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APPLICAT& FOR CONSTRUC&N PERMIT <br />CITY OF STREET <br />0 EVE •BUILDING DIVISION <br />3200 CEDAR STREET EVERETi, WA 98201 • 1425j 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDRIG O MECHANICAL .� PLUMBING ❑ BION <br />•M "CTORMR . VYI.p 5% cm n <br />arSnu cnNrlYclm VM/.nnllf Ss Gir /x IM1rJY[ MIE IICrw <br />wckN C4 CMIFACTOP ^ 4AR. ss hh ).` %Y,/Ir <l•If ICEVSF • <br />-- --- am STATE IKfNSFA <br />' <br />i�D. I-`17d1T11,. oe xnNF r flW� Ar <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ _ <br />nisCVlf Y/JV Aws .K lwl•nfN wb <br />CCMI•cr Tgld •M Plrore No <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRITE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK VAIL 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 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORM FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW I827 RCWAND 2SB200WAC <br />X J 4-:�; S \ <br />'IL14r1IE J ` 7 <br />Pfloiovn ust a fllnldrEP <br />IFUAa oFscprnoNarxlortAh lswK.l Eaow almACNTWOm•lrsl <br />TUT eaau a <br />r 11 IA•10 MIA•NP <br />Cp15MICTMMIO•N IfMFR•pfpESS nlfRglrf MllMfP <br />o•n <br />n 3 z i ••/ <br />rry wvrcu lKFNsf No <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE 011 ITEM <br />WATER CLOSET (TOILET) <br />FEE <br />NO. <br />lYR Of EOUlMNIT <br />AIC—MMDLO UNITS <br />FEE <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY(WASH BASIN) <br />HEATPUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK S DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HIND <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 <br />FLOOR DRAIN <br />GAS FIREPLACE <br />SACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR, ETC) <br />GAS PIPING <br />EXHAUST FAN <br />WSL)a: <br />SUE TOTAL <br />PERMIT S <br />PERMIT f <br />TOTAL FEE f I <br />TOTAL FEE f <br />rum VrrRJC USh LNYLY: <br />IF NTWPA" <br />nrA STPAC% <br />SIMMTMC. <br />%wcNEc11N . <br />rFr <br />r4fiM'I NO <br />use tort <br />101.1A <br />W.N191F <br />FEES <br />VALUATION <br />FEE <br />rvF1nNT11M41gr <br />WppwE41MG <br />Ill.'s <br />SNFp <br />%1/VIIMf. <br />VEI:N.hKAI <br />— <br />CCp n1YCr <br />V•IV ♦I�V.I) <br />IX'CNn.NI IUAP <br />I.VNrI <br />Oas ❑Nn <br />_ <br />nxl slwiNA¢NPEo'o-- <br />pAvpl <br />.oMIrcwA1 n•r <pcA <br />r iN[..uuq pl nl) <br />Rr Al <br />c1A11 fllx,Uh1:5NI1Crv.IK.( <br />Irharprtr <br />curs Arlwwrn nr <br />oaf <br />CITY OF EVERETT <br />LOCAL SALES <br />TAT CODE IS 3105 <br />1•nfluc xrn•c_ <br />--- — <br />TOTAL <br />_-- <br />- <br />