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_2 <br />c(poll`�9 <br />APPLICATI& FOR CONSTRUCON PERMIT <br />�* <br />CIT)' OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT. WA RR201 • (425) 257-8810 <br />❑ DEMOLITION COMBINATION ❑ BUILDJNG ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: 2J//Xt ^ (` , I _ _ <br />WCHAWAI CMIPAC10" VPl Rx1nESS !,", }n--- mU•.f [PIf IKExSE• — <br />%IIfIBMG ji0111P41Cil Wn 100"Ess Gir ZIP <br />PNOtif SLIF 110ExSf• <br />ifs � tJ <br />Y,02501--. <br />coNlnKlINPCf Ix <br />— <br />HEATING SYSTEM: N GAS ❑ ELECTRIC ❑ <br />Cp:iKrrrn50ry.rfn mgvf Np <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />)cj Q5 O 00 <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />f—•fgfgsf�ou "Tflmrmrx: I�( <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />`^n <br />E-X� <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />IFc. "EscalvuoN�l^'114�—-A.o" n u cow[si <br />,s jFlni"1'O <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />toI l <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />II ( <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 />CONTRACTORS LAW 1827 RCW AND 296200 WAC <br />r ,•\ �( <br />`/I �/� ,` <br />[I uno Pf. <br />M m <br />A <br />X 0.1[ <br />Co 11 I to I y n a I Ifrn PHI <br />' <br />r (�/ 8 <br />S!WIMVRF. <br />olr au. xss llrlN <br />xo __ <br />PLUMBING <br />MECHANI <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C—AMNOLG UNRS <br />BATHTUB <br />FORCED AIR 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 />METAL FIREPLACE (WOOD BURNING) <br />URINAL <br />FIREPLACE INSERT (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PR <br />GAS RANGEEVENTERS <br />--� <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />EXHAUSTFAN <br />+_ <br />SUBTOTAL S <br />SUBTOTAL f <br />PERMIT S <br />PERMIT S <br />TOTAL�EE S <br />TOTAL FEE S <br />rVN vrrH.0 vDC VmE-T: <br />FIVINt SFiPKII <br />ftrmsr1p� <br />SKIT Sf <br />/ <br />MANCIIECKWEIFIfA <br />of CFlrI HO <br />^ <br />`�P4 <br />ry"0/-7 <br />USE tONf y' % <br />/ <br />101 P.(A <br />VKAxI AIf <br />Orfs ❑wl <br />FEES <br />VALUATION <br />FEE <br />Pul tx .. _ <br />mllNllwn <br />— <br />4f 1;M5NIr:.I <br />'Z`{I �69% <br />- — <br />�} <br />/ �. <br />O �__ <br />- - <br />O .0L' <br />nE1Wl11Nlnigx� , <br />xo aOwHHNO <br />1w1[ <br />SIZE w 6=11 <br />^ 20 S e. <br />IX:LgIUTPyrr N�rl •I'n.1\ <br />UfCIA1Ml l01[I <br />Plff fMl <br />•Pp1iON.1 m.N C1V fv <br />-1 Z <br />❑HS 0 <br />Y % 1 LJ <br />�� <br />11f 5RMIKItPPfo'0 <br />NFISON <br />_�- <br />v <br />OIAIJ <br />=— <br />,51.111 flllll(NNtI c111N:N.P(If <br />I iP1 AlANM PEUO <br />NHYn <br />) <br />-ir1r <br />m.x5nrrnrnfn CRY OF EVERETT <br />"r. 7"P <br />-' <br />%fr ff%�fA LOCAL SALES <br />TA% CODE IS 5105 <br />IaS <br />TOTAL <br />nA1E <br />