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APPLICAT& FOR CONSTRUCOON PERMIT <br />CT' OF EVERETT • BUILDING DMSION <br />3200 CEDAR STREET A EVERETT, WA 96201 • (425) 257-8810 <br />❑ DEMOLITION ❑ COMSWATION ❑ MECHAIOCAL 0 PLUMNNO ❑ NON <br />PROJECT AUlimmaa; <br />1fari PAL24w14r1 S2 v:r sysr 6�- f <br />pR11FK �� o / P4G-F7_ Q2 �Y,ER'F7T � 9flzo3 iAo-IE tier-r.y-Vt91 <br />•RLMIFCI MIIFSKa4FP 4Y Rtd1E55 <br />Ln♦ }m nitHl <br />p{"F04 CONIRRLIpI 4ul RdM1F55 <br />CII• III' Ivfryr t111lIKFMSF• <br />YFC Ul CON1RRCIW VYI RIldIF55 dT' }'1'---P'YnF tt"rFl4FM5F1 <br />��� CI{r }In 1'HCYF SiR1f IKF4V• <br />MIIIAMfi CFR11P✓:1011 VFM1 RdMf 55 <br />U <br />LOYIRRCI PM1CI OI MM1]IbI <br />HEATING SYSTEM: y, GAS ❑ ELECTRIC O <br />IA <br />MSCRRFYI,II4 AMI SW APF rt>DtAIiF R�WtvFt <br />CMTKI A PSOY RMI I•MMIr MO <br />/LSJI�L ILA <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PPOR051a Int Or mntu4o <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />rK PIg1YPry ISPOWrI AtowwAnKPlrlo coRlFs <br />NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />ttt"t otsrmRrlorl <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />tot ROCK a <br />OTHER STATE OR LOCH. LAW REGULATING 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 />CONTRACTORS LAW IF 27 RCW AND 2" 200 WAC <br />� /] <br />wncFl lulu rwRwn <br />L��--may <br />Cp4S1RlICrIIMt WN1F4[IFP IIUIIIF5%'ttf ICVLMMIfn <br />K nKtl <br />51GNRrI1RE <br />CItV W9NFSS IKI Mc1 NO <br />-- <br />MECHANICAL <br />KIIIINIIO <br />TYPE OF FIXTURE ON ITEM FEE <br />NO. TYPE OF EOUPMOIT FEE <br />NO. <br />WATER CLOSET (TOILET) <br />A/C—AAINDLG UNITS <br />FORCED AIR SYSTEMS <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />UNIT HEATERS <br />SHOWER <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD — <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />METAL FIREPLACE (WOOD EIURNINGI <br />URINAL <br />FIREPLACE INSERT NV 0 BURNING) <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />GAS PIPING <br />' <br />SINK (SERVICE — BAR. ETC.) <br />E%HAUST FAN <br />- <br />SUB TOTAL $ <br />SUB TOTAL f <br />PERMIT f <br />PERMIT f <br />TOTALFEE f <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: _ <br />I~VIAAI. W.SFIRK. <br />115t lO r 70, API A <br />141"111N1AI1 4nli[ tIWIW1 <br />u•R <br />❑rf5 ❑ YO <br />RPI nIN:. <br />RIM, <br />1•I I1W1Mf <br />411 HAAN'11 <br />\V \K 41 <br />❑IS ❑Y <br />Ipoll(nAI 1.1 A4 CIHCR <br />t.HI. <br />SIA,1 RIIIIt1 05"K." v <br />— <br />TOTAL <br />CRY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 0105 <br />