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APPLICATIA FOR CONSTRUC&N PERMIT <br />CITY OF EVERETT A BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT, WA 98201 A259.8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ Bt:'LDING ❑ MECHANICAL PLUMBING ❑ SIGN <br />PROJECTADDRESS: <br />MUKrrcr ca aswxEP uu AlmEss ury Tm —r„p,[ <br />coNrwcrrntEawaa ����� <br />Y <br />HEATING SYSTEM; ❑ GAS ELECTRIC ❑ <br />ntSfNPt _• rOOrAOFw O D <br />LMSWIr[PSW AM NIn,(uo <br />wlpEosEp lleE aPIRMK,O <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 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 A D -AND /T COMPLY WITH THE STATE <br />CONTRACTORS LA 1 RCW AND 296.200 WAC. <br />— 26%f 1— <br />X 1 � <br />Lau.asarrKAra wnrtnry luavm MlOYI On AnACN fvodXxa <br />LOT aorx _ a <br />r I n <br />Ooa -a - eo <br />cdsmucTpNIpMLENan. AOPntss. rElErlaMluA[P <br />swNAru[ net <br />_ <br />ary Nrswtss l[t115X Nn <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />MECHANICAL ` <br />NO. <br />TYPE OF EOIIIPM—V <br />FEE <br />WATER CLOSET (TOILET) <br />A/C--MINDLG UNITS <br />�— <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />_ <br />NEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK t DISP <br />CLOTHES DRYERS <br />_ <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WA%IER <br />WOOD STOVE <br />URINAL <br />I METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNITIG) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL t <br />SUB TOTAL t <br />PERMIT t <br />PERMIT t <br />TOTAL FEE t <br />TOTALFEE t <br />FOR OFFICE USE ONLY: <br />rrgNI YTP.VX <br />pM5i1PACP <br />Set SEYWA <br />rIMCI[Ck NU r <br />ffF <br />mfnrfw <br />ll <br />�TfO— <br />USE LONE <br />muPG <br />VACANT ultVTOTAL <br />FEES <br />VALUATION <br />FEE <br />_ <br />DYES ❑ NO.*"IT <br />LIMITATION <br />NO aOWEIUI,O <br />.Is <br />ytEaPIOGITI <br />1OCCUrANT <br />IOW <br />SASEW.1CM❑YES <br />OMMASON <br />AI AANCWC+MAcp, <br />IONO S,w "WG.ErvTN:afONsrCRY <br />OF EVERw+sLOCAL <br />SALEDATL <br />TAXCODEISD <br />