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APPLICATI04OR CONSTRUCTII1 PERMIT <br />CITY OF EVERETT E MOLDING DIVISION <br />WOO CEDAR STREET • EVERETT, WA TME01 • YEE-0B10 <br />O MMOUTION C] CoMSwm" O SAGGING 0 MECHANICAL ❑ PLum"G O SIGN <br />PROJECTAWRESS' SU EIIM iM!5+rce+, fVeefll WA, <br />rCarrl Mw•owren an m PH" <br />.OPTS. II) nic,an RA QV7/W <br />a•rTa•cr miaataatx - 7(yg �-� - <br />---HEATING <br />SYSTEM: OGAS ErLECTINC EJ <br />a�owE trowtwoatw+e rtroua max i � - <br />�u foF <br />caar•cr rFaFatuoniaTe ao <br />marts � 3ro m�-Isxt- <br />��/xa a— <br />C �a <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO SE TRUE AO CORRECT ALL <br />PROVISIONS OF LAWS AN) ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE OOMPLIE3 WITH WHETHER SPEN7FIED HEREIN OR <br />NDt. THE GRANTING OF i PERMIT DOES NOT PREe1JAE TO GIVE <br />TO VIOLATE CO CANCEL THE PROVISION OF ANY <br />OTHEN STATE OR LDCAL LAW REGULATING CONSTFRICTION OR THE <br />PERFORMANCE OF CONSTRUCTION . THAT I AM AUTHORIZED •Y THIS <br />OWNER OF THIS PROPERTY TO PERFORM THE WOII FOR WHICH <br />APPLICATION IS MADE AND I COMPLY VRTH THE STATE <br />CONTRACTORS HAW J�7"° 21i.ESS / <br />� Z � <br />X <br />FA0i0DMo uaE aF °1"10N0 <br />SFR <br />tAo•Eaziwrwvlow an lEgawaAowatan•atTwotwrE <br />L Rocwo aAforiq A1151VISIOAkAUTHOWV <br />Mo. A <br />aurcta of r o r�wr�a _ <br />0009�yJly.� <br />nOnrtocteataw tEroert •ooara. tEtmroaEau�Ea <br />wrt <br />alr wrM.rEn IICEMFrio <br />PLUMMNG <br />MECHANICAL <br />NO. <br />TYPE OF FQ11111E OR ITEM <br />FEE <br />NO. <br />TYPO OF E0IRAimIT <br />In <br />WATER CLOSET <br />' <br />RUC—AA/MUWTB <br />BATHTUB <br />' <br />FORCEDAIRSYSTEMS <br />' <br />LAVATORY (WASH OAS" <br />NEAT PUMP <br />' <br />SHOWER <br />' <br />UNIT HEATERS <br />' <br />KITCHEN SINK S DISP <br />r <br />CLOTHES DRYERS <br />r <br />DISHWASHER <br />RANGE HOOD <br />' <br />LAUNDRY TRAY <br />1 <br />WATER HEATER <br />CLOTHES WASHER <br />, <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />' <br />DRINKING FOUNTAIN <br />r <br />FIREPLACE INSERT MOOD BUR NINGI <br />FLOOR OIWN <br />r <br />CAS FIREPLACE <br />' <br />BACKFLOW PREVENTERS <br />i <br />GAS RANGE <br />' <br />SINK (SERVICE — BAR, ETC.) <br />GAS PIPING <br />' <br />E70 W19T FAN , <br />' <br />r <br />' — <br />r <br />' <br />r <br />r <br />t <br />•, SUBTOTAL S <br />SUBTOTAL S <br />' <br />PERMIT S <br />PERMIT S <br />t _ <br />TOTAL FEE S <br />r <br />TAL FEE 6,' <br />d9o, 7s <br />raver aEnr•d <br />aEur vrE•ce <br />noE SFrNa <br />nu. a�Fa MitnEa <br />FEF <br />Rf2�T aD <br />wExoaE� <br />tor•trt• <br />r•curr VIE <br />FEES <br />VALUATION <br />FEE <br />owl ❑ w <br />wwoNKI <br />7allfe <br />NEpar UIII•r <br />W MI""EtUra <br />9IF dElppT.l <br />ZFS 5 S F. <br />n'"""O <br />t)l +•NLv NO volmS <br />O "Itw E•EEaat <br />M cC x <br />/- <br />(/O <br />00 <br />✓ 2 <br />orE! xn <br />•3 <br />rw,r snErwtrnaon <br />ar•wa <br />M,Ixf"• mm Croat <br />OaaR <br />rrt•uro•moo <br />aE•aw <br />SrAIF allEOrallPdWRr[ <br />THE OF Mrrcr <br />n•rrt •rmwEo er <br />CRY OF EVERETT <br />mmr..war•a <br />Q <br />�1/-- <br />LOCAL 6ALE6 <br />,_y_'/V <br />o•TE , ZL3 8 <br />TAX CODE IS 5103 <br />TOTAL <br />