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APPLICATIIS FOR CONSTRUCTIN PERMIT <br />A CITY OF EVERETT E BUILDING DIVISION <br />3200 CEDAR STREET a EVERETT, WA 98201 a (425) 257-8810 <br />F3 DEMOLITION ❑ COJ���111nNNNl/�TION r �BUI ❑ MECHANICAL ❑ PLUMBOG ❑ SHM <br />Pfl J ArESS; r v/ Y <br />5 Nh1rl d 10�✓ / vfrf ���-TO / Z— <br />QiHIFP VUl S$ Clrr Pr w.Wf <br />/% O +T e <br />lIN Nl YY11I1gF$$ CITY Rr M1RNI <br />d h <br />• rcl on EKvrn(n uw AIKKI s$ a1Y nr r,ywl <br />oh G <br />W4D CONTPACIGP w/.P MIl11t4 SIT, IIr qxM "Alt IC[NStr <br />11[pI� 2, <br />oNm•c, I4pCE a <br />y Q q p A d N SC I e r 10 WHEATING <br />SYSTEM; ❑ GAS ❑ ELECTRIC ❑ <br />PIEF Watp1MD SDIAM 1COI Iva V[o <br />0 5 t Cf ap�ro <br />W CpC, A PSM AND PN FNp <br />FMGIDE Gn Dr mmpNn <br />-_ <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 WII 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 I COMPLY WITH THE STATE <br />CONTRACTORS LAW IS RCW AND 2962GG WAC <br />X <br />IFGAI MKIYPTIaIp rllortPry lSPo vN MIOP OR AnACN IYq coP;$I <br />IOt mote p <br />./ <br />bV D C ple, 5 P <br />6 Q4a,- 0O0 ' O 0 - CIO S_ <br />mw,rI TAAIO MPMFP <br />CO4STa1C,NM1(VNIINaP AIKVI(5S 11IFAI(WFMMPFII <br />SYAA,UR1 D•11 <br />CITY aOSINES51 nll NR NO <br />MECHANICAL -- -�- — <br />PLIIWINO <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOLNRMENT <br />FEE <br />_ <br />WATER CLOSET ITOILET) <br />A/C-AAINDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />' <br />T <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DEEP <br />CLOTHES DRYERS_ <br />DISHWASHER <br />_ <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) <br />GAS PIPING <br />EXHAUST FAN <br />SUBTOTAL f <br />I <br />SUBTOTAL f <br />_ <br />PERMIT $ <br />1 <br />PERMIT f <br />TOTALFEE f <br />TOTALFEE f <br />cno ncnrc ucc nut V. <br />I MIAT VTp.r.A <br />PCAPSrlw. <br />SDE UTBAZA <br />•NpILCx 4L411rP 1(f <br />,N <br />PFCnPI NO <br />IT ZOW <br />101 AMA <br />vc.4T sIG <br />FEES <br />VALUATION <br />FEE <br />pIp1MW. <br />DYES ❑ NU <br />INIOPI IIMIAT" <br />NO OA MI[lH4G <br />SIZE OI TAOTMI <br />IIMI, <br />MI.IAG <br />GC{Pm.SNCr <br />W IY SIMII <br />CCCIMANl 1 O10 <br />EASE W41 <br />%Al O MN'AI <br />DYES D 4n <br />AWIAYdAI %A4 pNtx <br />' <br />TIRE S'Pm Ull MOD <br />MAS[14 <br />GIMP <br />r111E AUPV MOD <br />MASOV <br />[IAII MAIDAYGSEACIAMlE <br />— -- <br />TrMMrp4V <br />M <br />VIS <br />rIOPTIAlr.L <br />LOCAL SALES <br />TAX CODE 3105 <br />CITE <br />_ <br />