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APPLICATIGG FOR CONSTRUCTAN PERMIT <br />CITY OF EVERETT A BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, %VA 9S201 A25B-9B10 <br />❑ DEMOLITION ❑ COMBMATION ,,/jP B [I MECHANICAL ❑ PLUMBING ❑ SWN <br />PROJECT ADDRESS: / Z:� l<% A1461-(- <br />m //7 lA}K <br />RIIEOMGCON1Wlm YNIIAtInESS City !11` nIJNF STATE ESfNY• <br />o tWTtMCE OT woln <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC O <br />oExaPPE wont AM 5o1MRt TOATApE mrotvEo <br />cnNMc1 n ma ANn nlor4.0 <br />KaoJN L-r15TIC <br />1iDp \EI ItiJuus Dv� > <br />_ <br />/ lT AyFA <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />w�Ts,tT� LU l� T\v�E �C� <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT AIL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TINS TYPE OF <br />morosEo usE a TKn <br />I <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN CR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />NECK 0(SGw1P1KNa w1oPERn ISNOwN PE1oNOP AnACN Two coPKsl <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />LOT etoa_ a <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TIE <br />rERrORMANCE OF CONSTRUCTION. THAT I AM AL THORIZED BY TI/E <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTOR LAW IS 27 RCW MG 2fAY00 WAC. <br />P LTAX IU 1MlFA <br />-o13 - 000 I <br />L� <br />nlFM1ONE MMRP <br />CpKIRUL1ONlWNItxRR,MgIF55. <br />X <br />S N _TE <br />tY MSi4551 O[NSC NO <br />PLUMWNG <br />MECHAMCAL <br />NO. <br />ITEM <br />TYPE OF FIXTURE OR R <br />FEE <br />NO. <br />ILPM <br />TYPE OF EOEIR <br />FEE <br />WATER CLOSET (TOILET) <br />AMC—AANDLG 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 />CLOTHESWASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACF. INSERT (WOOD BURNMKi) <br />_ <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />EXHAUST FAN <br />SUB TOTAL S <br />SUB TOTAL f <br />PERMIT S <br />PERMIT f <br />TOTAL FEE S <br />TOTAL FEE S <br />FOR OFFI%,c we ..�.". <br />E TSFTPAL6 <br />IIF.P SE1Rnf.N <br />411E SEtP.C4 <br />ILMCIYCN MIYPIn T[CI <br />I^ <br />"raw,, <br />I <br />1iFF DONE <br />lol Ante <br />vAuut Sart <br />FEES <br />VALUATION <br />FEE <br />yE <br />❑YES Qt1U <br />nnnw, <br />IIf 1611t1Mt111p1 <br />NO CA DM'Elll,q <br />SITE OI PS I-YrN1 � <br />� <br />lnnf <br />! `I r <br />Try IHg1NYi <br />QC7" AM:Y <br />Wn 51.WIS <br />IX:l~io S9_ <br />01SEYENt <br />IN CII.Mf el <br />I^J <br />Cyr, O+tb <br />Am1NwRnwcura <br />_ <br />RAE51TMn11TLKQD <br />nr+wN <br />� <br />( <br />I <br />owEn <br />rWEAIARMPWD <br />rKASON <br />$11tt 61g111111: y1M1L1MIMr <br />--- <br />,�/) <br />C J <br />TYPEOFfp l <br />nANSAIyVMfr <br />CRY OF EVERETT <br />LOCALSALES <br />G <br />TAX CODE IS 3105 <br />TOTAL <br />ont <br />