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APPLICATA FOR CONSTRUCRON PERMITOL <br />CITY OF EVERETT • BUILDING DIVISION 3200 CEDAR STREET • EVERETT, WA 98201 • (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION 9 BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS:_ 75DE ARD6� W. *air <br />tTy 14G �y co00 " *air <br />C.„ <br />.1310 <br />Ca1I .l <br />— <br />HEATNO SYSTEM: #GAS ❑ ELECT111C ❑ <br />ascmer wdw...n Ally rpntAM tew1YF <br />I� <br />uo ust a wnfuHn �� US� <br />c uon. wDes <br />EXAMINED THIS <br />I HERESY CERTIFY THAT I HAVE READ AND DCORRECT <br />APR'EREBYNI AND KNOW THE SAME HAV 10 BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN CIA <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 LOCK 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 MAD AND I COMPLY WITH THE STATE <br />C RACTORS LA 7 W AND'2" 200 WAC, <br />E � ro <br />IFc•f ascmmlor.a tmartKtr lswOwN NFLawaAnACK two cartel <br />lot Noc. a <br />� <br />1'.gypAL ��/ <br />-am • OOOO <br />r FL I". u K <br />Cdett111CtKM 1OWIFNpfe 91TlFRUryFMMFR <br />Gtr 1191E 551R:FNV AG <br />PLUMBING <br />MT <br />MECHAMCAL <br />NO. <br />7YPE FIKTURE OR ITEM <br />FEE <br />NO. <br />I TYPE OF EOUPlu <br />FEE <br />WATER CLOSET (TOILET) <br />I NC-A/IMDLG 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 />' <br />DISHWASHER <br />RANGE HOOO <br />—�— <br />LAUNORY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOCD STOVE <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 />GASRANGE <br />SINK (SERVICE_- BAR, ETC.) <br />GAS PIPING <br />__- <br />EXHAUST FAN <br />-__ <br />SUB TOTAL f <br />SUBTOTAL f <br />_ <br />PERMIT f <br />PERMIT f <br />TOTAL FEE f <br />TOTAL FEE f <br />_ <br />FOR OFFICE USE ONLY: <br />I P11.1 VIAAIR <br />Pr.P5r111.fY <br />9a X1eACe <br />ryW(PICa NII IP <br />rFf <br />9i9.7o <br />IIFfFlrt lq <br />usi 7orr <br />IOU APFA <br />WANI WE <br />ons G-wk <br />FEES <br />VALUATION <br />FEE <br />91AINW. <br />_ <br />'-_ <br />Ilrmlc llwlAllor <br />ra amrrulln <br />ur�t` <br />sufalloc 1 a1LY <br />Q <br />mlrvKFm <br />VII:MANN:AI <br />' <br />-- <br />occaArrr wa>vwls <br />f <br />1 p �jllCi?12,040 <br />quf .11IXUng09 <br />anllweAVIKrI <br />- <br />D.te.—��' <br />n{ If <br />Analttnrl MA4C1Y[. <br />.-- <br />— <br />WK. -- - <br />- <br />nar�/�,NN <br />IIIP,UNt: S„ICP.M.{ <br />]L11f <br />Irr{aCalA{ <br />V - �► <br />NngSUTnrn{nn• <br />7L <br />l/ <br />ostt 11 )1 p D <br />CRY OF SALESEVERETT <br />LOCALSALES— <br />TAXCODE IS 0105 <br />rinum wnn.c <br />- <br />TOTAL <br />