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APPLICATI41 FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT + BUILDING DIVISION <br />3200 CEDAR STREET f EVERETT, WA 98201 • (425) 257-8810 <br />❑ DEMOLITION 14 COMB TION ❑ BUILDING❑ MECHANICAL ❑ PLUMBING C SIGN <br />PROJECT ADDRESS: �� l7Ut� �' I,�', �✓nr - K��_ <br />Iv E,ra....,.c-r Po13o1, SVo4 ,,V JY.?V3 44r2-7aG <br />1[NAW YM NI ss Clry M hgNf <br />3 vo t/ F.-ay 9k..An fir 11 y�7. f. <br />t <br />AAAR <br />WCn1wCAL CoAltn.C.IWI V.R APDRIASS CITY hr ngNl <IA4 l2fM5f8 <br />n V1A0,03.CdI1RAC1m 4All 55 CITY t,r Prf STATE II TVSf. <br />coNTnACl rnxa al waw 3// <br />HEATING SYSTEM: CI GAS ❑ELECTRIC <br />M K'Aaf WJnM NErO c.nt 1001AGF iSY0,wo <br />�u•Ir��.,., <br />[ AC1 nSCNR <br />%.�e�r utrJhj�_ <br />)viTI F - - ZZco <br />TO/ / 6410_ 4 % <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME 70 BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK VEIL A COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANT("' 7 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 15 MADE AND 1 COMPLY WITH THE STATE <br />C CTORS I.AIQ IB 27 RCW AND 6200 WAC <br />i•rrorosrn usE or nm��wl <br />N P <br />V� <br />tff. nEScrnrO rw�nry lsrrowx snow on An¢Nlwo con[sl <br />waft wlow n <br />cm%1w,C IOfN I rACIA A1/fnE5C t[I[nNIMF MIN1En <br />1.,-„vrf <br />. 1VRE <br />/.� <br />3`/� �Gi_�� <br />011VeVV11F1StC1NSEN0 ---- <br />MECHANICAL <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF EOIIMBIIINT <br />FEE <br />—� <br />WATER CLOSET (TOILET) %' <br />A/C —AMNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />V <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />L <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />_ <br />-L <br />DISHWASHER <br />_ <br />RANGE HOOD _ <br />LAUNDRY TRAY <br />Z <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />_ <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />_ <br />_ <br />FLOOR DRAIN <br />GAS FIREP-`E <br />BACKFLOW PREVENTERS <br />GAS RANG' <br />I <br />SINK (SERVICE —BAR. ETC) <br />GAS PIPING <br />T <br />_ <br />_ <br />EXHAUST <br />SUB TOTAL $1 <br />SUBTOTAL f <br />PERMIT f <br />PERMIT f <br />_ <br />' <br />TOTAL FEE S <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: 7/n/n. to/n <br />r IKMI VIRo; <br />IA,.. 5E TCA ( <br />5 <br />sumsEIA.C` i <br />Ml�j. EP <br />/' Y <br />fEf g� <br />MCF-l"NO <br />usF rGNI., <br />L <br />toI ANE. <br />..EANI yIES <br />T� Fs ❑ M) <br />FEEWjA7 <br />VIO ALUATN <br />FE <br />7 <br />/ / <br />---J-W--- <br />^LF <br />r <br />RUIEM'. <br />_ <br />A <br />!7 03 <br />W KIG I HM1.A,J , <br />w 10, I'w1 I^ IM(; <br />crtE 0' hoC✓1 <br />OC1111'.K. w`n)If91f <br />r • > L <br />VECIrP.VI IO.I <br />9.t \t // <br />D.E. e'�' <br />\RI:NMtC4 <br />.00IIEM.InANCrfo. <br />----- <br />— <br />IYi( LEn Ativ — <br />IRAl <br />OufR <br />IWE AUAIN nto <br />WAFnV <br />[1.1f RlrctfNMt ARCW14:E <br />IV <br />nrfOF CMAI <br />n.Ns.rrnmrnn. <br />_ <br />CRY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS J705 <br />n9u rr. wTRwS <br />TOTAL <br />