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APPLICAndh FOR CORISTRU07%N <br />Cm OF EVERETT . BUILDIM!! DMSION <br />3200 CEDAR STREET • EVEF*=. WA ISM, . 25MIO <br />Allill <br />�J <br />❑ MECMAMICAL ❑ PLIMBING1 ❑ SISM <br />rswrt <br />ru.eeRsss <br />an <br />�PS16N LIHO•� <br />/TT4�l�y_ <br />EbfA� <br />� <br />� �%R3n >t <br />noA <br />x <br />R11a.RCrgaSb4R <br />WRAOaI[{5 <br />� _- <br />IrJOI )-35.i'OS3� <br />Pn <br />lM <br />Wwr coRm.croR <br />.wL.eowss <br />arr <br />$TAIL FURS• <br />RsawCU C/RrAAcrIR <br />NIA Af�I[ss <br />an <br />to <br />ngxs <br />xrAR.csras. <br />Iaw.gaamucmR <br />Nr AmRSM <br />an <br />rIR <br />noE SRR SRZRMs <br />I HEATWQ SYSTEM: ❑ GAG ELECTRIC ❑ <br />X 30 JC10—A Bj"jry� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />nvos[uusA P PFRAq APPLICATION AND KNOW THE SAGE TO SE TRUE AND CORRECT ALL <br />FFHIO AAftx SAWPROVISIONS OF LAWS AND ORDRNNCES OOVERNOM THHI TYPE OF <br />ueu o[Aaa Ror rRwYRnZ BaRa.1r,�R n.aq WORK WILL SE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />LOT N%+� taa a NOT. THE GRANTING OF A PERMIT ODES NOT Pr&M E To WA <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />AT aF N OTHER STATE OR LOCAL LAW REOUTATINO CONSTRUCTION OR THE <br />PERFORMANCE OF 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 />A.Aca rATrM ro. MNSR CONTRACTOPS LAW 1427 RCW AND tO.foo WAC. <br />prorlucmrroiw.ercea wowr. Rrcnor wrER <br />arYIIIIIE63lKtMIE MO <br />nD. <br />TYPE OF 10LTINII[ DR ITU! <br />TEE <br />�.'1TMK4AL <br />NO. <br />IYPB OF NLBD�i <br />RE <br />WATER aoSEr ITOiET! <br />�—AASNOIo LYBB <br />SYSTEMS <br />HEAT PUMP <br />AV <br />BATHRUB <br />LAwLTORr (WASH SASH) <br />BOWER <br />KITCHEN 61N1f i pSP <br />UHITHEATERS <br />CLOTHES DRYERS <br />RANDS HOOD <br />WATEq HEATER <br />F <br />F <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />' <br />DRINKINGFOUNFOUNTAINFLOORRFREPLACE <br />METAL FIREPLACE (WOOD BIIRNBKi) <br />PSBR MOO DUWPq) <br />FLOOR DRNN <br />BACKFLOW PREWENTERS <br />SOX (SERVICE —BAR. ETC.) <br />OAS FIRIMLACEF <br />GAS MNDE <br />F <br />OAS PIPNO <br />D( HMIST FAN <br />SUB TOTAL f <br />SUBTOTAL 3 <br />PERMIT f <br />PERMIT f <br />TOTAL FEE f <br />TOTAL FEE S <br />FAO nmre <br />ucv .. <br />'. TssrsACR <br />mm ssrsAOs <br />sus SFrYCR <br />HA11aAPFRORS A FLF <br />war,RO <br />1: 349 <br />D/ 4° <br />�, <br />(\ <br />rurArA <br />/ <br />ce.�0 <br />rAURr IR <br />FEE <br />FEE <br />suso.Rt <br />�(o Ico <br />— <br />ORs ,aao <br />M"TLW2 <br />u°.rt roRTFURo sys or woorti <br />Nn Zoo F G.4 o <br />^"� <br />dp <br />e <br />o a s,o s <br />MCI~ Lw MAv <br />wcRUACAF <br />L_VAC:!• <br />i <br />_I i <br />❑Rs F,o <br />Fus snaRSFsn R¢ov <br />V/ <br />.odFuwFnwcrsa <br />—A <br />JO. <br />Ira Sr• M<Q <br />Ol (R <br />F Rav <br />Ar A NiN /R <br />STA1E WRO.R:AR.0 ( <br />i <br />rrRE a,ONSt <br />c'.AM.oORpyFO y CRY OF EVERETT <br />AMY:RpUi <br />�— <br />J LQI LOCAL SALES <br />TOTAL <br />��v <br />_ <br />wrt Iy TAN CODE IS,im <br />