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APPLICATION FOR CONSTRUCSON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT• WA 98201 • (425) 257.8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING EtWECHANICAL r3 PLUMBING ❑ SIGN <br />PROJECTAooQESS: go(o o A, akA.Q <br />arR <br />CCwTwT MKCf Gf n <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC Cl <br />MS WDIYI.MSOWPI'Wl1 fN WD <br />COMIKI rtRSOnFM 1'M•N MO <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 WR 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 182227 ACC�W�ANND/J�2�/%�200 WACC/�J q/ �%� <br />XY%V��//l.U/t/NY•� //7/7/ <br />MVOM G lm of smarm <br />IfGAL DESCRIPTION Of M pl ISNDwN KIM DR.TIKNTMD COATS, <br />tot am. DT <br />a /' U <br />O V <br />r.K[t T .. riAAE <br />CDMlf11UGtICHIO.n tfNC1R..DTMESS tl'FTVfJNLMMFn <br />WE <br />CITY MISMEIS IICFRSI M <br />-- <br />PLIIEIEIIFO <br />MECHANICAL <br />N0. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EaUNAMENT <br />FEE <br />WATER CLOSET (TOILET) <br />NC —A NOLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK t DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD —_ <br />LAUNDRY TRAY <br />WAIERHE'TER <br />' <br />—T <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC) <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL f <br />SUB TOTAL f <br />PERMIT sl <br />IT f <br />dfT <br />TOTALFEE f <br />TOTAL FEE t <br />FOR OFFICE USE ONLY-- <br />fMIN15FlAK.I1 <br />AFEASFVWK <br />LM MI4CK <br />Mqw CIYCR MIMIfP <br />Iff <br />wrl"I NO <br />_) <br />DM lw <br />IOI .M. <br />v.Cwl WE <br />FEES <br />VALUATION <br />FEE <br />ww rxwr <br />❑Yfs D M <br />IEgNt INRMtpN <br />Iq P DMIIIM <br />SItf M Koon. <br />IY•II< <br />%IIM1VNi <br />OC�L't�.MCt MrvSnely <br />DfLINwIIO.D <br />I.MMNI <br />OWS ONO <br />.[IUIRn.IM1wCIff.. <br />' <br />fN[SMVIRIFRREO'D <br />IIf.S(M <br />OIM(P <br />FKE MAIIM AEG <br />Pf.SOV <br />$1.11 IIIn1GM: SIM4u.TY.( <br />--_ -- <br />IYPF of town <br />Mws.n"Aovfn DY <br />CRYOFEVERETT <br />n.KcvwYlKc <br />LOCAL SALES <br />-- — <br />—' <br />TAX CODE IS 3105 <br />TOTAL <br />11.T[ <br />