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APPLICATI04 FOR CONSTRUCT&N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT. WA 98201 1,1425) 257-8810 <br />IN ❑ COMBINATION J ❑ BUILDING -iK MECHANICAL ❑ IN <br />n PLUMBG ❑ SI M <br />DRESS: 7S4' t NArelij itK[L fifsi'Er.� arBUy-.GV7�'r/icEE <br />iFNANt AM ADONESS — rATt lIP PI'pIF ��/I p <br />AnCNTECI OR DESNiM:R "All ACIDNESS CItY )IP PNMi <br />Pit I4P NO CON IR AC TOP MAIL ADOP*SS CO, !IP PHONE STATE LICENSE• <br />i-se�rbT7r� it 7%r1% <br />G"C <br />con nA I PINCE a woP <br />/NS fd /M4 <br />P JC'f <br />HEATING SYSTEM; -AGAS ❑ ELECTRIC ❑ <br />CESCM1BFM APE TIC <br />- <br />CONTACT PIRSONA PnDNFND il -3333 <br />O/i'.`P ,. /dam' T✓S <br />1 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 />PERFORM CE OF CONSTRUCTION, THAT 1 AM AUTHORIZED BY THE <br />OWNER 41S PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPL A110 IS MADE AND I COMPLY WITH THE STATE <br />CO RAGt RS LAW �i_B P/T962 <br />JRLC/W AND 200 WAC. n <br />PtIDIroshD us[ or evndNP <br />Ef@L DESCPmnpI C/POOPfnry ISTIOMN!FLOW OR AT1Kn TIND COPI[SI <br />LOT BLOCK <br />PARCEL w I D NNDFP <br />CONSTPOCTICN LDAN I r"R. AGVRESS. TELEPNOA%MIYAFn <br />A DATE <br />c euslllEss Lr.[NU T.o <br />PLUMBING <br />MECHANICAL. <br />NO. <br />TYPE OF FIRTLME OR ITEM <br />FEE <br />NO. <br />TYPE OF EWIIIM ENT <br />FEE <br />WATER CLOSET (TOILET) <br />AAC—MINOLG UNITS <br />BATHTUB <br />FORCE D AIR SYSTEMS <br />LAVA70RY (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 />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 />EKHAUSTFAN <br />SUBTOTAL S <br />SUBTOTAL S <br />PERMIT f <br />PERMIT f <br />TOTALFEE f <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />f M!NT VIRACR jRpR! <br />USr ZONF <br />JOC SCIyCP MAN CIHC MFP ITT PfC.h�NI NO <br />IS <br />VACATO VIE FEES r VALUATION <br />OYCs DNO 4n W. I <br />IIFIGI1111M1TATION I INOI IOF DWELLING (SIZE OFSEL'TI <br />S nvnlf I VI GVI'ANI IVAU Ia x+a+ <br />Orfs O NO <br />PIIAMMG <br />NlI;NANI1A1 <br />AMINWN MAN CNYCII <br />OTMR <br />CRY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />sIOE San DM6 SIMINWIE <br />MITI(.. WOTIS <br />TOTAL <br />