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APPLICATIA FOR CONSTRUC7ftlN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERE FT, WA 98201 A 259-0810 <br />❑ DEMOLITION fl COMBINATION �� III BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECTADDRESS: � 4�,"'Ij 1.' -I . I CVL'✓Lfl UIGI <br />LECIUMCAl CUT I DACIOD MM AVOV 5 CITY 1p PIAMR STATE IKEMCI <br />CII(' jp ngll[ SINE LCE"n A <br />I..- / <br />-'jh(LK <br />YWN [i F lti'.0isl U lyl. Watt <br />-ixile[v v»Nr <br />canmAClrrucF or VIOVK i <br />Il/`72- <br />HEATING SYSTEM: ❑ GAS P-ELECTRIC ❑ <br />DEscrxeF rn'nu AND sOUAnE roolAGE rrvavFG <br />Consl/Mct SF� 149041' <br />cOvuct .rnsw AND nq,a NO <br />TOT j <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 WILL BE COMPLIED WITH WHEIHER 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 On THE <br />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY TIIE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LLAAAWWI IS 22111 RRCW AND 298.20G WAC, 1 <br />��//�✓>.r`;/r"s=! I C CI <br />NADOSEOUSEMlMp10¢ p <br />..J�[� <br />IEGALDESCNrimm PIT v EnIT ILICGN erlavrn r�nAct, <br />Lot •urn p i (AT nR U'"JCL L <br />3a a� ot� os43 -CC I <br />PAIICFLIAOO.MNe[n <br />L'ONS1MK1gN10ANl[MIEn.AOME55.[H[nMMI[MMBFn <br />SgN111111C VAT, <br />Ty �, /y/ . �` <br />oo 2- <br />CnY pU51,[SS ItbSC rq <br />MECHANICAL _ <br />NO. TYPE OF L UIPMENT FEE <br />T <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE On ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />NC-MINOLG UNITS <br />BATHTUB I <br />' <br />FORCED Ain SYSTEMS <br />LAVATOOY (WASH BASIN) 1! 1 <br />i— <br />HEAT PUMP <br />SHOWED <br />_ <br />UNIT HEATERS <br />_ <br />KITCHEN SINK A DISP <br />CLOi11E5 URYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WAIEFI HEATER <br />�- <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) _ <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />_ <br />_ <br />FLOOD GRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />' <br />GAS RANGE <br />' <br />— <br />SINK(SERVICE- BAR, ETC.) <br />r— <br />GAS PIPING <br />EXHAUST FAN / <br />SUB TOTAL f <br />I <br />,iA SUB TOTAL I <br />PERMIT f <br />PERMIT I <br />_ <br />TOTAL FEE f <br />i <br />IOTALFEE I <br />FOR OFFICE USE ONLY: <br />I'VONI SB1GAC�r1. <br />n[M Sr IeA[e <br />SIDE srle n <br />NOKQ MMnrn <br />rir p,S <br />nRfiPr NO <br />USE FONF <br />to, lD <br />j CJ <br />rACAm sn[ <br />CITES 0 v0 <br />FEES <br />VALUATION <br />FEE <br />—�— <br />oUIDA,D <br />77 701 <br />I <br />_ <br />11[gIII lIM11rrON <br />UVID re l« [VINO <br />SIZE MeII%YII <br />t'77 ZU 1•f <br />n14e°0 <br />--•r—�- <br />) <br />—f— <br />MNCr WnHmis <br />OCCWANI LOAD eATERIElrr <br />wcTA CAL <br />U• 2 <br />rXa srr[NllEnn[Go <br />OYrs <br />nr+sal <br />AmIgNU RANaece <br />i-- <br />OONn <br />r,VE.n[GO <br />REASON <br />SIAI[ pgpMI VWDAnGF <br />IYnarovsr <br />nnvs NrnovLOnY <br />CITY OF EVERETT <br />nrelK:lvlles <br />-- <br />�- <br />oqt v3 np <br />LOCAL SALES <br />TAX CODE IS 3105 <br />TOTAL <br />-- <br />