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--. <br />APPLICATIO� FOR CONSTRUCT�.�N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />, 3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUIl01N(i �j MECHANICAL � PLUMBINd ❑ SION <br />PROJECT ADDRESS: <br />�or �� <br />P1qNE <br />HEATING SYSTEM: <br />CONT�CTPERSONur�eurrs <br />SlATE <br />❑ ELECTRIC ❑ <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TFiIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORpECT A�� <br />PROVISIONS OF LAWS ANO ORDINANCES 60VEHNING THIS TYPE OF <br />.OWORATfACM1NpGp%ES� �RK WILL BE CAMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE ORANTINp OF A PERMIT DOES NOT PRESUME TO GIVE <br />� AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL (.AW qE6ULATINp CONSTRl1CTION OR THE <br />PERFORMANCE OF CANSTR N. TMAT I AM AUTHOqIZED BY THE <br />ONMER OF THIS P O ERFORM TME WOqK FOq WHIC►{ <br />APPLICATION I MA OMPLY WITH THE STATE <br />i <br />CONTRACTO LA T D 200 WAC. <br />,��,�A � � 2. 2�,�10 <br />TYPE OF Fl%TURE OR <br />WATER CI.OSET (TOILEn <br />BATHTUB <br />UVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 6 DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKIN6 FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK fSERVICE — A�N c7c i <br />S <br />TOTALFEE <br />GTY BUSINES$ LICENSE Np. <br />MECHANICAL <br />FEE NO. 7ypE pF <br />' NC—MiNDLOUI <br />; FORCED AIR SYST <br />� HEAT PUMP <br />' UNIT HEATERS <br />i CLOTHES DRYERS <br />' RANGEHOpD <br />; WAiER HEATER <br />� WOOD STOVE <br />' MEfAL FlREPLACE ( <br />� FIREPLACEINSERT <br />FOR OFFICE USE ONLY: <br />FNONT SETBACI( pEAq SETg�ICN SIOE SETB/iCK PIAN GIIECN NUTABER <br />INJE IOYE LpTAPEA VAC�NT SITE FEES <br />_ ❑VES ❑ �'1� BUILDINf. <br />NEI6HTUMITATqN NOOFOW[���/p SIIEOi&DORI <br />UNIT$ <br />DATE <br />VLUMBING <br />��SEIAENT MECH�NIGIL <br />OYES ❑ NO <br />ADDI710N�L PLAN CNECK <br />OTNER <br />STAIE B111L01N6 SUNCNI1fIGE <br />CITY OF EVERETT PIIBI lf, WORN$ <br />IOCALSALES <br />TAX CODE IS 3105 TOTAL <br />SUB TOTAL f <br />PERMIT S <br />TOTAL FEE S <br />FEF RFCEIPI NO <br />