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APPLICATIOt FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • )428)287-8810 <br />!-i DEMOLITION p COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: 14 .ZOS S. 3�A vE. gzo3gkzo3 <br />ODz?— <br />APOWITO M CfvpWR <br />Y•iI NKw[sS <br />ON <br />l,r <br />r r <br />WWIINVAIRACTOA <br />4AA.MMSS <br />CITY <br />Iir <br />nA^r <br />SIAIL IK:f NS[• <br />WCNAMC4 CMRAACIW <br />YAM1 AMPE SS <br />ON <br />lin <br />PION[ <br />STAI[IKENSfa <br />PIIYflMG CO1IRACTM <br />YARAMMSS <br />an <br />Ian <br />p,KM <br />Sa1F1IWNSF• <br />CW IMCI PAC[ W WaIF <br />HEATING SYSTEM: XGAS ❑ ELECTRIC ❑ _ <br />CFSOAAFW . ANn SWAM FMIAW IRMITo <br />cWucl vl ns[W •rR1 nNMIu <br />:HF Gar✓"c <br />ll K ,Fnpsl W elnaxn0 <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 Wit 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 1 COMPLY WITH THE STATE <br />CONTRACTORS B 27 RCW AND 296200 WAC <br />LTV- <br />X�� <br />Ircu MSCPnIIONWMNFnttISNONN fluow oR AnACN IMO coP[s <br />Ipl- aOCF w <br />rvRcn m to Mnuw n ,� <br />03 oa7 6007 <br />C[WStaIctKIN HIM H'AAMn. ARMESS NUMKINE MMRFII <br />SKA.Ia1E u•N <br />OIYpURMSSISINSE Np <br />PLUMBING _ <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM _ <br />FEE <br />NO. <br />TYPE GFEGUUMAENT <br />FEE <br />WATER CLOSET (TOILET) <br />AC—MINDLG 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 WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />_ <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE —BAR, ETC.) <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL f <br />SUBTOTAL S <br />PERMIT S <br />PERMIT f <br />TOTAL FEE S <br />TOTALFEE S <br />FOR OFFICE USE ONLY: <br />SIW ulR•a IMAN Orca <br />"IF IMF <br />Im AMA <br />v[All yn <br />FEES <br />Or[S OMl <br />MlnnnEt <br />MlpninwMrpV <br />Nn O IMTllap <br />SII W TROST, <br />IIMIi <br />b 88 <br />PIMAKI <br />CCIAfl'•N-r Y.n.I,'vI5 <br />p[MO NI[OAD BASIY[NI <br />VFI AWAI _- <br />AWIMAI PANCNICK <br />Mn SN"'.UR;� <br />WASNA <br />_fin _ <br />_ <br />OIMn <br />IWAIANMPOp <br />of ASnV <br />p <br />SIAIf flI1n IMdI S1111CNAll(t( <br />--- <br />IN fK COR, <br />NA AA ?fnnr CITY OF EVERETT <br />Peuc wnwc <br />/ <br />A c LOCAL SALES <br />w- Q <br />�j�TAX <br />TOTAL <br />n•n . f CODE IS 3105 <br />_ <br />—_._ _—_ <br />,EI I I1FF[mi Np <br />