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APPLICATIA FOR CONSTRUCTIN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • (425) 257-8810 <br />Cl DEMOLITION ❑ COM INATIONI1 (�❑ BUILDI ❑ MECHANICAL ElPLumem ❑ SIGN <br />PROJECT ADDRESS:2, ,j�, 2y"'�f!0 . — ZI-��—� ..�,r ('c s,.rI <br />UNAN1 YN MU4SS flit rlr n4h <br />Clh <br />1m <br />P.— <br />STRF LICENSE <br />WCNAMCAL CONTRACTOR <br />NYL ACCAAESS <br />u4eCON1PACI[%1 <br />N "vow. <br />YA%ACOIKSS <br />Cltt <br />by <br />STA1T IKfxSFA <br />(7 <br />OONTA,ZT %epE Or MiO"" <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />CESCweF MOPN Axn SOIIARE ICOINA M VFD <br />IWALr IYRS0N AND INCAS NO <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TEIS <br />APPLICATION iND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />vllorVsFgusE nr elmnw+ <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />e[LOW OR Ar1rLN 1MO COPIE51 <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />IEWLI`ESC1Rr1gN Or RrgrERTY 15MTYN <br />TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />101 elIX'A a <br />AUTHORITY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORUED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION 15 MADE AND 1 COMPLY WITH THE STATE <br />CONE %TORS LA 27 RLW AND 298200 WAC <br />/<1/ <br />IW1L[t rAE 10 MIM ER <br />� <br />rm rN»r NH [s rnEH1aNF InA*ER <br />X DAI[ <br />Gh eO4xFRR IKENSE Np <br />PLUMBING <br />FEE <br />NECNAMCAL <br />NO. TM OF EOURMlNT FEE <br />N0. TYPE OF FIXTURE OR TEEM <br />WATER CLOSET (TOILET) <br />ArC—AON[ID.G UNITS <br />FORCED AIR SYSTEMS <br />BATHTUB <br />HEAT PUMP <br />LAVATORY (WASH BASIN) <br />SHOWER <br />UNIT HEATERS <br />CLOTHES DRYERS <br />KITCHEN SINK A DISP <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRYTRAY <br />WATER HEATER <br />- <br />CLOTHES WASHER <br />WOOD STOVE <br />METAL FIREPLACE (W000 BURNING( <br />URINAL <br />FIREPLACE INSERT (WOOD BURNING) <br />DRINKING FOUNTAIN <br />GAS FIREPLACE <br />FLOOR GRAIN <br />GAS RANGE <br />BACKFLOW PREVENTERS <br />SINK (SERVICE — BAR. ETC) <br />GAS PIPING <br />EXHAUST FAN <br />SUB TOTAL S <br />SUBTOTAL S <br />— <br />PERMIT f <br />PERMIT f <br />TOTAL FEE S <br />TOTAL FEE $ <br />FOR OFFICE USE ONLY: <br />I n1141 V1PAfX <br />usF rDNr <br />nr An Sf IPACA <br />101 ARu <br />SInr SFINACX <br />VACANI $n1 <br />❑vf5 ❑ NU <br />r1 AN CIRCA NUNNn rfr <br />��/ <br />FEES <br />VALUATION <br />nrcfmT No <br />FEE <br />RUIINNf• <br />1,11AI <br />AIII,NANK.AI <br />__ _ <br />/yam � (N <br />---- <br />INIONI IINJA1101 <br />Na OOWRILINIn <br />urns <br />WE M mmlI <br />OCLIN'ANCI <br />N(, r151M'.I$ <br />OCCIInAN110Af1 <br />BASFYf NI <br />Dnw, <br />_ <br />O.EA O N� <br />_ <br />AnbPnNAI. hANG[Cx <br />nPF SRiINItIER PEao <br />nFAGM <br />OblFn <br />SIAIF AMONG SIIM?uMX <br />N01IC WONXs <br />f IPF ALARM PF00 <br />nF ASOv <br />ITrt CA CONSL <br />NANSArrnnv[neY <br />CRY OF EVERETT <br />OAif <br />LOCAL SALES <br />TAX CODE IS 3105 <br />--- <br />— <br />TOTAL <br />