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APPLICATICA FOR CANSTRUCTAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />32M CEDAR STREET • EVERETT, WA 9=1 • (425) 257•8810 <br />❑ DEMOLITM ❑ COMMMATION ❑ MJLDM6 ,/g�� MECHANICAL ❑ ►LUM/MO ClSM <br />PROJECT ADDRESS: 1,�os/�1.R'_ <br />4M <br />JIMIMC': d MSIGMR MAIL Af %S <br />-;IIMIM C< IRACIOR MM AIIGIAtSS C.ry M rr STA1F II NW. <br />CONiRAC I MACE Or NVIMI <br />HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br />GF9C1N'F lWi111R1$GUA� ibiM D <br />2TO <br />CONIAC1 MaSLN AIn r1A'}IF MO <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 GMPININIO 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 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK MR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW IA 277 R^RCW AND 295.200 WAACC <br />X�f j�w���/;CL� p '92 <br />u M RR nNa <br />IFGAI otu.MPi1G4a MroeFary ISIIOWII SFItM GR AnACN IYq contsl <br />tOl Rlocx v <br />NIIICEL TM i oo ywwER <br />CONSRRICINMIOA4lFM]FR.NOIf .S.nl(PUrIF MIrIKn <br />SpNAIUE Mif <br />crtr sllslrEss IA:ENSE ra <br />►LUMOM <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE ON ITEM <br />FEE <br />NO. <br />TVFE OF EOUlYMT <br />FEE <br />WATER CLOSET (TOILET) <br />AC—AMNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS_ <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SUNK f DISP <br />CLOTHES DRYERS <br />_ <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE MOOD 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 />EXHAUSTFAN <br />SUB TOTAL S <br />SUB TOTAL f <br />PERMIT 31 <br />ERMIT f <br />TOTAL FEE S <br />c� <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />I n(,I VTn+C It <br />SIX uIMCR <br />MAIN ORr:RNNa�lrn� <br />rrl <br />wctlYSFrG4r <br />E��A.tMrv. <br />A <br />VACANI SIM <br />FEES <br />VALUATION <br />FEE <br />RIIIInM <br />_ <br />�— <br />O vfS ❑ NG <br />IHIr.I1I 11VIlAlIU4 <br />Nnla(M'EIIING <br />SIZE W MI<Yf1 <br />ryIR M <br />a <br />QC1;IR`AN.v <br />wIo1K <br />Ml`I Ifn.IS <br />OCf11MNI10+0 <br />RASrMNI <br />Vrr.NAl..AI <br />❑Y[s O4n <br />AOdrl(MIM hA4 CIIrP <br />_ <br />TIRE SMIINRIER PFOO <br />MASCN <br />GIKKR <br />nRF AIAW REGV <br />MA[OV <br />suit RIRm^vn SIIaIORf.1 <br />ivrFaraw <br />m s+rMGVrn Rr <br />Cr" OF EVERETT <br />nrollr <br />-- <br />LOCALSAI <br />--- — <br />-- <br />D"t <br />TAX CODE IS 3105 <br />TOTAL <br />