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APPLICATIC4 FOR CONSTRUCTININ PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT. WA 98201 •259-8810 <br />❑ DEMOLITION ❑ Y�-�, <br />COMBINATION / Jwyt`BUILDING El MECHANICAL ❑ PLUMBING❑ SIGN <br />PROJECT ADDRESS: 1 % 1 � I 1 ,- ,-n , A,I L �� I-F%%- iL X / GF`� I <br />/• CONTwi P1xCF OF YA1U ' <br />l�Y_ HEATING SYSTEM: GAS ELECTRIC ❑ <br />pESCNBESH W xnOSWMf I00[Wf Iv0.vta <br />t <br />C-ACIIrnsDR.1~ <br />r7S (o� Woo <br />I HEREBY CERTIFY THA 1 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 MILL 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 15 MADE AND I COMPLY WITH THE STATE <br />CONTRACTO $LAW 182TR AN 62DOWAC <br />j 9�61F6 <br />1 <br />LEOAL ascmPTXrl or PnaERM mFawn e[Eowan AnAe IYAICBmEA <br />DOE place p <br />PAISCE Tum MAm[R <br />° <br />COnSnKICiKfn IOAN IEMKR ra[nnTrE MNO[R <br />IBMFSp <br />$IGp/.rME J Ben <br />an pusN[ss LA;Fnu no <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />_ <br />FEE <br />WATER CLOSET (TOILET) <br />A/C-AMNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />_ <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 />_ <br />CLOTHES WASHFR <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />a <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE - BAR, ETC.) <br />GAS PIPING <br />EXHAUST FAN <br />SUBTOTAL <br />f <br />SUBTOTAL f <br />PERMIT <br />f <br />A <br />PERMIT S <br />TOTAL FEE <br />S <br />TOTALFEE f <br />FOR OFFICE USE ONLY: <br />'"',FMux <br />n[xn V[MCe <br />SimSTp/tx <br />nxnaecKMNRrn <br />Et <br />PfcPPT NO <br />um ZONE <br />IOIAPLA <br />vACANI VIE <br />FEES <br />VALUATION <br />FEE <br />BImr1`ND <br />O <br />❑S[p ❑ 1q <br />H[IGIHIIVDATION <br />ENTLEMG <br />SNEO'KINE I <br />IOF <br />LNO <br />X(s-( 'C4 <br />PI MNG <br />{ <br />OCCUPANCY Igpfll AS <br />GCCUMNT LOAD <br />BAE[MEHI <br />WINAMLAI <br />Z <br />❑tts <br />AaNtIONN hAN C1etK <br />ImE SNtlM.L[R MOU <br />nfASM <br />mlrtn <br />nqC AlAnM pEG'O <br />nI ASOI <br />tIAIt BUIpN(t SIInCIIAIK.F <br />�/ C% <br />rvm O'CONST <br />NANCAEPwj pv <br />CITYOFEVERETT <br />Nmlr.vvam5 <br />�111(i-III <br />uAn O (a <br />LOCAL SALES <br />TAX CODE IS ES3105 <br />TOTAL <br />