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1 <br />APPLICATA FOR CONSTRUAN PERMIT/�/�/��✓/�� I► <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT. VIA 98201 • (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION 53'BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />1. <br />.PCYRGr OP PIYO.rtX YM YNPN!{ CITY lx' 1'.NMS <br />y/1N1 1N'Q� _ <br />gNIP4 [OXrNfrdl YN /dPIFS! 0I1 7N' rylall llAllldN41 <br />lia1PNCAl CMM.fidl NK mIs an 7P' fti f.If term. <br />ry1P1lNGCONIX4.Td1 YM 1d 11 Crn PN n1d11 ffARIRw. <br />COxrPACI Xncl rlTlr� <br />)A y <br />orxwer w . or.PFry to � <br />HEATING SYSTEM: ❑ OAS ❑ ELECTRIC ❑ <br />cwncrnPlorl ArXlrwrww <br />1 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 VAI 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 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORX FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW IA 27 RCW AND 2" 2N WAC <br />E <br />Sp� j_jll w4aw <br />1 r� <br />«dX WSIC It ar 11n1lnn IY9PNilONdl AnKxfYAltd4sl <br />101 KICK R <br />D NAAIP <br />CdIITmeIm I M. 1 FM/R AgWat RI 9n MAA1FP <br />_ <br />SgMAryl! 11 1 <br />an IMs1Fu InNu xo <br />PLUMBING <br />MECHANICALNO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET( <br />AAC — NMJDLO UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY RVASH BASIN) <br />. <br />HEAT PUMP <br />SHOWER <br />r <br />UNIT HEATERS <br />_ <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RMNGF. HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />i <br />WOOD STOVE <br />_ <br />URINAL <br />METAL FIREPLACE WOOD BURNING) <br />_ <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIRE ACE <br />SACKFLOW PREVENTERS <br />GAS RANGE <br />SINK ISERVICE — BAR. ETC) <br />OAS PIPING <br />EXHAUST FAN <br />—r— <br />r <br />1 <br />SUBTOTAL f <br />SUBTOTAL f <br />PERMIT S <br />PERMIT f <br />TOTAL FEE f <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />FpmfwRNWA I mm ww. RRNKIMUI Aw C.KCA MIINP f1F MnP'rw <br />Pu 7drF <br />ror w. <br />r.cwr vn <br />Ong D w <br />wryly, <br />NLNWnNITA.gN <br />wPI MUM LtTd Rawl, <br />IWIF <br />OF.IIhNI )OAP FAyM..i -- <br />ryllVlyx <br />___._� <br />pcl:ilANr.. Vl n.u+.) <br />F4 <br />Wr:NArL4 <br />r NN Y1vPIHN ROupmog <br />'u <br />nFAWM <br />APd INMAIMwCNAd <br />WHIR <br />- <br />IR.•ryr __ — <br />IM AIAI4Mw <br />ry.n Arvwvrn P. CITY OF EVERETT <br />111rI IINPMIi 11111CWIIfH <br />nM .ndl{T <br />nnAc wY+. <br />LOCAL SALES <br />- <br />,,... TAX CODE IS 310S <br />TOTAL <br />