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APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • (425) 257.8810 <br />❑ DEMOLITION ❑ COMBINATION (J OUILDINO ❑ MECHANNI1�9AAL ❑ PLUMBING ❑ SIGN <br />PROJECTADDRESS: 3cb3 Gl, Cf}SINO 26 Vo-32/33 <br />py <br />I I/N�INI/ <br />YM MYSIFSS <br />f.IIY <br />!M I,q{ <br />/J <br />rJ iiJT/�✓ i.O . <br />Wrl yypSSS <br />Crn <br />!rr hp <br />757�7o . <br />D[Mf14 CONiNCIm <br />Y•N •Dp1SSS <br />Cr1Y <br />"I RyNS S--,I Cr.0 I <br />wc,, C4 CONIR•C10R YN•CCPf SS On Ap PHONE ".IF lKrN5t1 <br />PIOTY lCWTR✓,TOR MYIW <br />CDYIR•Cl P[II[t OF r.OF[, �.I <br />7S (/ OOO <br />HEATINO SYSTEM: ❑ GAS ❑ ELECTRIC ❑ _ <br />OF C flf MJw•Mr1 SOWR[ SDDr•D[ vtD <br />cm"C[ MPSON•M Rb4 n0 <br />UProtiADE D PL4 <br />CCC& o&oti 'w- TL.s <br />I HEREBY CERTIFY THAT : HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAML In BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCEB 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 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW IN 27 /RCC AND 2ff ZDW WAC <br />/• <br />vRdouous[ or slndw <br />Ual Dt uRwflw ar l•IIDVERrr ISHOVM M[OwSl ur•CR rAocoR[u <br />LOT — HOC. a <br />Rwrn u.D �R,/ <br />cON5r1111CrgYTOM I[40[R PCDIIf FF I11EP11014 MAMR <br />VF DATE <br />SA Fr91E5S lOINS[I,0 <br />PLL415M <br />IIECIIAIWAL <br />NO. <br />TYK OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF f101/E16Fr <br />FEE <br />WATER CLOSET (TOILET) <br />AC—AAIgLG UNITS <br />_ <br />BATHTUB <br />_ <br />FORCED AR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK f DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE H000 <br />_ <br />LAUNDRY TRAY <br />_ <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE MOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />_ <br />SINK I6ERVICE —BAR. ETC.) <br />GAS PIPING <br />EXHAUST FAN <br />_ <br />SUBTOTAL <br />f 1 <br />SUB TOTAL f <br />PERMIT <br />f <br />PERMIT f <br />_ <br />TOTALFEE <br />I <br />TOTAL FEE f <br />_ <br />FOR OFFICE USE ONLY: <br />,pTM11 YrIIK. <br />PMSr1YC. <br />µ urm. <br />MMIUr[C•NJMrR <br />r[r <br />PCr O'lw <br />USE USES <br />Im YR• <br />VK fVIE <br />FEEST—VALUAIION <br />FEE <br />M•Iw,r. <br />�— <br />/Olo�. ism <br />DIE[ Dw <br />l(IWllwurKY1 <br />W S fMFIIM <br />we TIT MDYII <br />wl <br />DYESWw0f1DI,N. <br />e&o, <br />nPEalg,,N/sf <br />imill <br />CRY OF EVERETTLOCAL <br />SALES <br />TOTAL <br />I ? <br />L 1 <br />TAX CODE IS 3105 <br />