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APPLICATI00 FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT • BUM.DING DIVISION <br />3200 CEDAR STREET • EVEREIT, WA 99201 • (425) 257-8910 <br />❑ DEMOLITION ❑ COMBINATION ! BUILDININ G ❑ MECHANICAL ❑ PLUMBING 0 SON <br />PROJECT ADDRESS: 14 Z-32- %2Mrxl=E2 IAJ16 <br />WCNAWAL tcwm r u•n•OOtF SS dTV M PIUNf ITAIF tICENSE• <br />A 11AlMG CONIP•F:rg1 Y•t R(CfYSS dtt IT, P11PR STATE t ICENFEA <br />CfMr1UC1r EMmOltt <br />HEATING SYSTEM: Cl GAS C7 ELECTRIC <br />A��scng rtwwRNNoswAPE saoTAOF MvotvTo <br />CKi�]ELE1� <br />ACT rtPsoN• r1,oNt.n - <br />J- B <br />I HEREBY CERTIFY THAT 1 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 CONSTAI ICTKIFI OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNE F THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />AP A ION IS MADE AND I COMPLY WITH THE STATE <br />TITS LAW If Y] RCW AND 2Ff Z00 WAC. <br />K <br />RPOnouO usF <br />IFOAL OESCI,et" OF PPOTCPrr ISHpry wvmW ATTACH COF%Sl <br />Aa Noct a <br />1mI1LFl lu l o P - <br />dr7 0� <br />CONSTInICFIONIO•N IFNfIFR IlOP1F55. RlEPId1FMMFP <br />ouc <br />do RNSRAss tCENtL w <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR MM <br />FEE <br />W. <br />TYPE OF EOUPA Eff <br />FEE <br />WATER CLOSET (TOILET) <br />AtC—AAIM]LO IAATS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />_ <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />_ <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 DRMN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK(SERVICE — BAR, ETC) <br />GAS PIPING <br />_ <br />EKHAUST FAN <br />SUBTOTAL S <br />SUBTOTAL f <br />PERMIT S <br />PERMIT f <br />TOTAL FEE S <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />I nnNr Rin4R <br />IYAn SrlTKK <br />SIIX SEtMCA <br />MANCIIECA M1Y11TP <br />TEE <br />nl1I'll NO <br />"IF ]OrF <br />ION •W A <br />VACW MIT <br />FEES <br />VALUATION <br />FEE -- <br />_ <br />RVIfMNf. <br />❑vF5 ❑ NU <br />III IONI IIMIIAIIO4 <br />M M IM'F1114G <br />Fltf OI RlWnl <br />IINII$ <br />M11411Mfi <br />,PI.I,•vYAI <br />OCIITAVLY MrI SIImIE <br />r Km <br />q'CIM•N110AII <br />R•SEM NI <br />AI:01H .I MANCIRCR <br />PPE SPTIINRI FR PEOD <br />M•F(M <br />OIHrn <br />_ <br />rim"RM PEOD <br />WAPOY <br />' <br />IlAIE WTIOW, SIMI--F A <br />rYrEdfprSl <br />Hors ArrnpvrR Rr <br />CRY OF EVERETT <br />Mmnr, rrneR <br />LOCAL SALES <br />-- -- <br />-- <br />-- <br />oATt <br />TAX CODE IS 3105 <br />TOTAL <br />