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APPLICATI0% FOR CONSTRUCTIN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET R EVERETT, WA 98201 • (025) 257-8810 <br />❑ DEMOLMON ❑ COMBINATION IQ-BUI DING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />- <br />PROJECTAppoo <br />RESS:_ Z L 1 <br />Ic"',I 4M PI ss Gll bo `C <br />AnL*TFCl Cn bFYVnn NNMFSS 01Y Po ruy,f <br />O'Nf n.I CO"f I1Fl:1(}I NYIADnn155 CITY )�t Iv11N1 GI\II I.Cr NSf• <br />(o l2ti 04YKi lol •T 3f14AU' 5` pF $y- 973.3U8 .. _337-31FS7 6LFN0144 087J4 <br />MIC...n.C.L Ct IPAtlU ...'. PF55 CIiV . 1 ru'JN( STAY LICFNSt x <br />ar 77ATi $%,a Aat <br />4Vl1mmss all l�n 1`uylf SIAII ISENSI <br />i�ls�l DIn ftun61'. SWI+ <br />CLIW InYI IYnC( Ufl A— <br />J�0 C) <br />-- <br />S ❑ EL�CTRIG ❑ <br />HEATING SYSTEM: SGA_ <br />[nE1ry nx."n SMIAOI I.,..r Mvd Kn <br />�� l�rN� Iu•sl ss, a <br />CIrvIACI iY FIS NAnn M"'Ivr NO <br />ew O�Ftt 7�! <br />5 ✓ <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 WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />HOT. 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 PERFORA THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS I AW I627 RCW AND 29620D WAC <br />o - , /as `i Sl <br />X/O/�/A/� <br />NNKns« v Dr nuul.xr <br />1« a mxr mm�vl of rMVEnn INxDMM MtowwAnACN rwD coMESI <br />Ma. or <br />P 11 ID MMRR <br />�_ osa Si oaa oaoo <br />cC ,IMI'IION IOANI[MIrn.AMMCS9. ttlFMIpIENWIIFnttLFI.KINE NUIP[n <br />E•fNAlI11O n.q <br />CIIYMIVM551[[Ntt NO <br />-- —_ <br />PLUMBING -- <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUNIMEMT <br />FEE <br />WATER CLOSET (TOILET) <br />AA: — AMNDLG UNITS <br />( <br />BATHTUB <br />FORCED MR 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 />i <br />CLOTHES WASIIER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING( <br />DRINKING FOUNTAIN <br />FIREPLACE INSERTMOOD BURNING) <br />FLOOR LRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK(SERVICE — BAR. ETC.) <br />J <br />GAS PIPING / <br />EXHAUST FAN <br />—t' <br />SUBTOTAL S <br />PERMIT S <br />SUBTOTAL $ <br />PERMIT S <br />TOTAL FEE $ <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: X7s./-P At'A'A/'. <br />I.nNl VIp <br />2S/IX <br />NIPACK `MANCIIECI�P <br />M7I R <br />IFE <br />S7G <br />MCnPf NO <br />use to"j.� p <br />I� V <br />IEa IKA <br />vK.W PIE <br />DIES OM) <br />FEES <br />VALUADON�FEE <br />PUIMNf. <br />GIP '1G�'E('3 <br />Kw.",HUD / <br />ZCR <br />AVIp pW[II�NI <br />SUF CIMW I <br />2 L 553 St <br />—~L <br />- <br />OC�CIITANCI YI fY SI(V.lS <br />iRCS iFLIP p[OL <br />P'.CIIVANI IOAII RA5 M,N1 <br />11f SS[YI <br />4f1:NAMf.A1 <br />An0111(MAI.MAM CWQ <br />— <br />onwn <br />I <br />IME.WRILOD <br />Pf ACO" <br />Sf11I nIIRPNn SIIIICNA�r <br />A c <br />U - 'l� <br />----.� n <br />IlMaco l <br />,)(_[y <br />MANS.nlwOvrnnr Oil <br />D.It .5 8 <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />MMlr. wonPS <br />TOTAL <br />---' <br />Z <br />