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APPLICATI00FOR CONSTRUCT& PERMIT <br />CITY OF EVERETT K SU LDINO DPASION <br />9200 CEDAR STREET • EVERETT, WA 98201 K2%MI0 <br />❑ DEMOLITION ❑ COMSBUTION , Q OU0.MO ❑ I.ECHANICAL ❑ PLDIMMIO ❑ MMIN <br />PROJECT ADOF <br />T•YL <br />Y <br />M Cal017 wAK ATKYKss nn ..'"_ <br />�i i.".. _ e _ l �,, e. , o 0 0< .J , 9Yasb /z,l <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />CMI/ T Ka F nF91F M <br />JIUANHL. <br />-- <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO SE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />TRIdOefo m 6 wnoYAo <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />pFsrnrlloMV Paortarr lSaOrM Fnowaa •TIARA rwowKsl <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />IFOFL <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />LTn MocK a <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 PEIIFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND M 2011 WAC. <br />11111(.KLTMIO rKWMa <br />FpOIKIK}K111TOM1lfNLfR,Md1i55.1FTFNE]MF MITIefR <br />X dlE <br />SgMKFURF <br />CCn pjws%LICE TTR <br />RIND <br />MECHANICAL _ <br />NO. nK OF I9UPMWff <br />FEE <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />WATER CLOSET (TOILET) <br />AO —AM OIA UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK I DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />METAL FIREPUCE (WOOD BURNNG) <br />URINAL <br />FIREPLACE INSA!?T M'OOO BUMANO) <br />DR M(ING FOIINTAIN <br />FLOOR DRAIN <br />GAS FREPIACE <br />SACKFLOW PREVENTERS <br />GAS RANGE <br />SIN( (SERVICE — BAR. ETC.) <br />GAS PIPING <br />EXHAUST FAN <br />Sl1B TOTAL f <br />SUB TOTAL f <br />PERMIT f <br />PERMIT f <br />_ <br />TOTALFEE f <br />TOTAL FEE f <br />FOR OFFICE USE UnLT: <br />Nmr, TKI <br />(ppM14lAIGK <br />PEM UTYCK <br />pm SFTMCM <br />AMI LIKCR MINRP CFF <br />FEES <br />VALUATION <br />FEE_r_ <br />tm lw <br />IOT AM• <br />YI{.•NI 4TF <br />_ _ <br />OHS ❑ MT <br />MMT1rla <br />aEgR1TMKTAIga <br />�nowEUKK: <br />vtEaalxvll <br />n�R«YK: <br />yFca•MCN <br />_ <br />pCC11a•MGr Mtn SIMTE <br />occ~ LO• <br />FASFLFaI <br />O <br />OYes ❑MR <br />•odrKwM n•w car<A <br />i <br />FKK grM1RLCa PFO'O <br />aF•iM <br />GUAR <br />SrAIF TNaT(MN(i SIaTCMATKif <br />nae r.Maws <br />_ <br />(IrE NNW aEO9 <br />aF •[M <br />rvpE Or roxsr <br />nAasuYYgvEoer <br />CITYOFEVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />TOTAL <br />UAI <br />