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APPLICATA FOR CONSTRUC&N PERMIT <br />CITY OF EVERETT P BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING SIGN <br />PROJECT ADDRESS: 3SY/ 7Y'4�K1'.�tP /;aF. �(/G/pE7� Wes. 9�L <br />/J I, R•n,i<, LI/nn bAw t(-// ».../.ter fit_ r�0,erp-t7 wA. V, l 2-12t- 319-0/OU <br />.aLMI1;l On Irt4GNa uul .lVrar 55 CaY !�F r'aRF <br />n(M[a4 Cm11rKiprl u.il .IXlal SS Cnt lil' Allryf t11111•f[N54. <br />C4"7/t/cf-t Cn•Vr/( (7,1K oz/y y4 o x,, r✓, -/14- 1"uF4r-77, �M,$Ps44 zo7Esfs c.,lyoD <br />11114" f4. TRIWRf vut.tb f55 O.Y t✓' Prga( tuN IKFUSt• <br />LVr6?N/17ron/�Lc s/Dr/✓ cv. — _ --- <br />PunKlW,coala.non uu, AovKss cn. nn TyCM vnnlcnu. <br />coRrnACI T1PCI <br />HEATING SYSTEM: ❑GAS 0 ELECTRIC ❑ _ <br />M WR.lF. �lli W.Pl rtalbt WVIXvto <br />=v-rf+Lc zw4%yN/i7v -lsIc/rr/ Do Fine- <br />cMl.fl S .M1 �l W _-- <br />%Y/r <br />Aif� CAI/iurT rice/u W/�/I ��I%• <br />I HERFBY 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 Wit L DE COMPLIED WITH WHETHER SPECIFIE7 HEREIN OR <br />NOT TINE 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 T1447 I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MAOE,AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW I RCW AND 2962(10 yIAC <br />T.arov o on oI I'll" a / <br />S/ N <br />Ifc•I rKscalmlmar,roMRn lsacvm MlOY: oR m.cR rxocm[s <br />lol Six. a __ <br />""Ilino AAn/ <br />C-(JOU-S/G- <br />CI .TWXTKHIo.MIFAPHi t11nt%S <br /><SK.IIKK out <br />CITT WSMFS5ICINV NO 'Lla ((f(. /j Z <br />PLUIUI/IO <br />MECHAt11CAL <br />No. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />No. <br />TYPE OF EOUMMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A4-A/HNDLG 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 />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />_ <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />r <br />--� <br />SINK (SERVICE -BAR, ETC) <br />GAS PIPING <br />EXHAUST FAN <br />TOTAL f <br />SUB TOTAL f <br />PERMIT S <br />PERMH S <br />TOTALFEE S <br />TOTAL FEE S <br />FOB OFFICF IIRF ONt V. <br />r MNt ViP.f.rt <br />P(.P N1R.CrI <br />51pt 5(IR.C,. <br />M1.M CI C. MWRrP <br />Zoa9s <br />Hr / <br />,3.3 <br />P[frrPl Np <br />use tour <br />LOt AMA <br />v.u+I SIH <br />DY(5 0M1 <br />FEES <br />VALUATION <br />FEE <br />RW PrM: <br />aFIMIt IIVITHgv <br />rq OPM 111NG <br />IWiI[ <br />SV[IX RnGn1 <br />g1I1KIWn <br />WI;MAMCAI <br />I <br />- <br />�1n Arr(.Y <br />Yr lY AriY1) <br />lK'CIrn.M110.[1 <br />RAV MIYI <br />O[R DWI <br />AWI"A1 (1MAIIr C. <br />(WE SrAnAIfPPfrtD <br />MA.. <br />Inrxn <br />FIRE ALARM PLO <br />un n.rn unvn slRtaAlln[ <br />- <br />,c, <br />IYM <br />oul 5 <br />CRY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />na�Ic wives <br />-- <br />-- — <br />TOTAL <br />