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APPLICATON FOR CONSTRUCRON PERMIT <br />CITY OF EVERETF A BUILDING DIVISION <br />32DO CEDAR STREET • EVERETT• NA 98201 • (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION t6 BUILDING J2 MECHANICAL ® PLUMBING ❑ SIGN <br />mmlerr A[vsoccc• 2/n kf- .o.F,a_j Ai, Z.rr d1A) <br />uu <br />•RG•TFCI m DEVONEn w.n•WnEss CnY •ir ry r <br />V•L <br />L_X1 Imo] <br />CONIRY:1 rAC[ LV Wplll <br />�S-r,�L z., <br />HEATING SYSTEM: V(GAS ❑ELECTRIC ❑ <br />CFsca11F WJR✓. •Nn sCU•R r[`Qr•Df wVgVEo <br />�P� r ivsz'� <br />CONI•CTy' SW� •Mr1gNFI <br />/`7rcN,oi_ /-�.a.�rui-7r/i3 <br />NE?J �.✓srx.,.cnc,�/ <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 />MORK OIL 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 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATF <br />CONTRA OR/S/LLAAWW 11882727J R.CCWWAAND 296 200 WAC <br />PRINADMDUSF OF PIMCFAFF <br />tEDAl pEScarnplM lRlwsRry ISIFGPw Puow GR An•cR rno Lna+Fsl <br />101 RIOCP Dr/oR-T (�L•Y,' <br />I ](7 o no`,s� Q t -Au k- (wS/5 F <br />P !J <br />rwSEL w 10 IIIRAMA <br />Cd1S1aK:fHM 10•M If MIFR.•CCARLSS ILI[hgNF <br />/• -,�1. F1tIZr6AfiF fineR 1�zi ��S �G•Fl <br />smH•TUII[ () 33FL9'i nwI <br />rY.r,.� <br />GTr WSR455 L[MSL ND <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 />I <br />A/C - AIHNDLG UNITS <br />/ <br />BATHTUB <br />/ <br />FORCED AIR SYSTEMS <br />3 <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />-� <br />I <br />SHOWER <br />UNIT HEATERS <br />/ <br />KITCHEN SINK A DISP <br />/ <br />CLOTHES DRYERS <br />/ <br />DISHWASHER <br />I/ <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />I <br />CLOTHES WASHER <br />I <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT QVOOD BURNING) <br />FLOOR DRAIN <br />/ <br />GAS FIRED: rE <br />BACKFLOW PREVENTERS <br />/ <br />GAS RANGE <br />SINK (SERVICE - BAR. EVC.) <br />ZI <br />I GAS PIPING <br />44 <br />EXHAUSEFAN <br />SUB TOTAL S <br />SUB TOTAL S <br />PERMIT S <br />PERMIT f <br />TOTAL FEE S <br />TOTAL FEE S <br />FON OFFICE USE ONLY: <br />'MINE Sr IP.rA <br />2-0MFFIrI <br />p <br />".srim,, <br />o <br />VDESFIP•SE <br />b <br />FIE AN CIIr/M <br />L//// 33 <br />FFIF <br />RO <br />vsE 7GNr <br />I <br />101 AREA 4 <br />S 3 ! <br />v¢ANI WE <br />F5 0 MJ <br />FEES <br />VALUATON <br />FEE <br />— <br />'•7y�..E� <br />REPINE IMIA GNP <br />Z <br />ND 0"C"At LING <br />MIi / <br />sa OF NWRI <br />s . s <br />MFAANND — <br />��� <br />-- _— <br />OCCIP•ANLI <br />0.2 <br />w.s,,A is <br />000VEMRI WAG <br />6.9wN // <br />o,ES d� <br />011NANWAI <br />---- <br />AM1,04AI MAN CINCP <br />—— <br />RRE PRIALERREG EI <br />WASON <br />GEREn <br />FIREALARMPEGD <br />Iry Acnr <br />$1.1 E FIRM "IF SEWEIAPDE <br />l <br />uuww G <br />'r <br />IrIN'Or rONsl <br />-} <br />JL- <br />MANS •rrPaviner <br />DATE 5 4 A% <br />CRY OF EVERETT <br />LOCAL5AL-- <br />TAX CODE 15 3105 <br />MRRX:PVNAS <br />TOTAL <br />