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APPLICATIA FOR CONSTRUCTION PERMIT <br />CITY OF E'VERETT e BUILDING DMSION <br />3200 CEDAR STREET • EVERETT. WA 98201 a (/25) 257-8810 <br />11 DEMOLITION ❑ COMMNATION ❑ wR.om Pq MECHANICAL ❑ PLUMOMO ❑ sm <br />�- ?�.I (PROJEgT ADDRESStE <br />.RLr.IIGt (N 1>�ycNln Mu1 NMwrfSS Cnv 11r 1M -- <br />n 11M11MG CONIPN:tp1 MA%AMMSS CITY pl p11(Ylf SiNFIgFNWr <br />�Id <br />p11 ,n trr11C1IX WpM 1 <br />HEATING SYSTEM: '9GAS ❑ELECTRIC ❑ <br />W�11IYI1i011•PI.i141F NVOIKD <br />MXRiRF Awe- Oj 4; rS l <br />C^Ml•Cr ri NSON• r11(+NF NC <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 WIIL 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 />PERFORM,S P CONSTRUCTION THAT 1 AM AUTHORIZED BY THE <br />OWNER F HIS}}ffPPOPES' Y TO PERFORM THE WORK FOR WHICH <br />APPLICA ON I MADE AND I COMPLY WITH THE STATE <br />CONTR CTOR 'LAW IB 2T RCW A D 2%200 WAC U <br />X. /�' / <br />iNl DtKL M ROLIW) <br />IFO.1 MurllrlgNM rnDrtflMIRNJMI e[lowafl Rn•cN two cattsl <br />Im e1M.R a <br />fyflrn r•R m Mlunf. n -- <br />COYSInIK 11fM 10.NIFNMII N1fY+[St 111f 1`10YF MN11i 11 <br />SK.K.\V11f / Dell <br />o"M WS$IKI Na NJ <br />--- <br />PLUMBING— <br />MEC"AWCAL -- <br />NO. <br />TYPE OF F RTUIIE OR ITEM <br />FEE <br />NO. <br />TVPE OF [OIRPSIBff <br />FEE <br />_ <br />WATER CLOSET (TOILET) <br />A/C—AMNDLO UNITS <br />BATHTUP <br />FORCED AIR SYSTEMS <br />LAVATORY (WASHBASIN) <br />_ <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK 6 DISP <br />CLOTHESDRYERS <br />DISHWASHER <br />RANGE HOW <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHESWASHER <br />W WD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FIOUR DRAIN <br />GAS FIRE?LACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC I <br />GAS PIPING <br />- <br />------- <br />EXHAUST FAN <br />+_ <br />_ <br />_ <br />SUB TOTAL S <br />SUB TOTAL f <br />-'-_-_ <br />PERMIT S <br />PERMIT S <br />TOTAL FEE S <br />TOTAL FEE f <br />_�_ <br />FOR OFFICE USE ONLY: <br />I nONI vrP•rt <br />nlm crlRNLK <br />yMN\RK. <br />r,ANoacR wl n <br />rer <br />Mrrml y0 <br />nsF raNr <br />wI•x• <br />vC•wl y\F <br />FEES <br />VALUATION <br />FEE <br />*-- <br />❑rfs ❑ w <br />eu11RNr. <br />uHDlll PMI1NgV <br />t0 M DWFIIING <br />SIlF M NOGT <br />1141r\ <br />r11MN(i <br />-" <br />OCCITIYC• N]IN S175 <br />cnmro <br />(XY.Nr1N110.11 <br />R.y tFt1 <br />4FCN.ACN <br />❑res ❑ wD <br />— <br />1DpIgY4 R1N C1MCR <br />--- <br />_ - <br />F1nE SMl4N RKO'D <br />lK•S(YI <br />OWA <br />FIRF NARM PLOD <br />AF01 <br />SINI 01K1 11 $1Kr[N.MI <br />— <br />— <br />Ilnr Ml:orn\ <br />n.ws NrmpvrDn• <br />CRY OF EVERETT <br />nRN r. W(111RS <br />_--- <br />LOCAL SALES <br />-- <br />—' <br />TA%CODE IS 3105 <br />TOTAL <br />DMF <br />