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APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 88201 •25B-8810 <br />❑ DEMOLITION ❑ CA0 eUN.DwG 13fWEC!I NI7CZU0 ❑PLUMBING <br />PROJECT ADDRESS: tiLf2EIJ A <br />u <br />v] <br />XNsr6S <br />RYCII mTIYIIAAtIaI YIAADDI\ff CITY RP n101A ATATFIKFIIIFA <br />n CaRRY;I YM {0011ff do FP nla( {IYL I=W. <br />Ca11RY: INLt pf •pw <br />HEATING SYSTEM: ❑ OAS ❑ ELECTRIC O <br />dfaIIM IAOR AxD*� rnoTAa •«oleo <br />Znthll J NM/ 5 Can�1LL <br />DaTRNTrt Aglrl[MNs�, <br />aM$w <br />D <br />IP��tC� tM_ )� fru, c/and� <br />NHS 4'r3-84/0 <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND ()ONAECT 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 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTT/RRAACCTW.S LAW /I18 27�jAC�W� AND 296 20D WAC <br />X—LLI''� F T`����� /'���� <br />FIDAAIIR• "IF <br />rAawaD UM a))wd.o I_ <br />MUN OL7CM79Vd NVERR NPM1IlPY a1 A17Y;M Rq tdf 6l <br />Fill Nod a— <br />ff fO� <br />Soy• - 000� <br />rFTlrxF TM I D 1AA1•EA <br />DIMIRIIC1d ItlK1[Ma111RYYfF RIFR4E M11MR <br />N K <br />dM1 {IIYIEUIQAR IIJ <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />I TYM OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C _ ANIND M ITS <br />I <br />BATHTUB <br />' <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />1 <br />NEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />I <br />KITCHEN SINK A DISP <br />I <br />CLOTHES DRYERS <br />DISHWASHER <br />i <br />/WAIF HOOD <br />T <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />I <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRNKNO FOUNTAIN <br />FIREPLACF INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />�— <br />BACKFLOW PREVENTLAS <br />GAS RANGE <br />T <br />SK1K (SERVICE -BAR, ETC.) <br />GA4 PIPKIG <br />EXHAUSTFAN <br />1 <br />1 <br />6118 TOTAL 3 ISUB <br />TOTAL 3 <br />PERMIT 61 <br />PERMIT 3 <br />TOTAL FEE S I <br />TOTAL FEE 3 <br />I <br />FOR OFFICE USE ONLY: <br />rommi <br />RM <br />FRMT <br />NARdA'd <br />rlr <br />Karl x0 <br />wff" 2 <br />-KK- <br />IDTWA <br />YADAYIvlr <br />an$ In <br />FEES <br />VAWITION <br />FEE <br />mt,,, <br />aA <br />K 11 �U1I <br />YD a llxD <br />UYTfi <br />f17F W11 <br />r <br />n1A~ <br />Oa-llryrcl InnflnYl <br />OMI <br />ci[IhR ION <br />• MxT <br />❑r15 Gql <br />MfM ,, <br />Na11pY1gY1Ma <br />Ip YT1M11Rq'JD <br />Mt](II <br />OIKEA <br />INf NMY REOU <br />RAW) <br />{TAIE Mw101(l 5w[W1K1[ <br />I.rta�:rMl <br />nAYE�roYEDE, <br />DATt II / <br />CRY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />TOTAL <br />