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APPLICAT& FOR CONSTRUCRON PERMIT <br />CITY OF EVERETT E BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 9&201 • (425) 257-8870 �AI�✓/�� <br />❑ DEMOLITION ❑ COMSIIIATION ❑ NNLDEIO �MECMAWCAL ❑ PLUMSMQ] ❑ SIDN <br />PROJECT ADDRESS:2 %O4, Ate. <br />W—Vr&! it "pay i .. re-" AIAe G11 FNr✓.�t m�1L'�(�( '"0`4 <br />2ca cr.j A L+- rmwvf_1- 9g',ze 1 7 <br />1FMW1 .W Sf Glv r/ <br />•RG.IIcI w DE4GNFP YN ADWSS <br />w w.m CwUt"EEM ..I Ic0AF%S C.11 )ir nMM Sell lcrw A <br />H,r e�M, y j /1 Wit, Ave A/a R.L L_J�d'A1i tiTs-sa.�DJS 1(pg c11F� n <br />1AoUJgCµ Cw1RAACCTUA u.1[NIDRss Gn rM' h10N! Sure 110EMSE. <br />%11yNp Lp11RY:1g1 yEft Rss CUI m PP.:M SI•tF t10ENSt• <br />f19. woh <br />cwlyuct a rADRII <br />MEATMp SYSTEM: ❑ OAS ❑ ELECTRIC ❑ <br />Df sawF rvOrw •ND sw.K EDUtAOF nwlvfo <br />cwT•cE KRsw •lo INIL'AK No <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 WRt. 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 WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW ES 27 RCW AND 2" 200 WAC. <br />X1�� a/III9� <br />rulorospU lrsF Ix RwaNO <br />LEGAL EAKWTKIR IK wIOEEKry EVatwl SEIOW EAATTACR IYIV COMES) <br />toy K= CIE <br />rN11ICFt Tu G MLIMR <br />aaa cv/ <br />f:OrtlMFGw IOW IFARIR ARwF55 yElfR1GNF MI.IEFR <br />if <br />GT1 Rllllr[SSICFNSE W <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF R00044 T <br />FEE <br />WATER CLOSET (TOILET) <br />A/C —A NOLG 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 />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNINGI <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC) <br />GINS PIPING <br />EXHAUSTFAN <br />SUB TOTAL f <br />SlB TOT <br />1b' <br />PERMIT S <br />PER f <br />TOTAL FEE f <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />r R(Mr r,p.rn <br />Ar.Sf1 .... <br />SAMSFTWA, <br />nANCUI[C%A/� yy <br />rFr <br />KCrll'TW <br />%I�Jr <br />USE'wr <br />IED.EfA <br />VAG.,O SUF <br />FEES <br />VALUATION <br />FEE_T__ <br />DIES ❑ NO <br />PIn11nM' <br />Irt IGNT 1W.1*1 <br />NO O vwn"A G <br />S.EE o, RGGRI <br />Ilwl[ <br />ryuVllMfi <br />IX:IIT.\_Y <br />V. n.li�P.1f <br />IXr11r.M1lO.0 <br />EAV MINI <br />Vrl'M.YP:.1 <br />❑YES ONU <br />.Cb11w4 rIWGIEc. <br />— <br />EIPLSrNnI+l[RP[4U <br />PFASM <br />OTMP <br />r LPL ItUt P,01PEO <br />KAll <br />cTAIF Mn1UMY0 SIPCN.Mr <br />— <br />— <br />"It IXOwa <br />n.rs ArrRUvrO nr <br />CRY OF EVERETT <br />nmur. lawns <br />LOCALSALES <br />— <br />TAX CODE IS �105 <br />TOTAL <br />UAyE <br />