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APPLICATION FOR CONSTRUAN PEIRMIT <br />CITY OF EVERETT v BUILDING DIVISION <br />3200 CEDAR STREET A CVERETT, WA 98201 • (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION1 1 Cl BUILDING ❑ MECHANICAL ❑ PLUMBING El SIGN <br />PROJECT ADDRESS: ,J�l) <br />7 <br />WCII. C4 CMTRACTgI UA%An SS LIT, MF.,Mr 11.1E I.cr"E• <br />RUV ]N(ICONIHK.Tp1 YF4N SS 011 PE p~ Frf IIC:�:{r <br />coHITY{,T� E Gr vronK 10, o- <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC 0 <br />uMEE w�nAAVG rrnolAcr MvalvTo <br />1cr Hn Hn ,rnr Ho <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 />T %D GSE GF nImm4F <br />WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. TILE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />LEGAL DESCM!""aPn014nlY lvrvAMED(IVIGRAOACHTT.VCMESI <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />LG1 ELOCK M <br />OTHER STATE OR LOCAL LAW REGULATING CONSTHUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPUCATIOW IS MADE AND I COMPLY WITH TIIE STATE <br />AJ✓ <br />CONTRA P JIB 27RCW AND 296200W G <br />_ _c;_ <br />gfMMVX Pr 1 <br />I 11, T. to HIAIMn <br />COYSTMFTIGN IOAN IfrpIFR N ESS TELEI'rgNEH F <br />CITYEU9r(SSLC31w <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE _ <br />PLUMBING <br />NO <br />TYPE GF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />AM—A/HNOLG 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 />INSERT (WOOD BURNING) <br />DRINKING FOUNTAINFIREPLACE <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK(SERVICE —BAR. ETC) <br />CASPIPING <br />. <br />- <br />EXHAUST FAN <br />-- — SUBTOTAL S <br />SUB TOTAL II <br />4 <br />PERMIT S <br />PEPMrt S <br />_ <br />TOTAL FEE S <br />TOTAL FEE S <br />run vrrwc we vnu. <br />nrfEE'T rb <br />{TKWT VTPAfs � <br />w�+n u�TE(/AJCSK//J � <br />SOE SETBACK <br />H<rK[v HAVn�� <br />rfE <br />FEES <br />VALUATION <br />IFEE T� <br />HSE IMF <br />IGIAKA <br />vrtApr ylF <br />DIES ow— <br />--� <br />IrtaHTllSrnATKw <br />waLtvnulw <br />SNE GFIRM", <br />A 11VKM(i <br />(A\::r <br />bnP1.1U <br />UCIM1NI 1041 <br />Orrs 13 <br />AppIRW4 El W MICA <br />_ <br />T <br />nnLSrM,,LERREGTI_— <br />nFASON <br />_— <br />OIrrtR <br />IX,(AWMRLOD <br />nFAF'GY <br />SIMr MRMrtI3II1CfW1F{ <br />1IFF nF 1nv1T <br />RAHEAmrorfG Er <br />CRY OF EVERETT <br />nrolr.wdHlS <br />_ <br />LOCAL SALES <br />_ <br />-- <br />TAX CODE IS 3105 <br />TOTAL <br />GATE <br />