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APPLICATI6% FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET F, EVERETT, WA 98201 • (425) 257.8810 <br />ODEMOLITION ❑ COMBINATION I ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS:JQ-3Q._Jr.�^AJM�s <br />Ib (1 R�L'-LLHJ 0 _SE °? C 9�9iz 61 <br />-7 CILT r .YovE <br />KNEW MAP rIKIIKSS fPr !m nq4! <br />pifCr glEMSGYfR //.w.n .E1[Mf Si !'r r."r <br />G(N[RM CpY1R1(:1(X1 I.MMIf 55 t'" lir i•v:Y( 5111110EY2lY <br />MKR.W., CONIPAC On NA.I Im*SS Fah --- - -_- rv[Y.f [Ltf 110ENSE • <br />MIIIl CCNIR.40n V.rt RKPESS UM1 br Pw.ly1 SLIP IICFNSF• <br />coPPLAC1 rpcf IN w K <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC Cl <br />CpIF W'JnR I•xf15011/P(r0p1 FM µP .� <br />1I 0,7 <br />CONr.firin50x ANn rrOxr xO <br />— <br />I HEREBY CERTIFY HAT 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 />PERFORMANCE OF CONSTRUCTION THAT 1 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 />CONT ACTORS LAWI82296200 WAC <br />_ ' y gli /i <br />•'rN.1 IN1. DATE <br />;POIOND wE OF POAOI•n <br />LFGALIXE EEPRON v PIOFI PN PMOw aN ""E`OCOMES' <br />lol Nod Or <br />�P�.��� <br />9 T7% -093 -ON6-000� <br />wlcn IAR IONUMPEn <br />COIS11NCrK1NlO.N HNP(EI. /tKIrIESS IHEIMONF NIIMRMI <br />w, N9M[S m N[t NO <br />PLUYBINO <br />MECHANICAL--_� <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE DF EOUIPMEM <br />FEE <br />WATER CLOSET ITOILET) <br />A/C — AHNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A OISP <br />CLOTIIES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATLR 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 />IGAS <br />RANGE <br />SINK (SERVICE — BAR, ETC) <br />GAS PIPING <br />EXHAUST FAN <br />�_ <br />SUBTOTAL f <br />SUBTOTAL f <br />PERMIT f <br />I <br />PERMIT f <br />TOTALFEE f <br />I <br />TOTAL FEE II <br />nrf nmrc "CC n.I E, <br />FPONY VTK.C,--_-_Pr. <br />sr,w n� <br />SIOf SEE MCII / <br />MANDKct <br />IF <br />r%Cf Irr NO <br />USE ZONF� <br />Iol.PE. <br />vM:ANI StM <br />FEES <br />VALUATION <br />FEE <br />E —r-- <br />MIIM1YF. <br />DYfS 0 NEI <br />EKKNt, VIIAr <br />NO Ex mull, G <br />SIZE d PIONEI <br />.— <br />IrREs <br />MN.wwG <br />—_ -� <br />MLI AVCY ,L MCIra15 <br />CrCVr.N1lOAO B.NMFNI <br />VfI.N.VN'.1 <br />nN[sIPl1MLaPf I'o-- <br />IIr.SfYi <br />.MPONM nAN OrD1 <br />— <br />Unxn <br />Fxx ALARM PLOD <br />W.[OV <br />[I.I1111FI LENG S. wNNw <br />__. <br />E.n PIE c(YI[r <br />n.Ns.rraOvrOR• CRY OF EVERETT <br />renrc vrtK„i <br />LOCAL SALES <br />- <br />FAIL TAX CODE IS 3105 <br />TOTAL <br />