND I COMPLY V.9TH THE STATE <br />CONTRACTORS LAW IS 27 ROWAND 296200 WAC <br />L <br />'Cif IMI�� nAll �r- <br />KYl rY rnrmE myoxM9N law al uC111'mo �nnlsi <br />Imy-_.L_nlrc. r+-i_-nt_>rif_GE_yL(_ _._.__ <br />-��4w��-a•>'•= t -� / - <br />rAncn unnr mn /-/AAA'---- <br />COH[In11C11f,Y11�n/1�11.1.H�M�11 A�IHY I St�AI f-11-n,1p�N[ MNPiII <br />' rlfr- <br />��-�/� �r -��MY ^-- - <br />011 1111LMlsI4r IRtw <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIC—M4NDLG UNITS _ <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SUOWER <br />UNIT HEATERS <br />K1764CN SINK A DISP <br />CLOTHES DRYERS <br />DISHWA 4ER <br />ANGE HOOD _ <br />LAUNDRY YRI <br />1 IER HEATER <br />�_— <br />_ <br />CLOTHES WAS R <br />WOOqSTOVE <br />URINAL <br />METAL EPLACE(WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE SERT(WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLAC <br />_ <br />DACKFLOW PREVENTER$ <br />GAS RANGE <br />'— <br />__� <br />SINK(S—BAR, ETC.) <br />ERVICE <br />GAS PIPING <br />_ <br />EKHAUSTFAN <br />SUBTOTAL S <br />SUBTOTAL <br />--�_ <br />PERMIT S <br />PERMIT S <br />TOTAL FEE S <br />TOTALFEE S <br />FOR OFFICE USE ONLY: <br />I nnNI VInAfR <br />PtAn NUTACX <br />susrIIIACn <br />MANCIKCRM R <br />9 <br />Itr � <br />/? <br />ntrnrl Nn <br />-- <br />IISEI <br />IOI ARFA <br />YAU.NI vU <br />FEES <br />-VALUATION <br />NNN <br />FEE <br />_ <br />RIn Mw. _ .. <br />- O'V <br />-_ - 2 LllrL <br />mis o M, <br />Nnpu uNUIION <br />NOa M0FtUw <br />IIMIt <br />$a <br />ry11VInMI <br />011"AMr.AI <br />� <br />—_ <br />OCPII4NCv <br />Mfn/rinl'1♦ <br />nftrVnAN1Uko.0 <br />tVf Nl _ ` <br />D.fS <br />AR(IIIIMAI MANC111C4 <br />tn1E5R1111xUpMo'0 <br />nrAV <br />OIINn <br />/�__ <br />t.EAMIMMOD <br />ot."'Y <br />w <br />`� <br />Q <br />ilAlE n1111UMiS1A1CYMMf <br />/Ly_Q <br />I <br />Irrt rK r. l <br />PIA49Ananvrnnr)CITY <br />OF EVERETT <br />nml r. vwxus <br />V <br />%L <br />LOCAL SALES <br />'7 <br />o-t4g 7 d <br />TAX CODE IS 3105 <br />TOTAL <br />