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APPLICAT11A FOR CONSTRUCTSN PERMIT{///��/7 <br />CITY OF EVERETT f BUILDING DIVISION <br />3200 CEDAR STREET f EVEREIT. WA 98201 f (425) 257.11810 <br />❑ DEMOLITION ❑ COMBINATION SI BUILDING 1,9I MECHANICAL PO PLUMBING ❑ SIGN <br />PROJECT ADDRESS:_-7q OMMEP YN N.'gIFSS GM1 71E hIM• <br />N <br />— 1 CI.Yy!Y55 GI• IA' hlPl SIDEItIN%• <br />`Jltjrn� �l `las �7E 1,3c�f <br />auuln rwl ¢iT Y4 SS Gh 11V n101R IMF MENU <br />%�'1 EI wT• <br />coN1AY.r PrYCE a , (� <br />HEATING SYSTEM: F GAS ❑ ELECTRIC ❑ <br />oEsrner warty Aw sOYAP[tmrAM NvarTn <br />c 1cInmWAln hgEL NO 7� _�T r <br />1 HEREBY CERTIFY THAT 1 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 WA 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 LFW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION THAT 1 AM AUTHORIZED BY THE <br />OWNER OF Ti AS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE.. AND I COMPLY WITH THE STATE <br />C CTORS LAW 1827 RCW AND 296200 WAD. <br />�` `� �'� aD <br />—__ <br />NlsorovL InE aNttWIP <br />(EOAL MV:RVIICN nT NIn14RTY ISIInPH KLM W ATIy Yrrlo cartel <br />Mou p , 'QS� D' <br />75ey <br />M110El IAl110 MA%fA <br />LpI51PUCTKnlnIH1[KiN N1K(9S. TFlf1WOVE MNIEn <br />Gr• W4A:55lffNS[ w <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF EOUBNAENi FEE <br />NO. <br />TYPE OF FIXTURE OF1 ITEM <br />FEE <br />WATER CLOSE (TOILET) <br />AA7—NHNDLO UNITS <br />i <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 />If <br />DISHWASHER <br />I <br />RANGE HOOD <br />LAUNDRY TRAY <br />/ <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUI ITAII. <br />FIREPLACE INSERT (WOOD BURNING) <br />'LOOR DRAIN <br />OAS FIREPLACE <br />9AC1lFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />EXHAUST FAN_ <br />SUBTOTAL S <br />S <br />Al. f <br />PERMIT IfPE <br />MIT f <br />_ <br />i0TALFEE S <br />TOTAL FEE f <br />E RnN1 Y1P1flt _ <br />AP StIMN <br />U I <br />- <br />SIRSFIMCN <br />vK.l WITFEES <br />hu1042 CNMAIINP <br />UATION <br />ZIpI111[ <br />FEEz-O•Es <br />A l r <br />t <br />—�— <br />O w <br />ZCR <br />517E(XFl C l� <br />J 6 <br />L.L._ <br />CT <br />3 c2. <br />W l`I IVrNS <br />Z <br />CILVMNI lV1n F Mf NI <br />Oas <br />YII:HUYI'11 <br />Ipb IKW Al 1i AN CIf CA <br />NNE I.U.WOV <br />IIEAC(W <br />IIIMFP <br />EW(A4NM Nf4n <br />Ilf lcnY <br />5111f NhnM1151M1CMAMt <br />I•—rErc Lal<I <br />hA.%.IWrnP• <br />CRYOFEVERETT-_— <br />1 ' <br />—/� <br />PAIE Z I V OU <br />LOCAL SALES <br />TAX CODE IS 3105 <br />TOTAL <br />—" <br />