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APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />/6--'K23 3200 CEDAR STREET • EVERETT, WA 98201 •259-SB10 <br />I DEMOLITION Rs COMBINATION I I BUILDING n MECHANICAL II PLUMBING f I SIGN <br />Al ADW15S CITY <br />NICMTECT aI aSgNEA AAA AMIESS CITY II^ "NONE <br />CONTRACT PEACE Of WIXM <br />v� <br />HEATING SYSTEM: 11GAS K'ELECTRIC FI <br />a mflE WOI!A xo SWANE rooTAee lxvavEo <br />cnNT..T oN winR <br />16 5ic "'1' /o23 <br />�101J C. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />OVAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PRISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL 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 111S PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACT911S LAW IB 27 RCW AND 296.200 WAC. <br />_y�l <br />PIECE)" USE Or BUUXAO <br />LEGAL asc BOON CEFOOI`EOb ISIAOKN BELOW OR ATTACH TKO CORES) <br />IOT BLacN Or <br />S/m r� P4r�` �7 /(e <br />PATTER 1.I O NIA.nrR <br />CONSUNICTION I OAN I CNCEn. ADDRESS. TELrmxTAE HATER <br />5 RqE <br />O BU4NC95LIcmS .O <br />PLUMBING <br />MECHANICAL _ <br />NO. TYPE OF EQUIPMENT FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />A/C —A/HNDLG UNITS—H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS—B.T.U. M <br />KITCHEN SINK 8 DISP <br />CLOT14ES DRYERS <br />DISHWASHER <br />VENTILATION FAN <br />LAUNDRY TRAY <br />RANGE HOOD <br />CLOTHES WASHER <br />WATER HEATER <br />' <br />URINAL <br />WOOD STOVE <br />DRINKING FOUNTAIN <br />METAL FIREPLACE (MOD BURNING) <br />FI OOR DRAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />BACKFLOW PREVENTERS <br />GAS FIREPLACE <br />SINK (SERVICE — BAR. ETC.) <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL E <br />SUBTOTAL 5 <br />_ <br />PERMIT S <br />PERMIT II <br />_ <br />TOTAL FEE 5 <br />TOTAL FEE $ <br />FOR OFFICE USE ONLY: <br />rTKm7-T � <br />aEAn sEtnAc / <br />sroE srtBA <br />DAxr alnlwa <br />rrr:sb <br />nrcnrl No <br />3 <br />USE ZOHr <br />Lm AP[A <br />vecexT Rrt <br />FEES <br />VALUATION <br />FEE <br />nunnnm ` ` <br />`�� V <br />�— <br />AYES i, EAT <br />TIMM H411AIRTN <br />Nn Or VANTR NG <br />SII:_OA BraNI <br />MIA <br />�L O <br />runremO <br />CE ANC" To DSTmES <br />OCCUPANTLOAD BA. NT <br />WCN.VCAL <br />I <br />23 u— I_ <br />II•ES v� <br />AMI"At R AN EHECX <br />rinE ALAnA1 ATOP <br />nEASON <br />OUTER <br />rIRFyAINKIMIKOO <br />AFASON <br />S1AlE fl11I1DNO5URCNAME <br />—� <br />TrTT 1x 11 <br />CI MSAPFUOVI'DRr <br />CITYOF EVERETT <br />nlRI Ir—AS <br />��— <br />LOCAL SALES <br />TOTAL <br />._ <br />N <br />GAZE 7 <br />TAX CODE IS 3105 <br />