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09:33 AM EVE M PERMIT 5ERVIOM FAX K 425 257 8957 <br />APPLICATION F( 1 CONSTRUCTION PERMI� <br />CITY OF EVERETT • BUILDINU DIVISION <br />3200 CEDAR STREET • EVERETT, VIA 9B201 t257•B010 `il\) <br />Il DEMOLITION ❑ COMBINATION ❑ BUILDING 0 MEC"ANICAL =`PLUMBING TT SIGN <br />IPROJECT ADDRESS L 5� ? / J/ -7 ^d /1 <br />�ii:e0.ti{AyrNct4n <br />'iwwp¢{ <br />pn �" <br />I. <br />non' ei.r(4 . - <br />N.CnIyY.R LG�iInCTM <br />4nl Ahliir <br />RL'[Q IXYO IRA <br />YNItlMI{N <br />IX <br />p <br />11ID{ pa{{KrhO{. <br />LwIPA:iTaLi ri w• -. <br />_ <br />HEATIN69YSTEM: ❑OAS ❑ELECTRIC I] <br />AMO � ttwovoA tAalno <br />cP,IK'r nAfOMAWh#b <br />- <br />---- •--- <br />m"t,rmwo .w <br />1pu[ ocxnF nYi'of rPp'@n p4rAw.Rlaii O.iartA:4 Rv cmlll <br />Lor ,nrrx D: <br />I HEREBY CERTIFY THAT I HAVE READ AND CKANiNED 71415 <br />APPLICATION AND )WOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TIM TYPE OF <br />WORK WILL BE COMPLIED WITH WHETTER SPECIFIED )HEREIN OR <br />NOT. T74 GRANRND OF A PERMR DOES NOT PRESUME TO ONE <br />AVINORRY 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 AUIFIORIIED BY THE <br />OWNER OF TNI9 PROPERTY TO PERFORM THE WORN FOR m" <br />APPLICATION 19 MADE AND 1 COMPLY WI711 THS STATE <br />CONTRACTORS LAW EB ]T RCW AND 2942DO WAG <br />_ <br />0.`N 1N 'IKM�4W.rIOp{N{YCt41lIlM'tf. M'IOfP <br />GIE — <br />per M141E1@p� <br />PLUNBINO--� <br />IMECHANICAL <br />NO. <br />TT'PEOFFIXTUREORITEM <br />-- <br />FEE <br />NO, <br />TV" OF EOl11PNENT <br />_ <br />WATER CLOSET (TOILET) <br />NC-AMNDLO UNITS <br />SAINTUR <br />1 <br />FORCED AIR SYSTEMS <br />LAVATOnY(WASH n1tj <br />I <br />HEATPUMP <br />_ <br />SHOWER <br />f <br />UNIT HEATERS <br />KITCHEN RIM S DHSP <br />I_ <br />CLOTHES DRYERS <br />-- <br />CSNWASHCR <br />---_-- <br />_ <br />i <br />RANGE HOOD <br />_— <br />LAUNDRY TRAY __ <br />�CLOTmES <br />WATERIEATER <br />WASHFn <br />WOOD STOVE <br />URINAL- <br />METAL FMEPLACE MOO BURNING) <br />DnINKING POUMAIN -- — <br />I FIREPL.MZ INSERT MOOD BURNING) <br />____ <br />FLOORORAIN- <br />I <br />_- <br />GAS FMEPACE <br />_ <br />BACULO'N PrIEVEN rERS <br />_ <br />I <br />I GAS F"OE <br />- <br />SINK(SERVICE -. MR CTCI <br />TryixGA9 <br />PIPING <br />_ _ <br />EXINVFTfAN <br />-.__-.�-- <br />SUBTOTALL f <br />•_— <br />SUBTOTAL 4 <br />__ <br />PERMIT ] <br />TOTALFEE 5 <br />1'EOMR S <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />a <br />[rifts :TJf2 <br />-"' <br />ri(M'[iNU SY.II :[Ie.C[ <br />NAy LwEL.4Vy'1fp <br />rfi <br />2CU1'IM) <br />uff invw" <br />IOi.n.-- vv�w:4n <br />Mnl urro <br />FEES <br />VALUAIgN <br />iEE <br />ety.Pro <br />iKr,: [�M�Anw <br />tD OttmlllM <br />SIf(4hK.'ll <br />C -A'Ar <br />CAT <br />HIM 6�J1] <br />CLGI'All Icl <br />61iC4Wi <br />4FL4AMCk <br />r.•E I•At.uumDA <br />rcAwy - <br />I.'IpTCNµ R/H cxccr <br />p.n xwao rvrcwnce <br />nrcn co,a <br />nAM.rcmnu nr <br />me <br />CITY OF EVERETT <br />LOCAL SALES <br />TA% CODE IS 3105 <br />rmlcMot++ <br />TOTAL <br />