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APPLICAT& FOR CONSTRUCRON PERMIT <br />CITY OF EVERETT IT BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • (425) 257-8910 <br />❑ DEMOLITION ❑ COMISIINATION M EUILOm ❑ MECHANICAL ❑ ►LUMSMO ❑ amPROJECT ADDRESS: ,1741 645 i0,E '.AL <br />�'�uer �' LC�AEOGY� 0AN/GL�,aU _ .� a�uE - � -�l� - 3i'7 -z?•o�a2— <br />Dtr> ✓G <br />pEXERAL coNIRAcrw 4w AawEss clrr nr %Prvr Pun IKENss. <br />WCXAMCAL COIETRACIOR YML At1C..ESS bn lw %tlMf Ruf IKfXSE. <br />P NwvT;GcONIP.r..TCN Y.tl.0011SS CITY PI, 1~ STATE IICf%V <br />cwrRicrvmct a woa. <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC Cl <br />pESLgPE WJM.NOSW.P[EOOi.GF NVIXKO <br />O <br />OXI.Lr PFPSpN.M NO <br />3 i -So <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 VAIL 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 I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION 15 MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 2T52M WAC <br />— <br />nRorossouPE uF mnLnXG <br />LEGAL OE5C%PTIOTTM r11014PTY(J15�XOMrr, EEIOM OP.rrEiLX IWO COPI[SI <br />LOT IKOCP LX <br />_ _Q�j <br />67 <br />TMKEI ru � o XUA.eFR <br />COX,NINEKN t O. tFN A Kt11TFSS IIIERMJXEMMIfN <br />DATE <br />LITr eUSMFSS IKFN[! NO <br />PIL ma <br />MECHANICAL <br />NO. <br />YYPE OF NXTM OR REM <br />FEE <br />NO. <br />TYPE OF EOII/IABR <br />FEE <br />_ <br />WATER CLOSET (TOILET) <br />RTC—AII IOLG UNRS <br />BATHTUBFORCEDAIR <br />SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <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 />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FI REPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />SACKFLOW PREVENTERS <br />GA` PANGE <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />EXHAUST FAN <br />( <br />— <br />SUB TOTAL S <br />SUB TOTAL S <br />PERMIT S <br />PERMIT f <br />TOTAL FEE S <br />TOTAL FEE f <br />EftFe OFFICE USE ONLY: <br />rP[MIi SFlP.f4 <br />zo <br />Pl U15Fle.CS <br />vm SEIPF. <br />PLMCXECP NUMXR <br />MCFWt XO <br />USE rw! <br />toT+9["KAKI <br />VIE <br />FEES <br />FEEDIES <br />Mw <br />*ALI� <br />Q7 <br />Ml <br />W.ELIT IIWAIIO T1 <br />ND Or lIX6 <br />SIZE Gr HDGTTI <br />' N— <br />OLCIprAMLr <br />_ <br />M1 n.I,X.!) <br />I <br />IX:CXPAXr IO.o <br />eASFMF\L / <br />OILS <br />VK.A1 A. <br />AMUNiA1 PLANuxn <br />TIM SrPiNALER PEO'D-- <br />XIASIn <br />OIKA <br />FIREAI ALO"D <br />PFASOV <br />Sul[ Pmt O✓An $i111CM.R1.! <br />/ - <br />TrvF Gfr.ON%, <br />%.NS AnrRGvfn Br <br />CITYOFEVERETT <br />ES <br />TA%CODE 9AL L5105 <br />TOTAL <br />