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APPLICATA FOR CONSTRUCT& PERMIT <br />CITY OF EVERETT P BUILDING DIVISION <br />KDO CEDAR STREET • EVERETT, WA 98201 • (425( 257-8810 OL <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL TL`PLUMBIRG 0 SIGN <br />I .. <br />Ir c(5 <br />,t..'O Y.M1 1r[YY 55 fnr )IC PlrTrf <br />.PLMIFCI OP DESIGMK' WrI .MFl55 Crlr )T IwI <br />OtMnµ COlrpActm ..".NR ss In♦ pr ,.,E [4111 Kr N5FI <br />LFCIUMCAL cwwrW UAt ALEMSS nry )nr nVlr 11.11 tICExSt. <br />AtPMMGCONIPACIOO Y.'t MM1[SS CNr <br />coxw.cl rMct M MOPII <br />HEATING SYSTEM: O GAS ❑ ELECTRIC ❑ _ <br />M Pr n ANn sous[ rpOT.OF srvavtP <br />IT f xYK <br />owr.cl rtPsnx A1n rNGx Np <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 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 />CONE LAW I827 RCWAND2PA2 WAC <br />�SkL tI ot -]l�jS— <br />wnmosto tME a MMIMM <br />LFOM OESCWPON M PPM'EMIY IN1o+m MEOM EM An.C« 1MO tofu S1 <br />tol MOLA 0r <br />P.PCR,A 3da n. �n <br />Mr1slMn:nwtO.ulrinFM AtKntss nUr.KKM «In.Ktn <br />xGNMUMt u.lr <br />rrtr euW as It[«u rq <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF EOURMBFT <br />FEE <br />WATER CLOSET (TOILET) <br />AC—AMNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />_ <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 />DRINKING FOUNTAIN <br />FIREPLACE INSERT MOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR, ETC.) <br />GAS PIPING <br />EXHAUST FAN <br />SUBTOTAL S <br />SUBTOTAL S <br />PERMIT S <br />U r <br />PERMIT S <br />TOTAL FEE S <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />I IIPNI KTPA" <br />MAP SF,SICR <br />$IMMIP.LN <br />MWCII(Cn MWPFP <br />1(F <br />MrFM1 NO <br />�a <br />n,t 7ON1 <br />101 AM. <br />Y.C.Nt RIE <br />FEES <br />VALUATION <br />FEE <br />PMIIMA: <br />_ <br />T— <br />Ov[S C NO <br />141G111 OVIIAI" <br />NO o, u,MttlNO <br />FOE OF RDGRI <br />IIM1[ <br />nlluprvn <br />�- <br />•- <br />OCl'lIF1NCY Vn MSlfgfS <br />OPpn <br />IXLITANI IO.D <br />01Sr4EN1 <br />N(I:NAMK.AI <br />OYES Own <br />AOOIK14.11Y AM CIw CA <br />- <br />Fg1t 5PIP11[ISP MO9 <br />M.iW <br />0111FP <br />--- <br />I wt At,w MOT <br />WASOr <br />[IA11 MMOATSIM.A" <br />•'M OF 1:W,t <br />A.xS APMrovrGer CITY OF EVERETT <br />nlnur. wOn+< <br />�— <br />LOCAL SALES <br />TOTAL <br />-- <br />TAX CODE IS 3105 <br />GAI[ <br />