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APPLICATIOR FOR CONSTRUCTINN PERMIT <br />CITY OF EVERETT E BUILDING DMSION <br />3200 CEDAR STREET • EVERETT, WA 98201 • (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATKK or MRLDING ❑ MECHANICAL ❑ PLUMSMG ❑ SIGN <br />PROJECT ADDRESS: .%//b /Ni7' ,owI.ry <br />rEwwr wAAmREu an n Ngr4 <br />WCHAM CWRI.CTM 4Y1N101[SS an ?w Mlbl %TMLCEw5Er <br />n11YlMGCOMRw.Tm YFAACOIESS an IF RIFY,F STATEEE W. <br />cm,M T R ma,allHEATING <br />S <br />SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />oFsareE wont •wo Sp)ARFF rnE SYo <br />caRAcr RRSOw uo P,gwE wo <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES OOVERMND 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 />CONTRACTORS LAW J�73f 300 WAC, <br />�z -97 <br />m000ur .rtE a Mmdwo OO <br />t✓ <br />f:AF , /✓ M-T <br />IFG�L KSCWm v form( �NAMI. MXHrw )Co Sl <br />Nor <br />II 1Nf 1 MI1lFR <br />yTML yy/-oz7 -aopn <br />CONSriK1LTKIH IOMI IFHCER. N%EFSS. IFIFRlp4 MRnFH <br />s3gw wrc <br />an FUSFau UX:Fwu wo <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF BOUlMlTI <br />FEE <br />WATER CLOSET )TOILET) <br />AC—N MNCLG LIMITS <br />BATHTUB <br />FORCED AR SYSTEMS <br />LAVATORY(WASH BASIN) <br />HEAT PUMP <br />_ <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK 3 DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />META FIREPLACE (WOOD SURNINGI <br />' <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT BURNINGI <br />�— <br />_ <br />FLOOR DRAIN <br />GAS FIREPLACE <br />_ <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL 3 <br />SUB TOTAL f <br />' <br />—� <br />PERMIT 3 <br />PERMIT f <br />TOTALFEE 3 <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />