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APPLICATION FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 88201 • (425) 257•8810 <br />❑ DEMOUTION ❑ COMBINATION ❑ BUILDING ❑ MECNANIC!� ❑ PLUMBING ❑ SIGN <br />PROJECTADDRESS: Z;/Z' u�1 m, �. /� 99/9 Su//j .2" YPvtnu� ' <br />C.� A'Frrnrfr iMNz si/orKr Orn/ 37oa C./.. Sn.cl', fvurd W4 9F1si . 41s-)s�BFoe <br />, <br />[ Y4 xCpE55 <br />ryb <br />Iw <br />r,xm <br />C fY a0 E✓fn/� A i/2 Li)rrk3 ))( Af✓ <br />AIq <br />32cO Curl. SNrxt2 <br />E✓r✓r,I <br />[ul 9FrA 4L:-)Sp -Sgcp <br />r on lKswlrtn wAn NKIa{s4 <br />rylr <br />'Te ae os�ro <br />cFMnuu •t COYIn•cIM l •."lldW4s <br />OI• —_� <br />),r _.---_- <br />1'iVh! — 4ul lYrYvr _.. <br />YFCHI AL CWrnACIM uVL AfOk 55 <br />Ory <br />—)x ---- <br />1•�ryll <14111KrMp{• — <br />n IMIMU CUNInA[Idl MRACXn[S5 <br />C."ryx <br />!II• <br />Pu <br />% R. A. <br />Comn¢IIYIx:E_�...- <br />_LCO > F <br />HEAT'IG SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />CUNuc.—•"15[W •M n1M{Nn <br />-- <br />UFSCF•gr n'Y111•w sRU•aE roUIIQ[NVUIv[U <br />w.fl+in !wl .P1ir;%GaaT(<w,Ti- <br />Pu <br />F.b1'oyoVst CK mMdNn1 <br />�LG i h�f fizS WAL7rwct N G w (' p�J <br />11Gu oEXn•uLYlra nool4nrvlslgvwl sE(ow d(•nAc rrgc nFR <br />to, FLOC. _ V <br />_ <br />I HEREBY CERTIFY THAT 1 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 WIT BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />WJT THE GRANTING OF A PERMIT DOGS NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW RE1111LATING 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 />APPLICATION 15 MADE AND I COMPLY WITH THE STATE <br />CONIRACTORS I AW IA2T RCW AND 2%2c0 WA(, <br />X <br />aMgD lalo wngn _ <br />cdSFmcrKw_IMN4t.. APPNES4 IFt(n,ovF wAlrn <br />drr wsxrt4s (x:nrtl N_— <br />MECHANICAL __- <br />NO. TYPE OFEOUI►MENT FEE <br />PLUML11N0 <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />R CLOSET (TOILET) <br />_ ____ <br />MC-NHFIDLO_UNITS <br />TUB <br />FORCED AIR SYSTEMS <br />ORY (WASH BASIN) <br />_ <br />NEAT PUMP <br />--T <br />ER <br />UNIT HEATERS <br />EN SINKS DISP <br />_ <br />CLOTHES DRYERS_ <br />-�-- <br />ASHER <br />RANGE HOOD <br />DRYTRAY <br />WATER HEALER <br />HES WASHER _ <br />STOVE <br />L <br />_WOOD <br />METAL FIREPLACE (WOOD BURNING) <br />ING FOUNTAIN <br />FF <br />FIREPLACE R6ERr(wooD BURNING) <br />R GRAIN <br />GAS FIREPLACE <br />FLOW PREVENTERSGASRANGE <br />SERVICE - BAR. ETC) <br />GAS PIPING_ <br />E%HAVSTFAN <br />SUB TOTAL S <br />SUB TOTAL f <br />PERMIT f <br />_ <br />-__ <br />PERMIT- <br />- TOTAL FEE S <br />TOTAL FjF S <br />run UFFICE USE ONLY: <br />fM141 V1P4r. <br />MAP Srt11ACx <br />9M'f$BAC. <br />1'I •NI yIFn MU/Ilfa !r( <br />� <br />n11rA111n <br />nPF /OYF <br />IOI 4PU <br />VACANTFEES <br />FEES VALUATION <br />FEE <br />AIn I•Nt. <br />�—� � <br />.. _. <br />IkIWII INnI•rgY <br />YC Cr dHll✓q <br />WtP dUU•II <br />IMIi <br />n1Al� <br />, <br />UCllx'A\'.:I Y•.I •ual4 <br />(K,I:INMI(U4\ <br />AAVMY� <br />111q,n` <br />W,,,Aw,M <br />Orra Owl <br />.—•.... - <br />___ <br />fMl( SnNTlln P[O f1 <br />And1.NAI n AY •'•YI <br />Ik A4(y <br />n l,kP <br />h ••.. . <br />i <br />,• <br />I)kl4rnm <br />41A11 ninl•M1II HFk I,AIM1.f <br />_-I <br />nr4 <br />rvrc nr lo•nl—" <br />n•V4A <br />CITY OF EVERETT <br />h LOCAL SALES <br />-------- --- -1 <br />L .. <br />I,AIi( IZ-i "Qi TAX IS 31OS <br />AL <br />TOTAL 1 <br />- --- <br />- <br />