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APPLICATIA FOR CON=TRUCAN PERMIT <br />CrrY OF EVERETT • BUNDINO DMSION <br />3200 CEDAR STREET • EVERETT, WA E6201 A (425) 257-8810 OL <br />❑ DEMOLITION ❑ COMSINATION ❑ SUILDINO ❑ MECHANICAL ❑ PLUMBING ❑ am <br />PROJECT ADDRESS: .21 Z.-7 _-HAa R15UN R✓E. EU�.erri' quz.oy <br />\two\ I.W NnRtss ary ro I4,a1{ <br />I ell? <br />.PCMRL1 d1 RyDNtw ,W IIDIg55 Cln !If rMFF <br />Occ/ss R <br />Gi4En4 CUN1Mai LlY.p LLVR55 OI♦ pf nIM 54q 1Cf45f• <br />MUl <br />CONLr4Cf ONCE a MCA <br />HEATING SYSTEM: ❑ OAS N ELECTRIC Cl_ <br />LFRCR.K W INN A4D sa W IMIANI t M YED <br />le,ulaopw axz,7�c <br />M F/ T 1rIt04.w NM(}F 40 <br />Ip <br />L ✓! <br />HEREBY CERTIFY THAT I HAVE READ AND EXAMINIED 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 />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO P:RFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I OM►LY WITH THE STATE <br />CONTRACTORS LAW to 27 RCW AND 6.20D WAC <br />, <br />K `2Q-1 V <br />sto vsE a nrISu4D�L�' h A (�G(_ <br />L ascPYrKsvalWaFERry \sW7MY RloW DA.n.CN nq L'DRSI <br />Lot / S - eLDc. 4ti f a <br />!1D I ((b ! P <br />I' <br />rwttL \ulD WIE{RP <br />MalmFtN,11DANIfW*R.fO "RLLIMDYEMA A <br />S..11PILDY[ <br />P , / - $ <br />AU9 EP5l F <br />PLUMBING <br />MECHANICAL <br />No. <br />I TYPE OF FIXTURE ON REM <br />FEE <br />NO, <br />nR OF EOIINIMMT <br />FEE <br />WATER CLOSET (TOILET) <br />NC—MHEOLO UNITS <br />/ <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />MEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SFWA4 5P <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 />GAO FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />EXHAUST FAN <br />_ <br />SUB TOTAL S <br />SUB TOTAL f <br />_ <br />PERMIT S <br />PERMIT S <br />TOTAL FEE S <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: / L,LOc _ l/O/ 8 " • !,�'/4IS :) 3 <br />I P(M\V1P.fl1^ <br />Pf.p j{1MALIl <br />9Df $(t R /O, <br />r1 ANcmcE % <br />rFf �/ <br />PICf TN <br />N[tlmr p�� <br />lol .u{A <br />4W.41 soft <br />Or{s ❑ w <br />FEES <br />VALUATION <br />FEE <br />Nunx. <br />O <br />3(kj0 <br />\K�cNt II4nr.11oN / <br />7 <br />4o a nvALu4c <br />5 <br />sYL a RlpDrtl <br />, <br />-- <br />HNG <br />AWI <br />O� <br />>�+— <br />U1 <br />OCAl(;r Yl ll, .11glti <br />r <br />I ML PMIIYNI[PPE i'D <br />IX:CIIPAMI IUAO P.P{r4N1 / <br />❑\LS UKn <br />.DDiN1Y.l M1.4 CIV CI( <br />O (/-i <br />WAIO <br />OIN{P <br />rinf AIANM PLDU <br />W.[DV <br />cl.l{ RINIDMn SIPCN.rIIH <br />__ <br />i,T <br />\rn aralc\ <br />JL ' L� <br />nA4s Ar1Y1Dv{n R. <br />Dnt S3 <br />CITY( EVERETT <br />LOCAL BAlEB <br />TA%CODE IS 7105 <br />nYIr.IWn,Rc <br />./:dV <br />TOTAL <br />—C4C_ <br />_ 3 <br />