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APPLICATIN FOR CONSTRUCON PERMIT <br />CITY OF EVERETT a BUILDING DIVISION <br />3200 CEDAR STREE <br />/T a EVERETT, WA 98201 a (425) 257-8910 VE�✓/�� <br />El DEMOLITION ElMI COMATION ff 91UILDM91 J)r ❑ MECHANICAL ❑ PLUMOM ❑ SM <br />0 <br />1[WMr// 4w .P0eF55 GlY 1tP I1 I,q,( <br />K1fv, �,IPS 1183Z ZF5't'-5T SE. �VPrFfT. \>_)A gR7o< (1z5)397-8770 <br />(4Zs) -335 5`ii l <br />94/�7 <br />4Ns3 <br />coPrn,crr"'0A7 <br />1u F <br />1,7eea ,cle-v,,c 59 5( <br />C'G <br />HEATING SYSTEM: AS ❑ ELECTRIC ❑ <br />orscwei veyR.Po souARF roor.w Mwrvfo <br />"� <br />car .ROR,arK PO <br />e,r_ e M <br />nu. <br />(4Z5) 335-5401 <br />rm Mf) Al of MmnM' <br />LfOu oEsc rroP or PR[FYRn ISPCYlr1 eF[av aR.n.cP rwo s <br />for Roc. a - <br />I HEREBY CERTIFY THAT I HAVE READ AND EKAMIMEO THIS <br />APPLICATION AMU KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TI/IS TYPE OF <br />WORK AMU 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 REGLKATM6 CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRICTION THAT 1 AM AUTHORIZED BY THE <br />WER51o3Z WORK FOR ICH <br />AO PLICATTIIONHI SUM DET AND PI COMPLYFORMHEWI THE STATE <br />CONTRAMCISINle 27 RCW AND 2" 200 WAC <br />9/� •JI3I �-1 <br />3 97-OZ7-ao0g <br />IW Fl 1..0 FtMFEP <br />srWAnvv_ WE <br />EAT ellse<ss,cFPu Po <br />PLUMBING <br />IEg1ANICAL <br />AID. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />rfm OF EGII!{IBTT <br />FEE <br />WATER CLOSET (TOILET) ILI <br />AC—MINDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />_ <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />VNITHEATERS <br />_ <br />KITCHEN SINI({ qSP <br />CLOTHES DRYERS <br />I <br />DISHWASHER <br />RANGE HOOD <br />LAIINONY TINY <br />WATER HEATER <br />I <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRMKMG FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR, ETC.) <br />GAS PIPING <br />EXHAUST FAN <br />SUB TOTAL f <br />SUB TO'Al f <br />PERMIT f <br />PERe'T f <br />TOTAL FEE f <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />i11fMlVl1,Y.�2 <br />1.f <br />>Y15r1F.0. <br />S,OF efr <br />ft.cmc.MIYMP <br />GZi - <br />rrvto+i <br />- Z <br />,o, .RE• <br />v.c.rr vR <br />OYES O ,aOck <br />E6 <br />VALUATION <br />FEE <br />MMP.ar. -_ <br />17S <br />,KgPr rwvu, <br />.O Oa["'Ell. <br />SYEMeE <br />Q <br />' <br />n,ww K <br />p qq <br />octwuo <br />/% <br />wn.,,Mn <br />Z <br />a'n„ 4110o e.. r[cl <br />0... <br />lool.Y,A.P.D.C. <br />FNES AUPREi'O <br />_ <br />R.." <br />OIMER <br />FPEAµ PEOO <br />Ri.AOV <br />kkf <br />-' <br />IYOa MCd.l <br />�� <br />nAvc.rranvrner <br />wrt / % <br />CITY OF EYlRETT <br />LOCAL EALE9 <br />TAIL CODE K 3106 <br />nwr.,naMs <br />-- — <br />TOTAL <br />-' <br />� 3 <br />