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APPLICATIVII FOR CONSTRUC" PERMIT <br />CITY OF EVERETT • BUILDING DIVISIO <br />3200 CEDAR STREET -.EVER ETL WA 98201 • (425) 257-8010 <br />O DEMOLITION ❑ COMBINA' ION ❑BUILDING f MECHANICAL ❑PLUMBING SIGN <br />PROJECT ADDRESS: 3oS SE E'T A'1'l[E " �CAz Y% /I <br />//nr 4.0oo.,o SA, Fn,✓ c/T o%Y/Go 813-/Sae. <br />O'Mrtn ALMALCA"Ess GIT l/• n4M1 <br />SC.1.4 Sw/c 30.5 SF_ CYi 411IE 1-442I If II 33Y' 2733 <br />IEN.WI MMl Ml014 E! GIT [IY NIY16 <br />uvue.flMMvfMll_ YAII.MLIS c11Y M I'l1011E <br />PIUYFINGCON11wpM MYUUMESS CIIT TY ngNf SIAIE IICENMA <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />E!"I. ANU SOWIIE IMIAUE MMW O I CW I+Cf RFISONAMI MroNf NU <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO DE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BC 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 CONSTRICTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION 15 MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTO A 18.27 AND 296.200 WAC. L[ <br />nW SfU USE 0AIIVU u <br />f?t 74, a. <br />LEGAL URGKPUCNp FIKX'Enlr wKowK Uuow Gl+n+cu TwO COM1EsI <br />LOT UtXK a <br />nvK:7l w m. xlwun <br />18zSGS-3- oYF-aDo/ <br />cCNSImILTMIN tOM1 LEMYn.I.pnllEss. IELGrIONENWOFl1 <br />X <br />ylUMlwlE u+l I <br />[�Cf/y A/ Co 77 CM <br />ulr Euvress lC[NS[ <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE OB ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />AIC—AMNDLG UNITS <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 />MANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />—� <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />U~' AGE <br />IIACKFLOW PREVENTERS <br />SINK (SERVICE — BAR. ETC.) <br />GA'i PIPIF.G <br />EXHAUSTFAN <br />SLID TOTAL S <br />SI)B TOTAL S <br />PERMIT S <br />PERMIT $ <br />TOTAL FEE S <br />TOTAL FEE f <br />-_ <br />FOR OFFICE USE ONLY: <br />[RANT N70 Cx I rl�+Cl y-y NUw¢n I[F WC1.11w <br />.!/- ✓� n/h J�70B-zzg <br />USE IONF IUI AIR+ <br />. 1 I` ❑Yi5 <br />UE���[[[IF IIw1+IlOU NOrc1MttE SIZE OFnLLXWI <br />Gl1:IKMNI:T MI III fIIYeI) IX.11ll'ANI IUAU nA\I YIVI <br />❑YIS ❑MI <br />OMHAw: <br />nllwl�. <br />Yf 1:11AMKAl <br />IpG1EWY. M1 AN CIIC <br />OIIKn <br />SIAIF AINUMU SU,XWlY1[ <br />ralsl PLANS U.IIM CITYOFEVERETT nlN r.rNIMs <br />LOCAL SALES <br />TAX CODE IS J10S TOTAL <br />