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APPLICATIA FOR CONSTRUCTAN PERMIT <br />CITY OF EVERETT F BUILDING DIVISION pp <br />3200 CEDAR STREET • EVERETT, WA 98201 • (425) 257-881010 <br />❑ DEMOLITION ❑ PPMBINATION BUILDING 1 ❑ ECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: 71-57 lef, II St <br />LIG <br />MECHANICAL CMTRACil1P VAIt ADMESs <br />PIUMBW5CMIPACTM MAILAOMESS 1 <br />I <br />CONMAC I PRICE OF W K <br />G <br />LKr.sF. <br />E IKENSFF <br />E EICENU <br />X GAS ❑ ELECTRIC ❑ <br />DESCMBFW K ME)%LAPF ICZIZE IN&VIB <br />Ftutstx I��TT.oJisJ�A_+�RE?_ <br />gRALf P[ $q1 ANB PNOH[NO <br />� ze�lo (n23-lloa <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 iB 27 RCW AND 296.200 WAD. <br />X <br />PPO Ujje U Dr BIKLMIIO <br />NUL _ )L!f <br />LEGAL DEURPTI lM PPorFRl lswWNeELOw MAITALN Two CMIEsI <br />LGl BLCCK 7 a <br />�y <br />P odoW laaJ 0L. , 14 OF p <br />�� .� <br />PAPCEt IAA I D Nuun n <br />45-g2- Ego 1- 000 —mom A• <br />CMSIBLICTKIV LOAN I FNOFP, AGMESS, IELFWONE MWBFn <br />SIMATME WE <br />clTr BDSVF55tcENSCNO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C —AMNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK 8 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 />DRINI.ING FOUNTAIN <br />FIREPLACE INSERT MOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />_ <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />_ <br />SINK (SERVICE —BAR. ETC.) <br />GAS PIPING <br />- <br />EXHAUST FAN <br />SUBTOTAL S <br />SUBTOTAL $ <br />PERMIT S <br />PERMIT S <br />TOTALFEE $ <br />TOTAL FEE S <br />--1 LIB/ -cii i <br />FPONTVTRACK <br />NA SF BACK <br />$IpE SEiS/{K <br />PFANCIIECKNUMRFP <br />NOusE <br />iMF <br />o, APFe <br />vACANi 91E <br />FEES <br />UATION <br />_ FED_OrEs <br />lo <br />TrFF9417(�RFCFIrI <br />D Fu <br />lklMTIIMNA! <br />W� <br />SRE Of IAGGITIDQCMANI <br />tOAB BASEMEN, <br />WCHANCAIOr[sND- <br />-- <br />AcxylmA••:AN CIIFCK <br />— <br />FALESIRNKI£RREO'O <br />RFASCN <br /><$ �ILU <br />ilo <br />V�, Ii5 <br />G,IFR <br />,IREAUIMPEGO <br />PFAsm <br />'MLt Buwmr. SHK,waE <br />110 <br />'`/� <br />Orj C 3000 7 IL3 <br />Ilff WC`MIT <br />PLANSAPNpVFOov <br />CITYOFEVERETT <br />E l <br />VDATE-�-pEi <br />p <br />TAX CODE 5 3105 <br />TOTAL <br />&i "Iia -- kr--IPV <br />