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K541ow5 <br />APPLICATIA FOR CONSTRUCT& PERMIT <br />CITY OF EVERETT A BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, VIA 9820011 • (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ SUADING0 <br />82MECHANICAL ❑ PLUMBING ❑ SIGN <br />cDNrlucl l'm[I or vgnN <br />HEATING SYSTEM: &IGAS ❑ ELECTRIC ❑ <br />cwnr w D.m rDptAD( Alvgv[D <br />"1-i�r'}t1.Yn4Aa �^ <br /><rnlAcy nnsoN+Nn nqM 4D <br />II�Lu��.C7Y.� <br />�T_ <br />LLl1• /Y 1'�ZIL[l'17Cr0 <br />I HEREBY CER7IFY 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 WII L BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PW=SUME 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 15 MADE AND 1 COMPLY WITH THE STATE <br />COINRACTORS LAW 1827 RCW AND 296 200 VYAC <br />X <br />r+arD un rn minim: <br />lFG4 ce5CmrnD47 MDI`Enry lmgRm PLLow tll a\I{N lwO [DALS <br />101 mml, or <br />,./ <br />I &L) YICA AI a n�— <br />00Gj o('0/b <br />7 C.a) <br />TNVgEL AunD MAANED — <br />caNsrmKlgN lo.yllrmKR.Ammss rcL[INNrrt MA•RHl <br />_ <br />q <br />1 <br />CVr AVVN[SS IT.LN<L NJ <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C-AMNDLG UNITS <br />BATHTUB <br />TORCEDAIRSYSTEMS <br />_ <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNITHEAIERS <br />_ <br />KITCHEN SINK A DISP <br />- <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 BURNINCJ <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD SURNINS) <br />_ <br />FLOOR DRAIN <br />GAS FIREPLACE <br />SACKFLOW PREVENTERS <br />GAS RANGE <br />_ <br />SINK )SERVICE - BAR. ETC) <br />GAS PIPING <br />EXHAUSTFAN_ <br />SUBTOTAL S <br />SUBTOTAL f <br />_ <br />PERMIT f <br />PERMIT f <br />TOTAL FEE $1 <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: IY)0 Ei 04-bf 4 <br />'"TSr ID.rA <br />Ar A.S1101" <br />s.m SE HACK <br />mA.ClI[C. M1.1. <br />1(r <br />MCr Tt No <br />list iO4r <br />Im ARIA <br />Y.CA4141C <br />FEES <br />FEE <br />_VALUATION <br />?— <br />❑rF5 D NU <br />_ <br />RUN MT, <br />1•fIG1111141TAtIDY <br />Np DI mUA,G <br />IIMis <br />Al1A1ARAi <br />OCC�1�!YCN <br />'OM1 yogi <br />DCCIN.N\TOAD <br />Bl5[K4\ <br />o1C14M(,AI <br />❑r(s G ND <br />ADDiRnAI AANCNIM <br />rm[SnN1.y1IRR(OD <br />1K.iln <br />DIINN <br />rNrt.uRumao <br /><1.11 RIRII)m14511Dr, 1,Ami[ <br />"Pt or"l7l" <br />RtANSAr 081 <br />CITY OF EVERETT <br />nnu r.wmAs <br />LOCAL SALES <br />— <br />TOTAL <br />— <br />--L-- <br />DATL <br />TAX CODE IS 3105 <br />