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APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT. WA 9MI •259-BRIO - <br />❑ DEMOLITION ❑ COMBINATIO1NI . _ _❑ BUILDING ❑ MECHANICAL ❑ PLUM13ING VS SIGN <br />PROJECT ADDRESS:-. �t5�� Tyqt <br />M-1 S.0 %hunt-t00-4Y'+� -- <br />ary Im nnx[ 778-7/0�- <br />4FCNANKM CONIniam 4W ACCEFSs CIM1 - IM Ngr - IlAil IC[wA• <br />N/e. _ <br />ills. GCONIWIOM Wry AnINESS CITY IN' ngNF S_TA IF I C F NYF <br />N/& <br />CnNIRALI FYXL[01 WFNM <br />$fOpro ,pp <br />— <br />HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br />a msFs��1wuARF rooucF nvayFo <br />l—LMQ�4� <br />Fr 'uR Alrtr No � �' ��'b� rF <br />O�1 � <br />�ry%�LirT- �aiaq <br />no T <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 If MADE AND I COMPLY WITH THE STATE <br />C TRACT Al 27 RCW AND 295200 WAD. <br />X 3.3 <br />m+ansrDuu a MnlnnKl <br />I UA[RF SC.Ti 01FEY0ITRtt ISIIOnM RLIOM ZR WK. WK) CME SI <br />to, NOCR DF <br />PNFCEL TMID M1M11ER <br />CONSiMICTOM IOAx IFNpER ARdRSS.IN[1YiT1E NUMMR <br />O DAI[ <br />am SURPASS I CONS[ w <br />PLUMING <br />MECHANICAL <br />NO-7 <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EGIAPAIENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C -AADIDL.G UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />_ <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 />_ <br />CLOTHES WASHER <br />WOOD STOVE <br />T <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING 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 />_ <br />EXHAUSTFAN <br />SUBTOTAL S <br />SUBTOTAL S <br />PERMIT f <br />PERMIT f <br />TOtALFEE S <br />TOTALFEE f <br />-� <br />FOR OFFICE USE ONLY: <br />Fn(MII SFTRACS <br />a <br />WAn SF1nACR <br />AJ/Y <br />SIZE SFIRACX <br />io <br />nANtl[d MMRFn <br />o/ <br />11f ' <br />- <br />MCF mI Nn <br />_ <br />use i ^� <br />• C�4166 <br />NrtA <br />SC 4r• <br />vault Mir <br />DYES 015 <br />FEES <br />VALUATION <br />FEE <br />—� <br />BIM11,101 <br />IIEpIIT lI411A1 3S� <br />C^l <br />l l«nWEaIN6I <br />�� <br />SIZE Of MZOnI <br />IYIMM <br />; <br />— <br />a'CV1'ANcr Iq III SIMNs <br />r. am <br />=ANI IZ In <br />RAMNEni <br />Ores ONR <br />4FF:IUW.Al <br />- <br />AIIpIII(M1AIL M AN Ll11 CN <br />RnE SnIwRLEA Pro <br />nFASDV <br />nmmn <br />FN@NA11u AE(I'0 <br />PrW" <br />9MC RIRIDwn SINICnAIXIF <br />—_ <br />i <br />rrPF Or CZN51 <br />nANSA ven Rr <br />�`^ <br />CITY OF EVERETT <br />LOCAL SALES <br />nwr. vKtmc <br />----- <br />----- <br />1 TOTAL <br />DAL - ( •S <br />TAX CODE IS 3105 <br />