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APPLICATA FOR CONSTRUC&N PERMIT <br />CITY OF EVERETT R BUILDING DIVISION <br />3200 CEDAR STREET R EVERETT. WA 96201 •259-BB10 <br />❑ DEMOLITION ❑ COMBINATION 00 BIJRJMNG ❑ MEC�IANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: <br />OTV ., u M <br />cwrRACI rr4cE a WgIW y <br />HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br />DE NgRt AND 5DW11Ff NVDIVED ��� <br />CLM1AL11'EM11bIMO1YtP4W <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 CDMPUED 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 />OW IF,RTY TO PERFORM THE WORK FOR WHICH <br />P I ION IS MA AND I COMPLY WITH THE STATE <br />TORS LAW B. CW AND .200 WAC. <br />- <br />PrIOFOY v rw <br />LEGAL IX: PEIMAIY ISfgWW KIM m ATTACH TWON ESI <br />LOT IKaa OF <br />PARLEI i/i ID R <br />a_ �_-/3- <br />LplSiglLigll 1OM11� ADMF54. TElEP1" IF MIIMFR <br />U <br />TIME DATE <br />CITY luRE ss mt,,,sE ND <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE Of EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AC—A/IENDLG UNITS <br />BATHTUB <br />FORCED AR 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 />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT WOOD BURNING) <br />FLOOR DRAIN <br />GAS RRFPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR, ETC.) <br />GAS PIPING <br />EXHAUSTFAN <br />ji, <br />SUB TOTAL S <br />SUB TOTAL S <br />PERMIT $ <br />PERMIT S <br />TOTAL FEE S <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />FR lRETH+CF <br />REAR SFiwK <br />SIDE SEIM. <br />RAN VIECKM rn <br />rff <br />RFfSIr't N0 <br />USE IMF <br />tOTAREA <br />v¢AHr vtr <br />FEES <br />VALUATION <br />FEE <br />DUID.M: <br />— <br />CITIES ❑ ND <br />RrICIR UVIrAT10N <br />NO Ci RWFILNa <br />SITE OF ILD . <br />UNU[ <br />RIIWIIE <br />aC�CIU�ANLr ND nElnetf <br />ME~ tow <br />SASEWNI <br />of CHAMCW <br />❑.rx ONO <br />Aq}IICN+I M1AN CIMCM <br />FIRE SMiiNKLEH FEEL D <br />RFASp1 <br />0114R <br />FIRE N.wH MoD <br />Rf+Sov <br />SUTE SnIDW, SIMI ,E <br />11.E <br />trR or coNST <br />PLAN5A 0vtDRr <br />CITY OF EVERETT <br />M1lm K:vronK< <br />M <br />LOCAL SALES <br />TOTAL <br />3 ,9 7 lfk <br />TAX CODE IS 3105 <br />O+rE <br />