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APPLICATICA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />-13 32DO CEDAR STREET • EVERETT, WA 90201 •259-8810 <br />n DEMOLITION ;d COMBINATION FI BUILDING F) MECHANICAL I I PLUMBING F1 SIGN <br />nP <br />,Ng E <br />AWHOECT OR BESIGNtn uuI AOMIESS cltY Pr plg v - <br />coNtwct rrxcE Ix wonx <br />HEATING SYSTEM: SYSTEM: IIGASS ELECTRIC Fl <br />CE nmE NCRx No 5011•nE rl%ItAGE NVQVEo <br />oa <br />GONI! ONANDrIro <br />11,23_ <br />O `x <br />INarouD USE OF RMLaNO <br />I 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 WILL BE CCMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT, THE GPANTIN3 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 '11t15 PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />1 CONTA',CToRS LAW IB 27 RCW AND 296.200 W/AJC. <br />x. <br />LEwLWu rlmN OFI "N 191roWN BELOW OD ATTACH TW CMESI <br />WI RLme__Or <br />PA S-TAXI D NAmrn <br />CIXISInUCT101110AN lENDFR. ADd1E53. 1ElFAIDNE MMHn <br />s E n•D <br />� <br />CI BUNNfcS tICEN4 N0 <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />NO. <br />TYPE OF nxTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />1 <br />A/C — AMNDLO UNITS — H.P. <br />�— <br />BATHTUB <br />FORCED AIR SYSTEMS —GT.U. M E.A. <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />_ <br />SHOWER <br />UNIT HEATERS —DTU. M <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />_ <br />DISHWASHER <br />VENTILATION FAN <br />_ <br />LAUNDRY TRAY <br />RANGE HOOD <br />_L <br />CLOTHES WASHER <br />WATER HEATER <br />_ <br />URINAL <br />_ <br />WOOD STOVE <br />DRINKING FOUNTAIN <br />METAL FIREPLACE (WOOD BURNING) <br />FLOOR GRAIN <br />I <br />FIREPLACE INSERT (WOOD BURNING) <br />DACKFLOW PREVENTERS <br />GAS FIREPLACE <br />SINK (SERVICE — BAR. ETC.) <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL S <br />SUB TOTAL $ <br />PERMIT S <br />PERMIT E <br />TOTALFEE $ <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />r11ONT SFTRArx / <br />Pr An[. T WK / <br />4OE srrR• <br />nAN ortcx IVn n <br />rrr <br />nrCrIPT NO <br />usr tour ,A <br />10TAa <br />0CANTBITF <br />IIrEs II No <br />FEES <br />VALUATION <br />FEE <br />n1n11RNc: S % 6 <br />�7 <br />IlnGllr IINIIAOON` <br />NO Or "Artu"Al <br />VNITR <br />R m o, "IIXNL <br />^� <br />PLVNRINO <br />�7 <br />OCC11P•NLr NP Ot SGlni6 <br />f.I1pIP <br />23 U- <br />OCCWANT HNC^ BAS[HT <br />I 11rts <br />4(CH•MR:•L <br />AOq TxMAL nAV nIECI( <br />I <br />nDAIAIIN arOn <br />nrARON <br />OMER <br />1111E 31`RINxI_r.n�M+On <br />y.. � <br />Pf ACON <br />SiMC BIRMNf.5V11C11AROE <br />�i_ <br />IvrF mvsT <br />_N <br />nnxRAnNXW[aer <br />n•TE '7 <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />nlRl lc Wunxs <br />— <br />TOTAL <br />— <br />