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APPLICATI& FOR CONSTRUC&N PERMIT <br />CITY OF EVERETT l BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 9MI l (425) 257-S810 <br />❑ DEROLITIONE ❑ COMBINATION ❑ BUILDWO PN MECHANICAL ❑ ►LUNWO ❑ SNW <br />PROJECT ADDRESS:_ 7/1 Or,,[.. Av-.. r'✓e ✓t f1 9i.1Bi <br />TfrMYI M MIPI[5S all m ngNr <br />.KMnC1 OR 0[TIGNFR Yx JOLVIFTT <br />ml.wM COMRY;Iw Yx YIrIKSS CITY IIP PIgHf ST.TT[IC[NSf. <br />CdnYCfir OI vpM <br />HEATING SYSTEM: OAS ❑ELECTRIC ❑ <br />M xDIII AW SWK 100T111E MY0LWD <br />tI_6 <br />CCN IIfRSON NU <br />SO <br />TF d <br />!1 <br />1 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 GOVERNING THIS TYPE OF <br />WORK WI L BE COMPLIED W TH 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 I COMPLY WITH THE STATE <br />CONTRACTORS LAW iB 27 RCW AND 29520D WAC. <br />X <br />PIIDIouo u5f Q1 pM°lAT <br />tFoA[tKxP Mft M PAopfRW ILO•IM ULM a AnA .twocofKS1 <br />Lot wocA or—_ <br />twtt[ u.Io AAAlfR <br />CO, TmKrm 100, I FH1iK.IQ.1E35 R1fRg11E MILKFP <br />SEIUI US 0A11 / <br />. /7 307.90 <br />cr• FuslAss LKfNTI ND <br />PLUNIO1G <br />MECHANICAL <br />NO. <br />TYPE OF FIXTIIIE OR ITEM <br />FEE <br />NO. <br />TYPE OF BgRPMBR <br />FEE <br />WATER CLOSET (TOILET) <br />AID—AAEGLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PULP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SRN( 4 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 />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC I <br />CAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL f <br />SUBTOTAL S <br />' <br />_ <br />PERMIT f <br />PERMIT ! <br />TOTAL FEE f <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />fIMN1 Q1p.fR <br />Rf Ap $f1p.CR <br />SIM Srlll Ck <br />rI.M CI1f CR MVY1fp <br />IFr <br />-f WTlq <br />C <br />_ <br />usf roar <br />TULIP[. <br />V.CAN1911 <br />FEES <br />VALUATION <br />FEE <br />pw rPNr. <br />�— <br />Orr% D M) <br />x 10N111M11A11UY <br />NOp[IWIIIIMG <br />511F MMOc:R1 <br />rv115 <br />rv�•YAINr. <br />_ <br />oculr.NCY <br />C.PpM <br />arl smA.0 <br />M.nI�.Nno.D <br />l+vxNl <br />411.M[YK..1 <br />_ <br />Dlfs D•A <br />IMIII(Mi.111.N CIHf. <br />IIPL SPPIIIFI[P R[�JD <br />RI .try1 <br />OI�KP <br />I lu[AUPM PIOU <br />P1.5nV <br />---- <br />.1.11 11rIU�Nli c111APAM[ <br />— <br />nrI MCMICT <br />JANSA,mownpr <br />CRY OF EVERETT <br />— <br />LOCAL SALES <br />- — <br />TOTAL <br />--- <br />o.lt <br />TAX CODE IS 31D5 <br />