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APPLICATIOR FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT A BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT, WA 98201 A (425) 257-8810 OL <br />❑ DEMOLITION O COMBINATION O BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />1P�ROJECT ADDRESS:\\O V E,,, `y <br />1CN1N1 NAM 1001YSS CRY m MpNF <br />•RpSISCI OR OELO,IEn uAN INKINESS CITY !Ir ANy,T <br />GFNFnm CONTnAcvw M111 ACCAESS Illy }ir MNryE c1All IKfNY• <br />MECNAWk CCNTRACTDn AS AMIMSS OR )M MgNE ,.,F IICPAEA <br />rl WemCCORIRACICS Nul MATESS OM1 1A, T,NWF STATE IICII <br />CDNI cTr tEK wnnA <br />S 000 • Ottr N �� <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC <br />DCSCNBE WORN A(�D �ouA141Op11�[ NYgKG <br />CMnL1 M n50•. AM MCv! Np <br />A.C. <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 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 MACE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296 2W WAC. <br />(`�` �''L- v <br />X�QC�n�J Y%�J�O��.:M L\6 <br />rndosFR sE a RIrIUNa \ \ <br />�•ml��y C��. P'�^mac u •catlF\ <br />l6Oq scmrllw nIr ISNOMtl R[lOw on AnACN lwocmEs <br />lm MOCA 01 <br />rNKCl1AX1R N1noEn <br />a4ols 4ba o7ooa� <br />CONSIRIKTICNIOANI[NIX:R, A1ME55.tt1[MTOYFNWRFR <br />SKXoIUIE DAIS <br />CITY RIBNA SS tc"st NU <br />PLUMlING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE. OF EOI P%W <br />FEE <br />WATER CLOSET(TOILET) <br />NC—AMNDLG UNITS <br />\ <br />BATHTUB <br />_ <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />I <br />HEAT PUMP <br />1 <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK 6 OISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />META). FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFL OW PREVENTERS <br />GAS RANGE <br />_ <br />SINK(SERVICE — BAR. ETC) <br />GAS PIPING <br />EXHAUST FAN <br />SUBTOTAL S <br />SUB TOTAL f <br />_ <br />PERMIT S <br />PERMIT S <br />TOTAL FEE S <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />I PON, ,ls.CA <br />MAP SFIXACR <br />NCC SCIRICA <br />nMOCCA UNANA! <br />!FF <br />MCfm„p <br />um <br />_ <br />IOIAMA <br />v1c1v1 NlF <br />❑YFS O W <br />FEES <br />VALUATION <br />FEE <br />RIMD1Nf. <br />i OY7 <br />IIFNWIl1uI1AlION <br />FANCY MJ OI SITEf <br />nOI mumMIE OlNMn1 <br />IR <br />CLCurAMI ICAO BASF W IYI <br />DIES ONR <br />MIAMNO <br />NFCNAN1CN <br />__ Fy Od <br />i <br />ApOIpNN ryAN OCCA <br />FIRE SMPMRtR 1E0D <br />MARO,1 <br />GIMP <br />lliE AlA11M PEU9 <br />MARON <br />c1A1 f M11 MIT SIXSCN1 E <br />ST <br />1rMVLovsr <br />MANS lnwoKPeY <br />OAT( <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS J105 <br />nIRI lr: xonls <br />— <br />TOTAL <br />I/ <br />1 —` <br />