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APPLICATION FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT. WA 88201 • (425) 257-8810 4L <br />Cl DEMOLITION ❑ COMBINATION ❑ SUILDINO ❑ MECHANICAL ❑ PLUMSM .k SN]N <br />PROJECT ADDRESS: Nlol RA/ AS-_ <br />w< <br />Ora. y <br />L,y""di - r.ti <br />li—IMNI <br />4414%`I1r 55 <br />GIV <br />!f <br />Pr�CMF <br />NT/R— <br />Illlavrr Cl Oq rl[yal.ln <br />uAn A011nl ss <br />crtV <br />rvr <br />rNt1M <br />a :-InAClw <br />4.x I �a#Ss <br />ory <br />rlr <br />m.m <br />nW//sun YQ txl wlt IM / <br />we coNlPAnoP uul <br />I!La <br />cmtwlvvclorwcry <br />/ 3.000 <br />HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br />IXscPlPr vgvlAal :WAN raorAOF wVClWO� <br />co4r.c1 nnwN uln rNanT .n <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />CIA <br />T' <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />-vPovosrooT 1 <br />=dN'ny.- �� <br />WORK WILL BE COMPLIED WITH WHETHER SPEOFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />lsail oTsrmvrloN or r+lav[Pn lsNv«N PilawwAnrtN two cd+ls <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />wt P.oca d <br />OTHER STATE OR LOCAL LAW REG(AAT"13 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 18 27 RCW AND 294200 WAD. <br />FAIIC[L mlo xlA.Pfn S6'dl-o! - <br />/0� <br />CWstP11`CtIaAN 1i5. Rlldlanf MIIAIFP <br />sxrw-Li1 �uN wrc <br />Gir MISM[SS LCINs[Na <br />PLUIIEMIO <br />YECHAMCAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EDUPMOff <br />FEE <br />WATER CLOSET (TOILET) <br />AIC-AAIF/OLG 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 DVOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE - BAR. ETC.) <br />GAS PIPING <br />EXHAUST FAN <br />SUBTOTAL f <br />SUBTOTAL S <br />PERMIT f <br />PERMIT IT <br />TOTALFEE f <br />_ TOTALFEE S <br />FOR OFFICE USE ONLY: !' <br />I M»1i V1MFll <br />NIP SriPKR <br />GIX NtPICR <br />M1ANGN[a NINNn <br />VSF lUYr.� <br />Iol A11fA <br />Y Nl 91T <br />FEES <br />WIN.. <br />-Z <br />OVrs NO <br />1.[ION111411AINV <br />Na Or lNVfl11N6 <br />[II[ [X MW'll <br />IMIt V � <br />nIMIMfI <br />411'nAHf.l <br />OCCITANv <br />4t1 (. sl.'Wils <br />IX:(IIrANl10.P <br />PA[FIRHI <br />f.IN1M <br />O•ts OM <br />_ <br />Ind11MAI nAN GRf. <br />rIPf SPPIM.ILP PEO'0 <br />PfAGM <br />fIPE AIARMFI00 <br />WAS04 <br />s1A1r PNF 1V11 SIPK,�trR:r <br />_- <br />Irri Ncdlsl — <br />nA Aovranr <br />CRY OF EVERETT <br />nmlr.wdvc <br />LOCAL SALES <br />-'--- <br />n <br />TAX CODE 15 3105 <br />TOTAL <br />Z. •O <br />