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APPLICATION FOR CONSTRUCRON PERMIT�J�/�/�//���',[77 <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT, WA 98201 • (425) 257-8810 <br />❑ DEMOLITION 1� COMBINATION ❑ BUILDING ❑ MECHANICAL ElPLUMBING ❑ SIGN <br />ADDRESS <br />.-...... ......nweee nrr IIP PMNF <br />21: !7 Ll <br />CONIx.fLr Plpr,E Or Wg1x <br />HEATING SYSTEM: ❑GAS ❑ ELECTRIC <br />DEscPi F xx nSWNotF r1GFN o O <br />cOxrFcr MPSOV.��FI nNONE HO <br />7 <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVEGNING THIS TYPE OF <br />PFIOPOSFD USEOF BWLDIw <br />WORK Wlll BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />LEGAL DESCRIPTIPI OF PIKK'EPIY ILKM'N eaten GBArtU;N Two caBEs <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />Lot BLOCK of <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 10 Y]RCW AND 296.200 \YA➢ <br />PUILELr <br />^F�&'q <br />-T <br />- �t�5 <br />ISExDFR. ABDRE44. iFlFANINEWMIMBFD <br />CONSIRIFNOW1LrjOAx <br />51G AIVRE DArI <br />CITY BUS'NE55 LCFNSC ND <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />N0. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C—A/HNDLG 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 />METAL FIREPLACE (WOOD BURNING) <br />URINAL <br />FIREPLACE INSERT (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />GAS FIREPLACE <br />_ <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR, ETC.) <br />GAS PIPING <br />EXHAUST AN <br />4r <br />16 <br />SUBTOTAL S <br />SUBTOTAL 5 <br />PERMIT S <br />PERMIT S <br />TOTAL FEE S <br />TOTAL FEE S <br />Fun urrif m uDc uji, <br />FPFWT AFTRACK <br />F <br />�to <br />PEAR41BACK <br />- -f <br />IOB ARfA <br />C. <br />SIDE BFIBILK <br />vALAxt SIIEFEES <br />^. rfs w <br />FF <br />69fusE! <br />VALUATION <br />RFCFIPTw <br />FEE <br />l 70 <br />_ <br />��Trox <br />aDvry "((A <br />!C,,CAfR <br />SIMAS <br />OLCVWNF LOAD <br />BAMMAT CX IS <br />%06 <br />f LIV.CK <br />EWE SRN7R PEO'D <br />PFAHW <br />/D <br />OIAR <br />EIP[NARN PfV9 <br />1/D <br />Rf ACOY <br /><IAIF BINDN(141RYxfRGE <br />_ <br />' <br />� <br />5 <br />rnxur. vgxKS <br />_ <br />IT" OF r.OU" <br />MANSEP"-IFn Br <br />CRY OF EVERETT <br />I <br />N <br />DATE <br />LOCAL SALES <br />TAX CODE IS 3105 <br />---- <br />TOTAL <br />-F <br />ag- 35 <br />