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APPLICATIO41 FOR CONSTRUCT& PERMIT <br />CITY OF EVERETT n BUILDING DIVISION <br />3200 CEDAR STREET n EVERETT, WA 98201 • (425) 257. 6810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING MECHANICAL <br />PROJECT ADDRESS: �i�_L`_.1�HP_1 T- e vP.•- `—'�' I. ' j <br />mess iJ In 1-60 wtt fi r <br />1q„^N Li di GF 51G'11N 4r.X+� LNY l�� IYlrl,i <br />❑ PLUMBRN: ❑ SIGN <br />36o—c' 73J� <br />.Su; (la /_,A IBIS7 f7 1 <br />GFNFMl CON10AGip11 4UTA.-SS C:h hf ""1" 51+1( LICENCE• <br />piY lip ,--T II /' C1AIr LICENCE <br />7-0 6 /l'""IO c C/qw V/'I'vr �oe'F{>< /'Op <br />OTr ITV rNyQ SI+R ILL R <br />GDNtDNGt WILL` of /00'OD <br />HEATING SYSTEM: VIGAS ❑ELECTRIC ❑ <br />nFSCM1N W.IIA •jj'-;A.! IWIGr <br />5 11 �IJ•, Of 5rJln"I Q. <br />CyONyr� "RSr.W�A/lw"N"N" NO, �j (�` L <br />ir(i T -IOV� <br />I/II/L� More <br />�NG / <br />L�Zo <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW T14E SAVE TO BE TRUE AND CORRECT ALL <br />PHOVISIONS 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 />PERFORMANCE OE CONSTRUCTION THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW IB 27 RCW AND 296 200 WAG <br />!� r / t <br />1MpgvovsL a nmlpYEi <br />C C/H />7 r2V L(4G. <br />tFGAl aSfnmtgNa Mrortarr lSIKMN MLCYN pumcN Two COrylA <br />LOI % Q Mall � 73 '—slur" ors <br />T-' i�-r rY,D Q,I-�I ,,,.I Tn E✓Brr (��,J <br />/' <br />PNN: 1 ru I D InruP14 <br />cm Cup, I oANIrNDrD AEKINLSs rRrnIDYE NUMAFD <br />A <br />x.GNA1MLL _- "All <br />_— <br />urYFuwrssaENCEwD <br />---- -- <br />PLUIMIHG <br />MECHANICAL <br />NO. <br />TYPE OF FIXRINE OR ITEM FEE <br />NO. <br />TV►E OF EOUNIMI NT�FEEE <br />WATER CLOSET (TOILET) <br />A/C —TW M G UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />VNIT HEATERS <br />K 'CHEN SINK I 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 />DRINK NO FOUNTAIN <br />FIREPLACE INSERT(WOOD BURNING) <br />_ <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE - BAR, ETC) <br />GAS PIPING <br />—' <br />EXHAUSTFAN <br />+_ <br />SUBTOTAL $ <br />SUBTOTAL S <br />PERMIT f <br />PERMIT $ <br />TOTAL FEE f <br />TOTAL FEE f <br />IEE Yin+[+`_---E,.n <br />Sr,s.c% <br />SICK SF16ACn <br />I[F <br />DFtEII'r NO <br />VALUATION <br />FEE —r— <br />usE mNn <br />L01 .PEA <br />v+cwl yEF <br />OYES 0No <br />IIEKWI PINIAIKIY <br />NET a11WFLLMO <br />SItECE NMI. <br />7AMl"-1NA4CllCN <br />i <br />11M I,f <br />rIRESPPn1MLERRE09 <br />t111Nn <br />FME ALV151 PlOTl <br />M+tOY--" <br />SI+11 flu'IO,NIi S�XKIQIIM <br />rrRarovcl <br />M+ws+rnKrvron. <br />CITYOFEVERETT <br />LOCAL SALES <br />-"— <br />-- —- <br />TAX CODE IS 3105 <br />TOTAL <br />Dw <br />