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APPLICATIO% FOR CONSTRUCTIN PERMIT <br />�* <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT. WA 98201 • (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />TENANT <br />441 AbGlf$$ <br />GfY <br />)IP <br />rIIONI <br />AnCMrrCI On UfLGNtn <br />441 ApIK1t 5$ <br />Cnr <br />)rr <br />rrlpif <br />Gf NIMI CONIp.FLICa <br />NAM1 AGIIIf 55 <br />Glv <br />lrr <br />%IIAC <br /><IAII IKfNSF F <br />4FCHAI 46FYInMCIOP <br />441 AM 55 <br />Ott <br />:m <br />MKrf <br />SI4F • <br />tcfNSE <br />%11401N6 CGIIIP4:IO11 <br />4111LAG'P! $$ <br />C", <br />Tlr <br />rMNF <br />SIAIF LKCNN <br />LONtnI , %r6E of "K,— <br />HEATING SYSTEM: 10 GAS ❑ ELECTRIC 0 <br />DFjF9rPF wJax A,III FOpMGE IN ro1IY �,�/ <br />[(MIMCI %aNn ANP I•IIaNI Np <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME 10 BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />tnlGost0u5t Of P4AMM: <br />WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT, THE. GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />aF r1101'EnrY 15H 'NEL0N oa AFuaa TIM CM LSI <br />LEGAL OESCaITE" <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />LOT OEM'or <br />OTIIEA 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 -TATE <br />CONTRACTORS LAW 1827 CW AND 296200 WAC <br />� - ��� //-�/� �� <br />PMFJ, ' V I C MMaI a <br />CCMS'.nIKIMM 10tN ILNMa tM'AIIS[ICIf;1lONE MMMFII <br />X IIAII <br />EGN4ME <br />G1Y W41(5511CIIKE NO _ __ <br />NO. TYPE OF EQUIPMENT FEE <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />.FEE <br />WATER CLOSET (TOILET) <br />NC - A/HNDLG UNITS <br />FORCED AIR SYSTEMS <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK 6 DISP <br />CLOTHES DRYERS <br />DISHWASI;ER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER - <br />CLOTHES WASHER <br />WOOD STOVE <br />METAL FIREPLACE MOOD BURNING' <br />URINAL <br />FIREPLACE INSERF GVOOD BURNINGI <br />DRINKING FOUNTAIN <br />GAS FIREPLACE <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />—;-- <br />SINK (SERVICE -BAR. ETC) <br />2 <br />G0.S PIPING <br />EXHAUST FAN <br />—}-- <br />SUB TOTAI. S <br />SUBTOTAL S <br />PERMIT S <br />PERMIT $ <br />TOTALFEE S <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />HLKAII I'VIlA11l`Y <br />NO fi lMf IIING <br />M11( <br />DYES DM' <br />MIT <br />FVENI VfU'NKq DIES O <br />M'l '—'- <br />lw'1 M%ANr.4La <br />napn _ <br />CITY OF EVERETT-- <br />LOCAL SALES -' <br />TAX CODE IS 3105 TOTAL <br />