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APPLICATA FOR CONSTRUC&N PERMIT <br />CITY OF EVERETT e BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA98201 a (425) 257.8810 <br />❑ DEMOLITION [Ir <br />COMBINATION ❑ BUILDING �5 MECHANICAL 71 PLUMBING ❑ SIGN <br />PROJECT ADDRESS: <br />C kr"& Pssz� <br />•R[MfICi On pELWRN u•n •1pnE55 <br />EFFAICONIMC'M wAPf%f SS CIA )? n.ylE $FAIL LICFWA <br />PM <br />C[MnUCI PFb[[pYAe• 0to <br />HEATING SYSTEM: - .SAS A( ELECTRIC ❑ <br />f1FSCM1eE WY1[ANo sru•m AMU& •A,oAwn <br />RA Pc4c� 4 Flf" <br />cWtAcl"SON MgnF "Al <br />Pq VIAS w 61•J <br />PaIVIED r <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 DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUC': ION 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 15 MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS L e 27 RCW AND 296 POD WAC <br />% U �� � �S <br />Iwolrosfc W eN.OMAG <br />lls FPY-'A- <br />LEGALDEE Avuw or FNIOMEnrr lslnAn eELaw w•n•cN rwD cavev <br />to, lF.M. a <br />PARCEL IM ID NIIMMEP <br />CwsIRULtIw IMNIfNOFP.ApIPE55 RlfngNF NUYRER <br />f•w•I E D.N <br />dtr eusNEss LKENu Iq <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET ITOILET) <br />:2- <br />AIC—NHNDLO UNITS _ <br />BATHTUB <br />FORCED AIR SYSTEMS _ <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A 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 (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 />GAS PIPING <br />— <br />EXHAUST FAN <br />SUE TOTAL S <br />SUBTOTAL S <br />PERMIT II <br />PERMIT $ <br />iS ' <br />TOTAL FEE S <br />TOTAL FEE S <br />/ S ' <br />FOR OFFICE USE ONLY: <br />FPCA RAC• <br />MAP WISIC. <br />SIDEYIm. <br />nA,IN/C(JgC.1�AyA� . <br />S'II"l�� /_�� <br />FEE <br />nFCFMIw <br />FILE?w <br />LDI.RE. <br />100CA41 VIE <br />FEES <br />VALUATION <br />Fes_ <br />eW nMAG <br />_ <br />OAFS OND <br />RF"T I IM1Al" <br />ND DF ONELLMq <br />SIZE EA NDG91 <br />.Is <br />nllysnn <br />OCI:IA.w:• rAAln cNr11 <br />RMM <br />OCCWANI TOAD 11ASF4SNl <br />ww•wDy <br />— _ <br />Ores OND <br />FPf6PM1NSMREOII <br />!FA$CN <br />•DDIIKW.InWCMCM� <br />GIKA <br />— <br />IA[.IARV mon <br />RFuw <br />Alm Mnl1K S�MKN•MF <br />lrn nr f.OASI <br />nw$•INN�ovroe• <br />CITY OFEVERETT <br />nmrlwKw< <br />LOCALSALES <br />---- <br />DAn <br />TA% CODE IS 31os <br />TOTAL <br />