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APPLICATI0% FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT f BUILDING DIVISION <br />3200 CEDAR STREET f EVERETT. WA 98201 f (425) 257.8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: 6/D-7 sir- _ <br />/ � }. +� I�f.a •� li- loot 4ae+w � •-e /'Fw ! 4zt--2�-y - fl7co <br />OMMT 7� MN .00IIfN On rf' f110111 �— <br />-LA&.%4eVln sitj-c(ll� 363-6 13/f di a S; :ito -W-570-nf>v <br />.A'AnCI dIaSMluu Yy 411q S5 <br />IVN clul IKfN9 r _-- <br />IMIPK.IM M.Rmmss rnY M uN.'WI SI•rr IKf4Nr <br />C11N <br />x O C .,1 <br />CWIII•CI M•[I W 1M1M <br />-- <br />HEATINO SYSTEM: ❑ OAS ❑ ELECTRIC ❑ <br />axr•M wrl..Nn sou.A roPl.p Mwlvro <br />�«A waa ✓Y.at.. U <br />. — <br />caMl .rtmaN.ln rw8rt No <br />.,, fro-gzliS <br />HEREBY CERTIFY THAT I HAVE READ AND D COINED THIS <br />NEFI DY AND KNOW THE SAME FBA TRUE AND CORRECT ALL <br />.+ROVISIONS OF LAWS AND ORDINANCES GOVERNING TH13 TYPE OF <br />WOPK WR L 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 I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHILH <br />IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1821 RCW AND M 2CO WAC <br />f—�/ .y.eIIN WFKLSf <br />i+Iorovo IN a PARNfI <br />UdlaxAPIICNpINIp1�Kn ISNONN NLOM nrl:K <br />UPI . RPd _ p <br />L <br />XQAPPLICATION <br />MRf:fl m "U5'( .. <br />ClMS1AKrKNIdxIfNI1rK MKYIffS rHfnIAR MIMIIfn <br />SNWIUKf U•If r S�� <br />f � <br />— <br />CT f11RK[l9LcfNX ND <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR GEM <br />FEE <br />NO. <br />TV" Of EOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />I MC—MINDLO UNITS <br />_ <br />BATHTUB <br />I FORCED AIR SYSTEMS <br />_ <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />_ <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />_ <br />METAL FIREPLACE (WOOD BURNINGI <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD TURNING) <br />FLOOR DRAIN <br />OAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE -BAR. ETC.) <br />OAS PIPING - <br />- <br />EXHAUST FAN <br />SUB TOTAL f <br />SUB TOTAL f <br />PERMO f <br />PERMIT f <br />_ <br />TOTAL FEE S <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />i w»p vm•r. <br />nl •n 5nn.f. <br />.1qx <br />nq� � <br />In1 .A. .•. <br />N IIi��11�V11.�FN <br />Wrl 1^IYI IIM <br />1x 11M•4"• V u <br />1\I IXNNI III.11 <br />niti 17-1 <br />d1 <br />INS <br />O If 0W, KIII ANII <br />w <br />J L AINMM1fI <br />NIN.NI".1 <br />—"-. .UplNwu nur aNr. <br />_ plNfn <br />{I.II RhIfMxi Nlprl.M;1 --• O <br />CIT" OF EVERETT nwwrx..f <br />LOCAL SALES --"-- --- <br />TAX CODE 15 3105 TOTAL <br />