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APPLICATICA FOR CONSTRUC4N PERMIT <br />CITY OF EVERETT A BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT. WA 98201 • (425) 257-8810 <br />❑ DEMOLITION ❑ <br />PROJECT ADDRESS: <br />❑ BUILDING ❑ MECHANICAL PLUMBING ❑ SIGN <br />OMIER <br />Flo..qqll <br />MALL MLRESS <br />8,, <br />ouoc/�Cf <br />r <br />ln <br />9d6se <br />NRNL <br />21 1 66S/ <br />TENANT <br />4AN AWIIESS <br />LILY <br />Rn <br />Nfll'll <br />ARLIATELt QR ML GNlR <br />MAIL AR(MESS <br />CITY <br />)M <br />nIIJNr <br />GENEML CW114ACIM <br />MAIL AOOFESS <br />CO, <br />hC <br />pI)IE STAR IIcTiry <br />MF.CHANM'AL COMRACIg1 <br />V4UWnFSS <br />am <br />LIP <br />MANE MALE LICENSEI <br />%114flING CON1RAf.1 VML ALGIf SS LILY SI✓ ��+�"' a'^""�" <br />A,F e.�.._. / sd�'/. D,1 O_L..__IF 7PA,,1 lyasla -YTrt ALTA'p-r/oNo <br />CONTRACT non OF IMOVA 597. <br />HEATING SYSTEM: ❑ GAS ❑ ELEC fRIC ❑ <br />OCSCRI .: M AYII [W Anf FppfAOE NVIXKG <br />flu t , <br />CCNIACI KRSa, ,AO PIbNE NO <br />I HEREBY CERTIFY THAT I HAVE RFAD ANO EYAMINED THIS <br />APPLICATION AND KIIOVI THE SAME TO BE 'RUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERVIT DOES NOT PRE:;UME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PHOVISION OF ANY <br />CTHEP CTATF. OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONS I hUCTION THAT I AAA Al RHORRED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18 27 RCW AND 29F 200 WAC <br />z �J�%%AF <br />/ D "- <br />x•WAINII. RAIL <br />nPonOSFu IME OF ROILDNc <br />trcAt o[scRlminna rncnm.Iv.owN euowwATLrcrnw0cmisl <br />tot RLUCA or. _ <br />1'APCEL 1.1 D NI,4RER <br />CSS.IFI[Or,f M1MI1ER <br />CONS]RI1ClIp1lOAN IFNChR. ADMNI <br />L4S flU4K5512[IbC NO <br />PLUMBING <br />MECKANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF EOU1PMElTT <br />FEE _ <br />WATER CLOSET (TOILET) <br />AIC—AMNDLG UNITS <br />_ <br />BATHTUB <br />FORCED AIR SYSTEMS <br />' <br />T <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />_ <br />SHOWER <br />UNIT HEATEPS <br />_ <br />KITCHEN SINK A DISP <br />CLOTHES ORYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATE'1 HEATER <br />_ <br />CLOTHES WASHER <br />WOUD STOVE <br />— <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />_ <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC) <br />GAS PIPING <br />!.1 <br />EXHAUST FAN_ <br />1 <br />vCr <br />SUBTOTAL S <br />SUB TO"i AL f <br />PERMIT S <br />PERMIT f <br />_ <br />TOTALFEE S <br />(p <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />