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APPLICATIOO FOR CONSTRUCTON PERMIT <br />CITY OF EVERETT l BUILDING DMSION <br />3200 CEDAR STREET A EVERETT, INA 98201 • (425) 257-8810 OL <br />❑ DEMOLITION ❑ COMBINATION �1 [I BUILDING ❑ MECHANICAL X(PLUMBING ❑ SIGN <br />Z PROJECT ADDRESS: ftr a ids; SA vi" bte- <br />OWNER <br />m <br />L l Al 1 'Iill� <br />STATE <br />CONT ITM1a N[llVl <br />- <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />Df, met NANO E iDOIAGf NVOIKD <br />CONTAM PFRSONAM rNOM NO <br />K L I-- <br />253- Ss 9 5141 r <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 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 I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />O! .S MADE AND I COMPLY WITH THE STATE <br />. <br />ffz�wz�/ '/- r <br />P Sf D USt IT 11ALMW <br />1FDu ascTNPIIONa rnOPERIY ISRaSN I[fow DR AnACN IWw conEs <br />IDI RICCK p <br />RVICEL IAXID MAAMn <br />CONSInIgrI toANIrMwnN ESSIELFAgNE.M <br />SIONAIIIRE DATE <br />CITY III:MESS IICENSt NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOIAPMMi <br />FEE _ <br />ITYPE <br />WATER CLOSET (TOILET) <br />NC —MMDLG 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 />•6AUNBRY TRAY /T10 I L <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD SURNINGI <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />U <br />BACKFLOW PREVENTERS <br />GASRANGE. <br />SINK(SERVICE — BAR, ETC.) <br />GAS PIPING <br />EXHAUST FAN <br />SUB TOTAL S <br />SUB TOTAL S <br />PERMIT f <br />JO <br />PERMIT S <br />TOTAL FEE S <br />,79 ! <br />TOTAL FEE S <br />' O <br />FOR OFFICE USE ONLY: <br />I "IN, vTn." <br />MAN sr IPA" <br />slas To.cN <br />Pi N urtCK NVVRr <br />C <br />rtr <br />RfcnrT NO <br />USE 104F <br />IDI AMA <br />vKAv1511E <br />DR$ ❑ M) <br />FE S <br />VALUATION <br />FETE <br />RU,MNf. <br />NfIG11r 11VIlAtIDN <br />No DWftlANO <br />"MIS <br />SIZE Or MOGNI <br />11"WND <br />CCI:I MANLY <br />cl wr <br />1Q (Y SIMnS <br />MC11rAN111.1 <br />BASFVf M1I <br />❑IFS ❑ h0 <br />Al <br />AOMIIIWAIA AN CINLK <br />i <br />FIRE SMINKLER REO'D <br />n1 AGON <br />OlnFn <br />TIDE AURN READ <br />RN51lh <br />GIAII RIIIIDNGSUMI'ARCE <br />------------- <br />leer Of COW <br />PIANS APPROVED Dr <br />DAIL <br />CRY OF EVERETT <br />LOCAL SALES <br />TAX CODE 15 3105 <br />I -Al lL vnlNlc <br />-- <br />TOTAL <br />- <br />