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APPLICAT& FOR CONSTRUCOON PERMIT <br />CITY OF EVERE77 • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • (425) 257-B810 04M <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHAN'CAL f PLUMBING ❑ SIGN <br />PROJECT ADDRESS: -I g / ,;L- _ U t /I rJj /�L/L <br />nn�nr V41NM'.55 dtt Jm AgVf <br />Vvl <br />Jm <br />1A <br />canm�cr npct a rmnK <br />�QlJ76 <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />uun�or vr�Ps inn sown( romwt nvprTo <br />cour�tr rcnsp. um nrtwr w <br />Ay 9i�,-f/ 9 94, / ear ; <br />tl <br />J> <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 />WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOFS 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 ,ND 1 COMPLY WITH THE STATE <br />CONTRACTORS I{AW2 <br />167RCW ND2962MWAC p <br />KK/^-' <br />w sro usl or nmrpun <br />OF \ <br />LFDALMMMPWN W Hnrtntt re ESI <br />for Had M <br />rwcnu io rnnJnln <br />COYirM f1pN 10IV Ifa55gNE IivPH� <br />St+1ap¢ oat <br />pry 6WSIwgSl21 n11 1.0 <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NM <br />TYPE OF EQUIPMENT <br />FEE <br />z <br />WATER CLOSET (TOILET) <br />AJC—AJHNDLG UNITS <br />_ <br />BATHTUB <br />FORCED AIR SYSTEMS <br />7— <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISH WASHER <br />NANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />�— <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR, ETC) <br />_ <br />GAS PIPING <br />�— <br />EXHAUSTFAN <br />' <br />SUBTOTAL S <br />SUBTOTAL S <br />__ <br />PERMIT sl <br />PERMIT $ <br />_ <br />_ <br />TOTAL FEE $ <br />TOTAL FEE II <br />FOR OFFICE USE ONLY: <br />