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R APPLICATION FOR CONSTRUCOON PERMIT <br />CITY OF EVERETT N BUILDING DIVISION <br />0200 CEDAR STREET • EVERETT, VIA 08201 N [425) 257-8010 <br />❑ DEMOLITION O COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />4Y J <br />CON [MCI OF Wau <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC O <br />UESCI4oE MUw(ANu 50uAnEFOOrAUE motwU <br />12NAtr PETIS ANDr'NONENO — ^5 <br />V <br />N - N— <br />LIEMPS M A17-eb ow E -° <br />-� 3ZSO•FT <br />i HEREBY CERTIFY THAT I HAVE READ AND EXAMINCO THIS <br />ATP-ATCHrJ /U / n/A1�L <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PIw sfousE of BunwNO <br />GIJ <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />4,1 [,7TZ, R/yAJG-SS <br />WORK WILL DE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />LE ALULWNIPTILWOF PUp-IINT 13--UELOWGIAIN. NIW000M1EEf <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />LOT TEMA or <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 WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONT.401S LAW I8,27 RC N 206.200 WAC. <br />// //-SY <br />PNrt¢1.0 1.U. xVuuU1 <br />182-Ova-aol -0008 <br />CONSmUCTION LGUI I[NOEn.A(xKlEss. ICIEIN. N MNBNI <br />%J�I�IE6A wrc <br />51 1IT, <br />GIY OUSU45 ICENs[NO <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT <br />FEE <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />WATER CLOSET (TOILET) <br />AID —AIHNDLG UNITS <br />FORCED AIR SYSTEMS <br />BATHTUB <br />HEAT PUMP <br />LAVATORY (WASH BASIN) <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />METAL FIREPLACE (WOOD BURNING) <br />URINAL <br />FIREPLACE INSERT (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />GFIREPLACE <br />AS <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETD.) <br />GAS PIPING <br />i <br />EXHAUSTFAN <br />SUBTOTAL S <br />SUBTOTAL S <br />I <br />PERMIT S <br />TOTAL FEE S <br />PERMIT S <br />TOTALFEE S <br />FOR OFFIOL USL UNLT: <br />f 110415. 11A"� (Ay�N <br />FVTl <br />USk TUNE <br />C� I <br />nEAO SEE�TBBLAAACK <br />/vT\ <br />101 All[A <br />SI SEIUACN <br />1`Vrw` <br />VACNII VIE <br />OVFS xU <br />I`IAN GM1CN INANRIL E[f <br />IgQ7 <br />FEES <br />�� <br />VALUATION <br />11[f.UPI xO <br />FEE <br />ONIUPN: <br />IIEI,B1/L1 I^IMIINION <br />�.W OF-UI <br />N(I ff UWELIIW <br />WINS!.V\rA` <br />SIZE Or BLUNII <br />PwunwG <br />U'CIIANICAI <br />IX:CUI-ANCY <br />W(A SINULS <br />OECUPANI LUAU <br />OASEM[NI <br />GROUP <br />I <br />❑YES Ox0 <br />AOpI1pHAL lYAN C1ILCN <br />IIIICSIMNIALCB II[O'U <br />IIPASCN <br />� <br />OTNEn <br />lu¢nwlM n(av <br />Brnsnr <br />Sul[ nmlUwc sunnunO( <br />— <br />fn <br />'Sl{L <br />'I'll"WmIAS <br />IVPE OF r.ONSI <br />MnNs1.gvlOv[Bur <br />CITYI EVERETT <br />�L <br />LOCAL SALES <br />own ��/I <br />TA%CODE IS B705 <br />TOTAL <br />