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APPLICATIA FOR CONSTRUAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT. WA 98201 • (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING SIGN <br />PROJECT ADDRESS: 3 %1'v/YUa[G <br />��✓n �JXtw,i iLYJ (a >i��I hl.An �L� �k/X �i'AUOI/ Y'7S 'i y. -if .� 3L <br />4 /JI <br />llr <br />IK.CHANCµ G(Wiwn�FOP 4.It.DpR 55 CI1V lir Mg4E STATE LKENSEA <br />PLUMBING P.ripl M.M1.LOnESS Clh br PIg4F STµFtICENSF0 <br />I D -A <br />cwlnAcl r ECF. a wolf. <br />HEATING SYSTEM: ❑GAS DIELECTRIC ❑ <br />aun�Pr WORKANO sgynF rDO1.GF MWIVFo <br />coN+ACIN DNA. 11 1F 10 <br />r <br />$OD- 7- <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APE -ICATION AND KNOW THE SAME TO BE TRUE 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 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 IHE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW IS 27 RCW AND 2" 200 WAC. <br />Plroron oust o PunpxG - <br />LEGAL OEscnIPG04 Of Pn RTr lsNowH NEowOR AnACn MCDM1ESI <br />001 BLOCK a <br />rAPCFI u. o NnNtn <br />-O <br />CONSDIUCTIM I JAN I EM%n ARVIESS TELlA NUANFR <br />AN1rc OAn <br />CRYPUyNSSIKENCE NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF Eg1iMENT <br />FEE <br />_ <br />WATER CLOSET (TOILET) <br />A/C-AA4NDLG UNITS <br />_ <br />BATHTUB <br />FOt.;ED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />_ <br />UNIT HEATERS <br />KITCHEN SINK A OISP <br />CLOTHES DRYERS <br />_ <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 />_ <br />DRINKING FOUNTAIN <br />FIREPLACEINSERT(WOOD BURNING) <br />_ <br />_ <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GASRANGE <br />_ <br />SINK ISERVICE - BAR. ETC.) <br />GAS PIPING <br />_ <br />EXHAUSTFAN <br />SUB TOTAL 1 <br />SUB TOTAL f <br />PERMIT $ <br />PERMIT 1 <br />_ <br />TOTAL FEE S <br />TOTALFEE $ <br />FOR OFFICE USE ONLY: <br />Inmi Y1PACK <br />nrAn Sf UNCN <br />SIDE SFIBACK <br />MAx EIIECKN Cn <br />!FF <br />of CHPTND <br />Fo 5 <br />.10 <br />usE rl1, <br />Im APu <br />v.C.xl slrt <br />FEES <br />VALUATION <br />FEE <br />Bwp4R <br />IIEIGHTD.I.1 N <br />ND aVWtLIING <br />SIZE a NUGnI <br />VNII.G <br />p11MPINn <br />OgCUPALCY <br />I NO IN E1Mf5 <br />CCLLr.N11 UAn <br />0A5f4t N1 <br />WIDANA,At <br />Orts ONO <br />AGPIxIrIµ M1.4 CNl C4 <br />FYIE SPIP11xlEP nEG9 <br />WASOn <br />01r1n <br />iNE AEAlIM PEOD <br />Rf ASOv <br />- <br />CIAIt PIPIp4n SIInC11.n(( <br />IrrEarovsl <br />RAxs.r `ner <br />CRY OF EVERETT <br />nN1lr. wtn+s <br />LOCAL SALES <br />---— <br />-- — <br />TOTAL <br />I ~ <br />TAX CODE IS 3105 <br />DAIL <br />