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APPLICATION FOR CONSTRUCTAN PERMIT <br />/t.L-1 /iEW S CITY OF EVERETT • BUILDING DMSION <br />L S SP 3200 CEDAR STREET • EVERETT, WA 9=1 • (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ECHANICAL ❑ PLUMBING O SIGN <br />PROJECT ADDRESS: 1600 w MA+E-I n/L O)e IL¢ <br />I.Ic c-nitl.ul lto. t G 2.7^'7 �0LZ. 57t ) 24 9' r�r<-1..Z71 `>c'Zal 4Z5 2545;346 <br />L P^-t D %v F <br />t(NANI MN NprtSS GTy Tr ruJNF <br />•RCwll Clan MS.6111 MI ASCRr !Ir rNO1R <br />GENERAL CWTMOM WIT ADOnESS CIR l.r A1lTK STATE IKFNSE• <br />IKENSF. <br />K�LII4NU FiRd�PtaTtt'i7-w Tso 5. L.yv171R 7i �,f�1 �Sl-34 Zoe 682LI.3G <br />coNrRAcr PMCE a W(xM HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ _ <br />MSCMBF MVRM AND SWARE 1GOA0E' WD caMAct rl RSC«.IO r.xw No <br />C-J4 I c — <br />ty % )-4 4�j <br />7A6ln82Lle3L <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 />Pn SHT USE IE BIMMNa <br />/7r�-1 CL <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NO7. THE GRANTING OF A PERMR DOES NOT PRESUME TO GIVE <br />IFGALRESCPIPIICNC%IYIaI[Rn ISIIa,M. BELONWAtlA. WOCMESI <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />IDI KDCK w <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM Al ITHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />rKO wmAMIWn <br />CONT1ACT�D/(///LW1182 RCWND 2"2 AC <br />X //�//u/ /-'_�" <br />CONSiPIK11DNl(MNIFMIFR A[IlIPE55.IFltnKNE NIIMIEn <br />SN1N D.1( <br />PTYF Ss tcl"SC NO <br />PLUMBING <br />MECIUNICAL <br />NO. <br />TYPE OF FIXTURE ON REM <br />FEE <br />NO. <br />TYPE OF EOIIIF/IIBff <br />FEE <br />E ,— <br />WATER CLOSET (TOILET) <br />A/C —MINDED UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />_r <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURRING) <br />FIREPLACE INSERT (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVILE —BAR, ETC.) <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL S <br />SUB TOTAL S <br />PERMIT f <br />P <br />PERMIT f <br />TOTALFEE 1 <br />TOTALFEE f <br />run vrr,A & v <br />I nnw [tlD.f[ <br />"F.n SFIM. <br />9CE 5(rBAMI <br />MANCn[C-Nv In`/�}`-�' <br />IF <br />nIC[LrF MO <br />FEES <br />VALUATION <br />FEE I_ <br />usl 1ONF <br />111Nl[A <br />VACANT SITE <br />flPI MNf. <br />❑vE5 D 40 <br />nEl ...IIMILrpN <br />NO O IMLIIING <br />Ft[ DI kwal <br />axis <br />MOMnL«a <br />'- <br />WCvn.afr <br />Na msl'.Is <br />IKFar.NT la.D <br />B.,gWN1 <br />MrCNANWIl <br />DI[s ❑«D <br />.aMaovN.ruv a4cA <br />2U <br />ImE SMIN.11 PED'D <br />PFASM <br />a ... In <br />FIREAUNMREOU <br />FIA[av <br />STAR OoLDNG Sancu.nsc <br />nLBLLc ionsLOCAL <br />IrrE nr raxsr <br />OF EVERETT <br />=MV�TY <br />SALES <br />X CODE IS :105 <br />TOTAL <br />