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APPLICATIOt FOR CONSTRUCT& PERMIT <br />CITY OF EVERETT R BUILDING DIVISION <br />3200 CEDAR STREET R EVERETT, WA 98201 R (425) 257-8810 <br />[_i DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: <br />+rKMt[CIQII CELGNLn 4IX rAMIL55 <br />M\14PN6 C'WIpArigl 4N App1L44 OTY )In vNpNr SIAT IIKENU <br />CoNInACT pmCE OF UOgI HEATINGSYSTEM ❑GAS DIELECTRIC ❑ <br />M$CgBE YAIIKL+ND $WARE tODtMIF NYQV[D <br />fell+.;[ ITn5p1+Nn I'INMr NO <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW TIRE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TH 3 TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION THAT 1 AM AUT14ORIZED BY THE <br />OWNER OF THIS PROPERTY TO PFRFORM THE WORK FOR WHICH <br />0PUCATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1627 RCWAI10296200WAC <br />/r �r /J <br />A/-�`�/ <br />Ppentro Us[ a mmggl <br />[[DAL rHSCplpinlna Pna'[ntY I910MM B[[OW W+n¢NtwDCOAL51 <br />tol mates a— <br />ruKa l+nD 41M n <br />!G>7 DOq 03� Ooo <br />CWsimICtKYIIO+p HNOEn. +OfM[S4.[acggllE NU4p[p <br />sKNuvm Du[ <br />CnY PULKSS lK[M$[ Iq <br />PLU.ABING <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 />AIC—MINDLG UNITS <br />BATHTUB <br />_ <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 />_ <br />DISHWASHER <br />RANGE HOOD <br />_ <br />LAUNDRY TRAP <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />MFTAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />_ <br />— <br />EXHAUST FAN <br />SUBTOTAL f <br />SUBTOTAL f <br />PERMIT S <br />PERMIT f <br />TOTALFEE $ <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />IININIVTRALR <br />"An SflsIL <br />LIX SrIP+CN <br />MAN C16Clmf AYU t5 <br />ds / <br />rrr <br />mll"'NO <br />USE ZONT <br />ID1AMA <br />VACANI Wr <br />FEES <br />VALUATION <br />FEE <br />PUNOIN(4 <br />OITA 0 NU <br />1¢gI1111411A\qY <br />Wo or mum <br />IMIA <br />sin a KovH <br />MI14111NG <br />I <br />I <br />Og1�ANrr <br />N1M1Silals <br />DTFINI 10.0 <br />BAsr4[MI <br />Or[s ONo <br />4rCNANK.N <br />ACgllmun.09C. <br />nm sINNXIERRfpn <br />mAsoN <br />OINrR <br />rpw NANO PTO, <br />mAtOV <br />SIAII RIXI p'Nf SInICIItRnr <br />( 00 <br />Iroral:alsr <br />MANAAtppovrn PV <br />CRY OF EVERETT <br />mffl'W nA <br />ooL <br />LOCAL SALES <br />TAX CODE IS 3105 <br />TOTAL <br />�(o <br />