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APPLICAT& FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT •BUILDING DIVISION <br />JJJJ 3200 CEDAR STREET • EVERETT, WA 98201 • (425) 257-8870 <br />,. VIEMOLMON ❑ COMBINATNMN ❑ BUILD ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />/P ECT ADDRESS) 0 <br />���e�..`.�r�YF•:i-L <br />OWNFP wuL •ndlf.55 nlr nr INA'YK <br />v2r/3s3 66a6 <br />tFNANI wul •tKKF 55 arr 7w o„dK <br />wul•dNR <br />W DfAMC&L Crwm•non <br />%IIMRMG CONIP•Cld1 VAR AMWSS CI'v 71n Tgyr StA1F 11CLN9r <br />CONtDACl 1YPCr Or A <br />_ <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />DFSCIA WYA A411 SOVAP( IOOI•Gr..WD <br />COPt.cl I RSDN AM 1N NO <br />1 HEREBY CERTIFY THAT 1 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 Wit L 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 I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296 j00 WAC <br />A. ��LL A-.v.�_'CLIL '7-3a-9I <br />Mro q. I'll Or Pundrr. <br />IFAAL MSdnrtlw d rl An ISNORRI MIOW •n•cP lloc s <br />Ill /O '-) l IMA ( d <br />O—O 00_ 0 <br />Pw R uA I D NDwKn <br />crosvrtIC110N10•NtFMFt A1RgrSS Tfit NEMMPHI <br />E!GN•Idq DAII <br />nir wvw%s Mk" NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF EOUPMEMT <br />FEE <br />WATER CLOSET (TOILET) <br />AA:—AMNDLG UNITS <br />BATHTUB <br />_ <br />FORCE D AIR SY STEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />_ <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK & 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 />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />_ <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />_ <br />SINK (SERVICE — BAR, ETC I <br />GAS PIPING <br />_ <br />EXHAUSTFAN <br />' <br />SUBTOTAL f <br />1 <br />SUB TOTAL S <br />—�— <br />_ <br />PERMIi S <br />PERMIT $ <br />TOTAL FEE f <br />TOTAL FEE $ <br />FOR OFFICE USE OMLY: <br />I MMT[r, R•r,l <br />MAP cr IRAcI <br />S.MNIR•Cn <br />rl•PCPIrA NVYPR <br />b"o7 e)o <br />'Er <br />Kclr lNO <br />vsE 7D4r <br />_ <br />IOr AMA <br />v¢wI NIE <br />Orrs DM1 <br />FEES <br />VALUATION <br />FEE <br />RUIIMVf. <br />—�— <br />PFIGM 11.IlAl*l <br />40drWrlllh< <br />1,411[ <br />S4rd R10G91 <br />-- <br />MIIwPMG <br />CCCIP'•lGv <br />f.11IXT <br />vJd51('wIT <br />d:rDnAMI IOAn <br />P•Awlnl <br />D.FT GM <br />41cv4CA1 <br />RDDII(Y,AI n•VCINCT <br />— <br />llPE 5n1141.1rn PEED <br />_ <br />MAIM <br />DOwn— <br />rIPrALARMMOD <br />MACOV <br />TI.11 RInIrM:1: SpR[W1 <br />--- <br />rrrt d Call <br />NANi APr VIDRr <br />D•lt <br />CRY OFEVERETT <br />LOCAL V LES <br />TAXCODE IS D10f <br />�TOTAL� <br />