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APPLICATA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT " BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT, WA 98201 r (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINAT_" Ll BUILDING 0 MECHA+N.IICAL ❑ PLUMBING ❑ BMW <br />iF N1N1 YYI IIIOIY 55 <br />GIY <br />IN <br />,rWl <br />pCOY\3— <br />�•Kwl <br />fnLNif CI pR bEL[Mn �I YPIIn155 <br />CITY <br />/�' <br />Gr Nf 114 Cf14i .CtllN unrlfMYN"5 <br />GtY <br />I,g41 [41l lvKE.vNy. <br />— <br />•I 'MYf IKEHSfr <br />W GrWKYl IO M-CIfM Vul.dJnES• <br />GM1 <br />""•f "OF IKE45f• <br />%llYnnq CON1P.UCn 41,1 MIM1f 55 <br />Oft <br />lln <br />co4rK"u rma a won+ <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />pf WaFWJnn.4o50U.n[r(ArWFnVO1tTr1 ' <br />AQ. u YT <br />QJ <br />rD-rrv,n <br />CWtCtndnflO.4'.4nr 40 i�i� ua5'303-g�QQ <br />Qm�e.1�ZQd.LA,� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME 10 BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. TIIE ..RANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHOOTHER 91VIOLATEY TO STATE OR LOCAL LAW REGULATING R ING 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 15 MADE AND I COMPLY WITH 'HE STATE <br />CONTRACTORS LAW 1627RCW AND 2962L.1 WAC <br />�8'�0 <br />iNla'oclo Vct ar III. <br />tFwl IKXmrnpv o[rmorcPly-15t11ovm PRow ^n�.j1n¢Nrwo Con[sl <br />S n 12 0 31- Go <br />W11C[l l/..10 MNPfn <br />59m.� Oo-% o°l oin8 <br />cONi mKtltM,lo.nHM%n "[rrlF$S l[IFAIo4F MWPHr <br />X <br />CItYlAW, %S LCFN[[NO <br />►I.UAIlII/C — <br />MECHANICAL <br />NO. <br />TYPE OF FIXTUR'_ OR ITEM <br />FEE <br />NO. <br />TITS Of EOIAPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />NC—MINOLG_UNRS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />NEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />_ <br />KITCHEN SINK L DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNnRY TRAY <br />WAi ER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIMETAL <br />REPLACE INSEPT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />�T- <br />SINK (SERVICE -- BAR, ETC.) <br />GAS PIPING <br />_ <br />-- <br />EXHAUSTFAN <br />SUB TOTAL <br />f <br />5118 TOTAL f <br />_ <br />PERMIT <br />f <br />PERMIT f <br />TOTALFEE <br />S <br />TOTALFEE f <br />rvn Urn[.c we unTw: <br />P[frTIM <br />I IIONI V1P.f" <br />MNS[IpKS <br />SIN Srn4N� <br />%"N CIIf Cn 4V4M" I[[ <br />2-0 <br />2�O, <br />— <br />FEES <br />VALUATION <br />IISE NI4( <br />t011m" <br />v.CflNI p1L <br />_ <br />' <br />GY[S ❑ NV <br />AUIMNf. <br />Z�Z <br />N[16NI II,NIt9l <br />400bMllINO <br />SIZE 0[M1A91 <br />I <br />IF <br />4[f"*WAl <br />OCl:11r.v,;• M•n •nvb <br />MCkIPANI IO"D <br />"A5[4[Mx <br />fn <br />I pl"•/ <br />❑.[ Don <br />� <br />; <br />�[ __ —'-- <br />"oGrXwa n"N ora <br />•wF Slnrwl[P moo <br />-- - <br />__----T—_ <br />m"mN <br />oll(n <br />.- — <br />rwf "un4 nlon <br />m"cnr <br />-- <br />41"I[ flln1ol4o SIIIKN""[:[ <br />nrF or ro4cl <br />TY OF EVERETT <br />m"4s "rrnovAOTAX <br />n•fllcwal"s-- <br />__ <br />___ <br />- <br />8LOCAL SALES <br />o"lF CUDE IS 3105 <br />"--- <br />TOTAL <br />— <br />