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APPLICATI& FOR CONSTRUC*ON PERMIT <br />CITY Or EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT. WA 98201 •257.8810 <br />Fl DEMOLITION r-I COMBINATION ❑ BUILDING F! MECHANICAL O PLUMBING Fl SIGN <br />1nC1n1FC 1 M MSGN[p 4VUWPf 55 Cliv <br />M.x <br />CITY <br />uv wnur_ evereu 'Y(OAR ' ELECTRIC F. <br />5 <br />C�xE RA1050UAPCrCOiAGf INV0.VF[1 <br />Cor cT P[ N wro <br />% RE V <br />iJd s uc <br />(2 /�• <br />Li l� <br />ANDEXAMINED <br />I HEREBY CERTIFY THAT I HAVE READ AND CORTHIS <br />T I <br />C DE TRUE AND CORRECT ALL <br />APPLICATION AND KNOW THE ORDINANCES <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />ImoPos[u usF or eun0un <br />WORK WILL BEA COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />`ERµIX �l��P pn lsrgp>a 6[Eow op n*uCN my Cgr`I ` <br />— C <br />NOT THE GRANTING AT A PERMIT DOES NOT PRESUME O GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />LO* IKan <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORM1:ANCE OF CONSTRUCTION THAT I AM AUTH3R12ED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CO+AW ID 27 RCW ND 296200 WAC. <br />rug[¢ v. R Nuux[ <br />- oo& O/0 000 <br />Cw;:TpucTg04 RCANNLEI"T` 4 IES m[ rlp•(fNVPER <br />EvFaret <br />X D.TE <br />S4 <br />CITEIA <br />MECHANICAL <br />PLUMBING <br />FEE <br />NO. TYPE OF EQUIPMENT FEE <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />AC —A HNDLG UNITS <br />FORCED AIR SYSTEMS <br />BATHTUB <br />! <br />MEAT PUMP <br />LAVATORY (WASH DASINI <br />j <br />UNIT HEATERS <br />SHOWER <br />KITCHEN SINK S DISP <br />CLOTHE DRYERS <br />DISHWASHER <br />RANGE h3OD <br />LAUNDRY TRAY <br />L <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />METAL FIREPLACE (WOOD BURNING) <br />i <br />URINAL <br />FIREPLACE INSERT (WOOD BURNING( <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />1 <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />f <br />GAS RANGE <br />SINK ISERVICE — BAR. ETC.1 <br />GAS PIPING <br />i <br />— <br />EXHAUSTFAN <br />i <br />i <br />— <br />i <br />SUBTOTAL S <br />SUDTOTAL S <br />PERMIT $ <br />PERMIT S <br />TOTALFEE S <br />TOTAL FEE 5 <br />1741 „/ <br />rum urrR.0 UJC vm[ <br />fRc,,w <br />,; <br />REtC� <br />IOfWQNA�� <br />055 <br />YCT5TE <br />O NO <br />V1L//�—OOCJ !EC <br />FEES <br />Jl•I <br />pFCCIPi NO <br />FEE <br />BUxORAI <br />7 <br />NCWIi IALrt <br />NO OF pNtLLnq <br />TINTS M14 <br />�r�'KYE4 <br />IX[11 <br />PLUIIBVq <br />UEC, Ul <br />MI Ci 61WS <br />(KCIN✓R IOAU MUM., <br />.00nuN.L IhAN OHCIL <br />/n <br />RROIW/NLY <br />p. <br />I <br />rYFs_ <br />fnE SvnnALL[R pEOD <br />REASON — <br />OR1Cn <br />STAIE 61E1n46U11C.-u <br />ruucL.opns <br />1� <br />lFEAUI MpCOU <br />rvpEacarrsT <br />REASON <br />PLuuAPrno-.Eox CITY OF EVERETT <br />LOCAL SALES <br />/ TAX CODE IS 3105 <br />TOTAL <br />