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APPLICATI01 FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT •BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL( PLUMBING ❑ SIGN <br />PROJECT ADDRESS: <br />a.-, _ I - _ <br />"W11,L COHTR•(:,m v"1 Fss C,T. M niyK TIA.t IKFH . _ <br />COMIR•CI YgCF Di WJIII <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />OFSCgpi WJlilt •HO SOU•M sDpr•DF Nvp ITD <br />COHr•C. IFNSONPit •M irldf HO <br />14%/ <br />aKlrovolxt a pIpIDIND <br />_/✓[IYv- d �Ul �14&A- , <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 01L BE COMPUEO WITH WHETHER SPECIFIED HEREIN OR <br />NOT. T11E 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 I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONT ORS LAW 1627 R W AND 296200 WAC <br />X�� 9 <br />LEGU Df INTKIN DrP "T`T(WMTl ULM OH AITY:H TWO Si <br />LOT eloC. or <br />P•PCTL Tula MMpEn <br />CONpm,cTnIH IO•H I FMFR. JND ESi r[lfll M1111BFn <br />S I •rt <br />OT AI9Kp5lKFrrsE Ho <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />I <br />WATER CLOSET (TOILET) <br />AIC—AAINDLO UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />jHEAT <br />PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK 6 DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />_ <br />WATER HEATER <br />CLOTHES WASHER <br />_ <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNINGI <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT MOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC) <br />GAS PIPING <br />T� <br />EXHAUSTFAN <br />16/1 y <br />+� <br />SUB TOTAL f <br />SUB TOTAL f <br />PERMIT f <br />PERMIT f <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />fI1M1l GiiR•i. aaSireK. SWF pFIpK. n cIILr.NUMIr. rIf mcm,.0 <br />- �a - 0b� <br />I ltE tfwr lol urt• v¢w vN FEES VALUATION FEE <br />rrtlCAlr l'Nr1g0\ W Ol IMII I IML Sll{ d MOG11— <br />H•1� <br />n lvw+r. <br />OCuvv. v �..de. anwHT lDu'. e•uvt� ;__. <br />(nqH' V{' H•M Al � <br />Ortx O`n <br />fmf tvHN.If✓rtt 0'D _-- rM•vw •DdI.W' nw'.rt 1. ' <br />_ n <br />f/R •IMVHI �G - nr•tr)Y <br />Q•q eJJMli f'IM n1Ad <br />r rorKan•--'-- n•rtu•rvmvrDer CRYOF EVERETT---_---�--- <br />LOCALSALES ---- 1 --(--- <br />D•rt TAX CODE IS 3105 TOTAL <br />