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APPLICATION FOR CONSTRUCTION <br />CITY OF EVERETT • BUILDING CIVISION <br />32DG CEDAR STREET a EVERETT, WA 90201 • 259.8810 <br />❑ DEMOLITION ❑ COMBINATION UILDING ❑ MECHANICAL <br />PROJECT ADDRESS:,Q+3p La.s. MSMA <br />PRE NE <br />r", w <br />ML <br />.� <br />L." w <br />sgdlwm <br />lP <br />flr, Sw <br />PERMIT <br />,.❑ PLUMBING ❑ SIGN <br />1/ " <br />:ONIN.CI PRICE Oi INDIRA <br />7 •00 F. 'y <br />HEATING SYSTEM: AS ❑ ELECTRIC ❑ <br />fCweE YIDRI{/,NosW.RF rDOt Fwvavfa <br />III ruN"ftIki <br />Cp1t.CrnR1p1ANDPNONEp <br />wkRatoj 14t bubAW2 <br />vhm-*- mN44NIws& <br />OF �U��11iJri {� %F� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />wIpOSED USE a euAowD <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />LFpAI GESdwila Dr mGP[RIY IYIDSRN eEIow oR AnADn lwO cowE51 <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />LOI elan a <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION ANY <br />_ <br />OF <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THEOWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />I— 00"I <br />-OLIMO <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LA IB 27 RCW AND 296.200 WAC. <br />,EL- T=1O DER <br />_ _ _� <br />%,(��?k— <br />4GNAIURF <br />DAZE <br />CCO., <br />O BUSINESS IKINSC W <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C—AHNDLG 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 />-'— <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE IN5EPT (WOOD BURNING) <br />FLOOR GRAIN <br />GAS FIREPLACE <br />BACKPLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE —BAR, ETC.) <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL f <br />SUB TOTAL f <br />PERMIT f <br />PERMIT f <br />TOTAL FEE f <br />TOTAL FEE f <br />OFFICE USE ONLY: <br />1 RONI RIPACK <br />of AR SEIP.CIt <br />BACK <br />PUN OIECK NUMRIn <br />911/ <br />rEf <br />n f ff,Pl NO <br />USE ZONE <br />f➢1.nEA <br />S (]NO <br />��(/ <br />PEES <br />VALUATION <br />FEE <br />BVII WWI11(IGIII <br />lIY1t1110N <br />ND Oi DWELLING <br />UAIII <br />SIZEI <br />FA,�. <br />K"w"n <br />p.Y <br />NGOISIDLES <br />CCCu1WNll0.0 <br />I-5 <br />.CJ NO <br />MESPRINK¢RREOD <br />REAsoN _ <br />.Dp11DNa n.N c,rta <br />DII,ER <br />IRE NAAM At_o <br />REAlON <br />9AIEDUILDINGSIPKHAPGE <br />P,,R.c won.R <br />—'—" <br />1 !� <br />TICE CI, CCNA <br />PIANS!PPROvEDBY <br />CITY OF EVER ETT <br />v LOCAL SALES <br />TOTAL <br />TA%CODE IS J105 <br />