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APPLICATA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT R BUILDING DIVISION <br />3200 CEDAR STREET R EVERETT, WA 98201 R (425) 257-8810 <br />DEMOLITION ❑ ,C/OMBINATION/) El BUILDING ❑ MECHANIIC/AL,,p ❑ PLUMBING O SIGN <br />PROJECT ADDRESS: _[J ��% /7 ism!'-ti �l[ /—cfe'/rIYY /�[z °�S� a <br />1rCMTGI a1 nFSIGNIP uM 411P1i55 alr !m r+a,( <br />firMPµ Cn111P.C1(}i V+tt MMf 45 CIIY hr M1MM t11111K(NS{• <br />YFCINWAA CONITACIW V•, AtAD4S5 an NI` "ON' [I+IrtccVstr <br />MIIVBM Gd11P•F.IaI MAI ADDKss of, Ilr ngNF SIAIF HCENSF• <br />ca+In¢I MKI.IX wrn+ <br />HEATING SYSTEM: ❑ GAE ❑ ELECTRIC ❑ <br />M. FV'.MM+MISa1+Pt tOn1♦pF NVO1N0 <br />DDntACI M A" ANDT~ NO <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME 10 BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNINF- TInS TYPE OF <br />WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO HIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAWTRU REGULATING CONAM A TRl1CTI E OR THE <br />PERFORMANCE Or CONSTRUCTION THAT I AM A WORK FOR BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITH TIIE STATE <br />CONTRATORS LAW I62I RCW AND 296200 WAC (y <br />%GIi.1VitE ' U•II <br />Am slo Imt IXRVxaNU <br />❑mlM, s�carnaN'a rnaxnnlslrovm nmOM atAMN;N rev co" <br />O'S/� LpLB mwe or <br />!.7/T// <br />le n <br />�Q/� n �i3�nnn j <br />"mrt IM.n NMnrP <br />CDNSrmStM I DAN I r Y n APPIES%. rH tHKNE 4luRr11 <br />I'll m14M5s IKt4M NR <br />PLUMBING <br />MECHANICAL <br />NO. <br />R TYPE OF FIXTURE OITEM <br />FEE <br />NO. <br />TYPE OF EOUBMIEMT <br />FEE <br />WATER CLOSET ITOILET) <br />AIC—AMNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />_ <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE H000 <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 />GAB FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR, ETC) <br />GAS PIPING <br />EXHAUST FAN <br />SUB TOTAL f <br />SUBTOTAL f <br />PERMIT S <br />PERMIT f <br />TOTAL FEE S <br />TOTAL FEE f <br />R FFICE USE ONLY: <br />FO O <br />R FFICE USE ONLY: <br />1 nnNl srrn•rs nnnsnnAcs sla sne•c• r1AN clxcx NuunrP/ HF nrrrml NR <br />yid <br />vsr mNr IouPrA vc+Nl vlt FEES _ VAWATION FED_ <br />❑Y(5 O NU BUI IMf. <br />rRW11WIIAlY �blPvfllRq SIIfIXmUGNI <br />Ngi <br />IX:IIAAN[v V)n.PwlS aYtmANI InN R•5r V[NI VII:N+Nf'N <br />IIIIpIm <br />O ves ONn <br />r 11H[. A,U.mon-- nr+i(M AParl(W+In+N C)xc+ 1 <br />DINE. <br />rrrc uAPu moo mASTI <br />CI•ll RIMaNl151RC11•RC.r <br />I'm nr l:at5i zr--rNnvrn Rv CITY OF EVERETT 11 w— --- _ <br />LOCAL SALES ------ -- <br />VAIL TAX CODE IS 3105 70TAL <br />