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APPLICATION FOR CONSTRUCTAN PERMIT <br />CITY OF EVERETT I BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT, WA 98201 • (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION KL BUI DING El MECHANICAL Cl PLUMBING Cl SIGN <br />PROJECT ADDRESS:- Z/ZSyy.///S� <br />.)/'7y <br />„4oHer s`zr 7113741;?0 <br />PI.JWNG CMIPAI--1M 4M14g1F Is CITY ZIP PN r 5Utf PCFNSrt <br />CONMACI IWE Or4Mvl11 <br />PyIJ OOO <br />1I <br />HEATING SYSTEM: ❑ GAS 6ELECTRIC ❑ <br />MiCPIPr MV11N PN SO11xPE r(IDI NYpIVEO <br />C.IECYN MAr Y� <br />�/2S8eYv8dbV <br />2 AJeell 7, 1;,dldilf G wt4 <br />1— <br />C�I11Y,1 S Ts �IrL <br />i HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />AF ILICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WIU 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 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 />CONTRACT SLAW1827 oW D 296 200 WAC <br />/ <br />X Z�Z Ts <br />rralvtrotlal w nuxaw <br />�ff?I v iCeM.I-�!' <br />l rr.Al rnsc PIwNwlNgrxnry lRKrMIPUDwMAnAcn lWO ca+LSI <br />for PIMA or <br />Pu Ft III ID MMMII <br />cnN�NI1r,IICIIONIwN1FMflFn. ADMas rzlEHKrrt NwnFn <br />V`..ArtQ <br />M UxR <br />iI <br />CYEY WYNEs$ lfrN[C NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIKTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EGUIPMENT <br />FEE <br />WATER CLOSET(TOILETI <br />A/C —AMNDLG UNITS <br />_ <br />BATHTUD <br />_ <br />FORCEDAIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />NEAT 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 (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />DACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE —BAR. ETC.) <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL 5 <br />SUBTOTAL s <br />PERMIT s <br />PERMIT $ <br />TOTALFEE S <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />I mN1 risvC <br />PrAn SrIWK <br />SICC WIRAM <br />MI. CIKCx 1wLNgfn <br />�) `) <br />IFF <br />Pr LEMi NO <br />DSE tour <br />101WA <br />vK., RIt <br />Offs Ow <br />FEES <br />VALUATION <br />FEE <br />Pwnw <br />!rbirb <br />ICKJII I M1AIgM <br />w Of DNTLDw <br />(MOP <br />54E M Nn6'II <br />N.r4IINr1 <br />—� <br />��c <br />OCnI�»AwI <br />Nn rN rllwls <br />IX WANT LOAD <br />0115F4EN1 <br />DYES ow <br />41 f,NKHIf.N <br />— <br />ADDIgNAI nw DOCK <br />— --- --- <br />r,R[$ITIOMIFDMO'D-- <br />Irt ATOM <br />_ <br />O1MFD <br />I NENARMIIW0 <br />WA%" <br />IlA1rRIIIDMItAn .AIgE <br />- <br />1i= <br />I'M MCDNPI <br />MANSAIvmnvrn Pr <br />IIAIT <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />ruwmvANKP <br />-- --- <br />-- --- <br />-- — <br />TOTAL <br />