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APPLICATICS FOR CONSTRUCAN PERMIT <br />CITY OF ERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 9B201 •259.8810 <br />1EMOLITION 11 COMBINATION n BUILDING n MECMAMICAE n 01 uuerun_ I I e.nu <br />rLOWINGCON�;II I MNl A0nPE44 OIY llr MgNf SGiE IICFNSE. <br />CONfMCr rrMLE IX WJflx <br />(� <br />HEATING SYSTEM: I I GAS Fl ELECTRIC I l <br />UFSCtAn <br />7 ANn :OnxrlEr QnE MVQI <br />C-IACT I'EnSCN AIq ppNE Np n 1_ <br />Vol <br />_ 50�o u <br />`� <br />I 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 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 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 1627 RCW AND 296.200 WAD, <br />X /`� <br />T <br />��� <br />ragpsr uu IX nmtwrm` <br />V I Cu Q U <br />�n <br />Irr..t TrscnmTloNIXlmonfarr lsrroHN IXLOw on An+cH TNO conESl <br />_ ntorx IX <br />MICEL 1.I0 NulAxn <br />CWSTnnLT"IDANIENOEn. Anglfss. TELE1'110NE MMPFn <br />4KINA� // QDAr <br />CITY WSINESS L(ICCENSE PIT <br />PLUMBING <br />MECHANICAL <br />NO. OF EQUIPMENT FEE <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />R CLOSET (TOILET) <br />_TYPE <br />AA:—AMNDLO UNRS—H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS —BTU M E.A. <br />ORY (WASH BASIN) <br />HEAT PUMP <br />ER <br />UNITHGTERS—BTU. U. M <br />EN SINK A DISP <br />CLOTHES DRYERS <br />ASHER <br />VENTILATION FAN <br />DRY TRAY <br />RANGE HOOD <br />HES WASHER <br />WATER HEATER <br />L <br />M <br />WOOD STOVE <br />ING FOUNTAIN <br />METAL FIREPLACE (WOOD BURNING) <br />R DRAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOW PREVENTERS <br />GAS FIREPLACE <br />SERVICE — BAR, ETC.) <br />GASRANGEGAS <br />PIPING <br />_ ___ <br />EXHAUSTFAN <br />_ <br />SUB TOTAL f <br />SUB TOTAL f <br />_ <br />PERAIIt f <br />PERMIT f <br />TOTAL FEE f <br />TOTAL FEE f <br />_ <br />FOR OFFICE USE ONLY: <br />rnou?sr TwI, <br />SEAS SETBACK <br />snESETPACx <br />PIA CIrtCMMIMEa <br />nr <br />PECTIN NG <br />USE toaf <br />WT APE <br />YACANI SIE <br />FEE <br />VALUATION <br />FEE <br />f1YE4 II No <br />pUI DW, <br />�— <br />PEICAITLPAPAPM <br />NO LF nWEttING <br />SIZE Cr RD(YII <br />PATS <br />Y•ANCY Nl(V SIryeIS <br />GCCUINNT tpAn <br />INAMMEN) <br />— <br />MECHANICAL <br />IhrS II Nll <br />rIIIr ALATIM nEon <br />nrAIM <br />ADp11nNAl RANCPrCK <br />OIMA <br />�i <br />,PIT,srnlNKtfn nrnn <br />nr+sav <br />STATE RtALGMi SIIIICHAWKE <br />_ — <br />rvrrrxCaNST <br />MANS mrnovrnnr <br />CITYOFEVERETT <br />ronl K[wrinA4 <br />LOCALSALES <br />--- <br />— <br />TOTAL <br />D+lr <br />TAX CODE IS 3105 <br />