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APPLICATII* FOR CONSTRUCTON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />32DO CEDAR STREET • EVERETT, WA 98201 • 257-6810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />IPROJECT ADDRESS v (// <br />pYl n u.UI ACLPE6E Clb Iv HgEE <br />�rz � nv�fr� �//n ,BE•��1 SsL 41s = 3c1�— er_ s � <br />ARCHITECT 011 OEAg R WA&MORESS CRY zv "ONE <br />LL II fr r. <br />PLUYeINOCCEITRAy" LIAK AUOnLss COY Zv PHONE STATE LCENSEE —� <br />I( )" 6OTT r- I <br />CONTRACT RACE OF WORR <br />HEATING SYSTEM: 8 U ELECTRIC ❑ <br />CE M]IM NpFWM F KO <br />rrvc c ✓o�E 0 ;f <br />COWXT eE MI) ftOEM <br />ref < % i <br />/silo <br />�E <br />D V im/ / <br />v [1 <br />I 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 01: <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN ON <br />NOT THE GRANTING OF A PERMIT DOES t:OT 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 WHICH <br />APPLICATI N IS MADE AND I COMPLY WITH THE STATE <br />CON A R RC AND 28 .200 WAD. <br />X .e- <br />iFWL¢ ROONd PRoxnry eELONrnAnAw IMU COPER <br />tor_ eIOCA or .. — <br />-- <br />RR t lm I O ruLleEn <br />CONeTN TON LOM lENOEF. ACOREN. TEIE.nOTE MNIER <br />6 wTE <br />CRYOUSeESSMENEENO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />NC — MINDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) _ _ <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK & DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />/ <br />WATER HEATER <br />CLOTHES WASHER <br />W000 STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />i <br />FIREPLACE INSERT (WOOD BURNING) <br />_ <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />I <br />GAS RANGE <br />SINK (SERVICE — BAR, ETC.) <br />GAS PIPING 2 [E✓ <br />EXHAUSTFAN <br />SUBTOTAL S <br />SUB TOTAL f <br />PERMIT f <br />PERMIT j <br />_ <br />TOTAL FEE f 1 <br />70TAL FEE S <br />_ <br />FON OFFICE USE ONLY: M,wrn • /T/fP- <br />IROHI SETS/CN <br />REM SETIIG <br />SIDE TSACS <br />PEMICIECIIn q Y EEE <br />1ECEVTNO <br />Ju 7Y <br />mI AREA <br />YACMI ERE <br />C rE9 ❑ Iq <br />FEES <br />VALUATION <br />FEE <br />�� <br />KE 1171.11.1m <br />TIO O'C"WUM <br />urE1s <br />ERE OI YONII <br />ftw9 D <br />amp 1Cr <br />ro a E E <br />=WMI LOADSAN[NT <br />OKs O q <br />Mcmwx <br />KIb1gHAL I1AN CIECR <br />'ME ESRIMRER MOD <br />REAEON <br />_ <br />OMM <br />FIRE AIARY MOD <br />RFAEON <br />STATE NALpIO EURCIWUE <br />TRMOECOMT <br />nMaARPPOVfosr <br />O,Ah <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />IL9LA:wawE <br />TOTAL <br />