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APPLICATII% FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT R BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT. WA 98201 R {425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL PLUMBING ❑ SIGN <br />NMpMI uu AM Wss all np P F <br />AMM1ELiMM5Ka14n VAR AMRI CI1Y )m M(ryF <br />aENEnAL CON1PACiP1 VUI ACMESS all M' n"C SIM.ACM4• <br />W6uKKaLaNinAC1W VAR AMAIISS UM1 EI` M104I MAU IKENSEI <br />Mu. VOCONn1R.I.Im VAX MRSS an ZIA 1r f SIAtE 1 SEN5EA <br />/7H ElykC <br />Ca.mAcl M.ct M Y.onB <br />— <br />HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br />nEy'IBBF WJRX AMls AW FaIAAR NIP(XWb <br />CMIACI N A" A. p MaMl Na <br />A �) <br />I HEREB'. CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW 711E SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVE RNING T 111 S TYPE OF <br />WORK WIIL 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 I 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 1627 RCW AND 296 200 WAG <br />��� ('} <br />z / i. �Q/17��o-`2� <br />fro 4P U4 M IAAUXAI �5 <br />AEwA MscmpllplM tRrorcnM IBIgNm MlowwAn.cN rMV COMEM <br />lot BACK. M_ <br />tupc0 to Io MIMMn <br />CONSIMICTIb110AM1EIfFP ACfMR55. I[l[AIP'1f M14PFn <br />__fnAAhnnll OAII <br />COY BU,M, 5s t"E SE NO <br />PLUMBING <br />I MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A(C—MINOLO UNITS <br />BATHTUB <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 />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHE A <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />13ACKFLOW PREVENTERS <br />GAS RANGE <br />' <br />SINK (SERVICE — BAR. ETC J <br />GAS PIPING <br />EXHAUST FAN <br />SUBTOTAL S <br />SUBTOTAL S <br />PERMIT a <br />PERMIT S <br />TOTAL FEE $ <br />TOTALFEE $ <br />FOR OFFICE USE ONLY: <br />r IX1MI Vfp4R <br />MpP 4Iw. <br />SIM SFIR.CB <br />M1ANCII[CR 4MEP <br />IEE <br />MCFAMA) <br />01F/arr <br />10, Art. <br />MACANI SIR <br />FEES <br />VALUATION <br />FEE <br />plAnVn <br />�— <br />( <br />DIFS ONO <br />1[IGIIEPMt.1gN <br />WPPWUm <br />WEMBIWRI <br />I <br />1MIB <br />M1IIVpMIi _ <br />_��� <br />yCi A[In51iYlY <br />p'FITAMIEO.O <br />BAV.FNI <br />AAHMANA'AI <br />-- <br />OHs Ow <br />APdIBMN MAN VIC. <br />AMIMRUAA1MIKaP_-_ <br />AM <br />W.4M <br />O1NEP <br />j <br />- <br />FAIEAUNNmOD <br />MA" <br />BUN Mn1YIn SIXICMAIM <br />' <br />F— <br />ImEMrpKI <br />MANRAM.gYFn6. <br />CRY OF EVERETT <br />nmr wnu.B <br />_ <br />LOCAL SALES <br />TOTAL <br />I <br />TAX CODE IS 3105 <br />oAlt <br />