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APPLICATION FOR CONSTRUCT& PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 9=1 • (425) 257-8810 <br />❑ DEMOLITION ❑ �CO,M��SSM MATION R( SUILD❑ MECNANICAL ElRLUM811NIG \❑ SIGN <br />PROJECT ADDRESS:-1.�2LI N)J S-T .,. _ Cis? _ <br />1[.UNr .W .POESS Gry l� NIU(5 <br />APCMrtcI OR uvcNER Aw AmREss ary nr IN.PN <br />nwr�e� <br />r:..�.�rlv.ln.crrn rul .ofwEss cn. r»• MUN sort (crvsE. <br />cEIRIRAc"N.a a woR+ <br />"EATING SYSTEM: ❑ OAS ❑ ELECTRIC ❑ <br />µp EEIJrA� <br />(�P <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 COMPUEO 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 />OT: MR STATE OR LOCK LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT 1 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 />CONTRACTORS LAW 16.27 RCW AND 216.200 WAG. <br />INKrosFOIrsE a wno-Mls <br />teOAt OEscnwrgNangraR1+rY ISM7Ms ssO at AnACK nNIEPKH` <br />t04'41 1 11 xaxN <br />RARr:t 1M O MI+INP <br />rgyy} t 1 FnnrE A <br />lv �,�r� C <br />�� wl[ <br />tan IusFcss ticcxH ra <br />PLUMO MO <br />MECHANICAL <br />MO. <br />TYPE OF RXTURIE OR REM <br />FEE <br />NO. <br />IYFE OF lOUr6/IT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C—AAIIDLO UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <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 />_ <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREF J .E (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT WOOD BURNING) <br />FLOOR DRAIN <br />GAB FREPLACE <br />BACKFLOW PREVENTERS <br />GASRANGE <br />SINK (SERVICE —BAR ETC) <br />GAS PIPING <br />-- <br />EXHAUST FAN <br />SUBTOTAL <br />S <br />SIIB TOTAL f <br />PERMIT <br />f <br />PERMIT f <br />TOTAL FEE <br />f <br />TOTAL FEE S <br />Fno f1FFD`F IISF nN1 V. <br />I nPN1V <br />PEAn 5El1Y[+ <br />$Ia SFrI+CN <br />1 <br />nAM C11f CR MINYR <br />� �Oi�� <br />EF <br />r/O� 5 <br />REf511'rN <br />USE tof <br />IOLAMA <br />YACANI WE <br />OHs ow <br />FEES <br />VALUATOR <br />FEE <br />fftM . <br />a <br />NI(PIf1�1VIlAllpM,r <br />Cyl <br />"Ills IM'ffflN6 <br />SIi OZ sF <br />R IMMP <br />- -- <br />T- <br />OCC'1MA4Ov NJbfRNn15 <br />lKCul`+HI 14.P I+GOON <br />❑vE5 �4 <br />4fCNAYN:4 <br />FIPES NMER11EO'R <br />of+Gfn <br />IPPIIMM+I r1 AM C11FCN <br />OINR <br />M1PE ALARM PEOD <br />nryvpv <br />ilAIf IIIItouO 5lmuurPf <br />CSC <br />irl'E EK rfr+sl <br />nnvs+rlwrnfnn <br />CRY OF EVERETT <br />nlu r.Rrn+S <br />—y <br />out 7 -7 <br />LOCAL SALES <br />TAX CODE IS ]105 <br />TOTAL <br />