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APPLICATIA FOR CONRTRUCAN PERMIT <br />CITY OF EVERETT •BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 88201 • (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING X§IGN <br />4xf]rANKAIcwIWCflRI 4Al AppESS Oft m NIOIt SUIT 1=14Rr <br />AIMNOCONIRKip1 lYl AIXftSS Oft m n11114 STATE IKXNSE0 <br />CwIRACifNECE IX NOVA <br />S G 3S CC <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />dsc&RE xvRiI ANO SQUARE rvOrAd.nolYEo <br />tdnAcrR AroNpIF <br />he q'�'' <br />L <br />HGroSEDUSEd&& nRif <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 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 CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIF PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION S MADE AND 1 COMPLY WITH THE STATE <br />CONTRACT LA 1 2TRCWAND296200WAC. <br />I P�o+��(J <br />lEOAI OESd•PRwd mdFRft ISNTIYMMGgY 011 ARAw Two Edrtg <br />Lot &= d <br />PArrtEl rAxl NIARR 2'rJ� <br />LONx11111CIAX110W 1[AOE0. AORnESg IFIERATAE MYOEEII <br />sKAAI oAR <br />AT '��'� <br />PIY &19NEt5lKER5[ Np <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 />A/C—AmNDLGUNlf3 <br />—T— <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />I <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK d DISP <br />1 <br />CLOTHES DRYERS <br />DISHWASHER <br />I <br />RANGE HOOD <br />LAUNDRY TRAY <br />) <br />WATER HEATER <br />CLOTHES WASHER <br />r <br />WOOD STOVE <br />URINAL <br />I <br />METAL FIREPLACE IWOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />j <br />GAS RANGE <br />SINK ISERVICE — BAR, ETC.) <br />GAS PIPING <br />EXHAUST FAN <br />l <br />SUB TOTAL S <br />SUBTOTAL S <br />PERMIT S <br />PERMIT S <br />TOTAL FEE S <br />TOTAL FEE S <br />FOR OFFICE USE ONLY. <br />r RONT 4TRAEUI <br />RAP SFTRACR <br />E+d BfTMECR <br />AANEI4Q MIN[/ n <br />EEF �� <br />RFttll'E NO <br />I'm ZONE _ <br />Id AREA <br />VKRMI WE <br />FEES <br />V✓AALUATION <br />FEE <br />_G <br />arts am <br />— <br />IK�CNII�MIAtIw <br />Np 60FEllW <br />&L[OE &Od11 <br />NUMIM <br />VMIF <br />OC�I'I1�NLT MncIApS <br />d.CU'1NIIOAO <br />IAYLENI <br />_��_...._.._�__ <br />N01U<4 <br />_— <br />Olt% Ow <br />ApO11KWN.R/R CNQ <br />fIR[SfPCiRER REOD <br />RERxpI <br />rua. AlARu&an <br />REASON <br />STATE Rultwn sNRCYUIK;E <br />/ <br />Ins IXCdixi <br />MANSA oar CITY OF EVERETT <br />nwlr.RrnRe <br />'rn <br />y 1ifC <br />_ _ <br />ool - / ,� TAX CODE IS 3105 <br />TOTAL <br />/ V S� ; T%� <br />