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APPLICAT A FOR CONSTRUCON PERMIT <br />CITY OF EVFRETT • BUILDING DIVISION <br />3200 CEDAR STREET o EVERETT, WA 98201 • (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION bd BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDF <br />may�rt ... F�ssaa . L'L}L 5�A A+s S.uH/t iWe, 4HJ. <br />eTrrvrterow aswTKw u.n mowess <br />uF5-,Cd1nICfO .0 ID0n ss an III, p.KAr S1.rr LICENSE <br />:a,"AC1 TN.cFaarnv <br />�rwO=, <br />NET GSYST El GA ❑ELECTRIC ❑ <br />aSCMBF YM711 SIT FOO.I.DF MVIXVEqq <br />TtnA,f 'b.-'Jvrrnm.Zs <br />E .Cr RwSDN• I' M ^233 <br />REBY CERTIF AVE 'REA6 AND EXAMINED THIS <br />APPLI KNOW THE SAME TO DE 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 DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER CTATE 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 LAW 18 27 RCW AND 2952W WAG <br />�I/���yA �j�/(]� 11nnGG <br />K_Y ✓' - ;L/11/T/ <br />rwa MO VSE a SMV[ <br />04 C % <br />LEGALMXFSMV, a PnaRnrrlSMDwN eFLon Gn ARAGN Two cd+FA <br />tot _eLocv <br />3 / ' <br />PMCLl LM ID MMNn <br />CdK1MRiKW I Wn I FMIEn. Ap-ESS. RLEAIDNF MMBEn <br />5 G..I EE DAN <br />6M1SUSMSSLCFNS[ M <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A7C-AMNOlO UNRS <br />BATHTUB <br />FORCED PIP SYSTEMS <br />_ <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK S DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE ROOD 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 />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL S <br />SUBTOTAL f <br />PERMIT f <br />PERMIT S <br />TOTAL FEE S <br />TOTAL FEE f <br />"ISE nu. Ar. <br />rrKTNl Sr7nArx � _xAw <br />srleeev <br />sa sEleAcv <br />M1ANCTKCA NVAwrw <br />rrr _ <br />3� <br />rrccrMrM <br />IKF IdK <br />IOT AMA' <br />v4AN1 VIE <br />Or Gto <br />FEES <br />VALUATION <br />FED <br />NSA~ <br />NFIGwr TIMTATgN <br />M (" MAL.M <br />IMIe <br />SIZE W K <br />y1 <br />ftn AO <br />I <br />_ <br />DEE11n.I71 .tlfN 1-11 <br />a:cIwANT Io.o <br />eANscNT <br />wT.wAAAC. <br />.Dd1eTNAIM1wCN.CA <br />RRE eAIrMIF PflD <br />Tlrl <br />D1MP <br />frRE /V A� M 9 <br />^ <br />wFASDV <br />SIu[elelam uncwlrr <br />5G <br />nml r. vAw.e <br />_ <br />r YRa c.D+ST <br />M1ANSAMroFDSY <br />/ L- C <br />oaE /L % <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />—' <br />TOTAL <br />-- <br />