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APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT P BUILDING DIVISION <br />3200 CEDAR STREET R EVERETT. VIA 98201 R (425) 257-8810 OL <br />O DEMOLITION ❑ COMBINATION O BUILDING ❑ MECHANICAL 0 PLUMBING ❑ SIGN <br />PROJECT ADDRESS: �aO% SE P_Aefs/ MA/l[ua+ t4 79-/ <br />15 <br />WORMCALCONIIUCTOF MAR ADDRESS Div 7m PHONE STATE LCENSE0 <br />PIUMBNGCONIR.Y.TOB MML ADDRESS MTV 71P PHONE STATE LCENSE0 <br />cONrnAct PDCE a woR <br />cj <br />H GAS ❑ ELECTRIC O <br />DESCIBRF Y W AW Sd1ANE FOOr.ADE M Vtb <br />&ONTACy REASON AND PRORE NO <br />mo u� <br />a U - <br />RROPOSfdus.OF mPLdAq <br />I HEREBY RTIFY THAT I HAVE READ ;NO 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 />CONTRACT0 AW 1 7 RC 0 295.200 WAC. <br />A. — — <br />LEOK aEscDPrlOnarROPERrrTSRovm RfLaw dRAnAcx as coREsl <br />LOT SLOCR Or <br />Qux I D <br />El <br />UCIICNIWNIENOER.AD0RFs6. iElfPNONENWBFP <br />S"AY DAI <br />SS LCENSC NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPEOFEOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A(C—AIHNDLG 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 />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <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 />OACKFLOW PREVENTERS <br />GAS RANGE <br />SINK(SERVICE — BAR, ETC.) <br />GAS PIPING <br />_ <br />EXHAUSTFAN <br />SUBTOTAL f <br />SUBTOTAL f <br />PERMIT f <br />PERMIT f <br />TOTAL FEE t <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />rAETNT VIWA <br />PEAR SFTRM.P <br />SIDFSPILACN <br />MANCPECWWA <br />rFF <br />PFCFIPT NO <br />�a <br />OSE 7ONF <br />10. ARTA <br />VACANI SITE <br />FEES <br />VALUATION <br />FEE <br />RUIMNf. <br />_ <br />/I-N <br />vFAZJ <br />---jT— <br />' <br />Ip.A UG <br />_ _ <br />offs a w <br />HEgNT 11N1AIIDN <br />NO DRWFLIING <br />IwNR <br />SIh Or RIOGRI <br />0 <br />.— <br />RIIMRRRI <br />/S fDJ <br />fDCII MCv <br />Mnl ar;p{> <br />D:CIIPAMIIWP <br />RAV NI <br />MFINWCAI <br />GTES <br />ACdI".l M W O.C. <br />rl, SVRINNL[P RFN'0 <br />MAIM <br />NI <br />_ _ <br />OTNFR <br />FIRE ALARM RE V <br />W." <br />AJ <br />SLAY RIRIONn 51M.AmI' <br />— <br />7 <br />TrPf Of CONPT <br />nANR Der <br />CRY OF EVERETT <br />M1IMR:RVRA <br />VA / <br />I LOCAL SALES <br />✓ <br />OAT - / - J TA%CODE IS 3105 <br />TOTAL <br />p 3 1.5a <br />