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APPLICATA FOR CONSTRUC&N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT, WA 98201 A (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SNiN <br />PROJECT ADDRESS: <br />•RCvrtC10P 4LGMn u.,I ,(MITI Sc Gb Pr rKWi <br />AIR/pHpCpllNYr.IP1 V,N IipYK 55 CiM1 !In I`PO"F SIMFIK[M1S{• <br />GpN1"A°I'"`0t °i "`I"R <br />HEATING SYSTEM: GAS ❑ ELECTRIC ❑ <br />M WWRr W'JIRIAl. S0J.M {001,0F AYORM <br />COPI,CI M."A t'.' <br />1 HEREBY 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 WILL BE COMPLIED WITH WHETHER SPECIFIED H'_-REIN 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 I 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 />CONTRACTORSLAW I827 RCVjL ND BR 200 WAC <br />1 -S 1�i <br />-__ <br />Ir10P0v01.1t M RIMOMG <br />LEGAL MSCPPIIwMPnIYEnRISPovR RUoww mACP rxocMtSi <br />t0, ._ KLMik __ M / <br />-- <br />Pulcrt..{{UIO RNRIn <br />3Cr1 rR �S UOOCJ <br />C(YI[IRIKII(MIO.M IiMMN NMY,I St II, M,ONFMMiII <br />x•GPo t - wn <br />ca, "',VPf SS t"Ntt MO <br />—_ <br />PLUAMINO _—_ <br />MECHANICAL------ <br />NI). <br />TYPE OF FIXTURE OR REM <br />FEE <br />HO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET(TOILET) '/ <br />A/C—NHNDLG UNITS <br />2 <br />BATHTUB / <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BA51N) IY' <br />HEAT PUMP <br />/ <br />SHOWER <br />UNIT HEATERS <br />_ <br />/ <br />KITCHEN SINK A DISP <br />CLOT IIkS DRYERS <br />DISHWASHER / <br />RANGE H000 — <br />LALINORY TRAY <br />PBATER HEATER <br />/ <br />CLOTHES WASHER / <br />_ <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 />BACKFLOW PREVENTERS <br />GAS RANGE <br />�— <br />SINK (SERVICE — BAR, ETC 1 <br />`? <br />GAS PIPING <br />EXHAUST FA�I <br />SUB TOTAL S <br />SUB TOTAL f <br />�_ <br />_ <br />PERMIT 3 <br />PERMIT f <br />TOTALFEE 3 <br />TOTALFEE f <br />FUR U <br />{MIN, (F fP.CY <br />U <br />Nn 10m, <br />Pr.R SRN[Y <br />ao <br />101 AM. <br />SIM STMACY <br />S� <br />vK,a H <br />M,PCPLCA MMfn 11{ <br />9c777 <br />FEES <br />7 <br />VALUATION_ <br />WIWIRO <br />__— FE ,_. <br />- os ? S <br />/j /1 <br />V <br />- _j—'1 j <br />V W <br />... <br />Rt.IMK _ <br />M1InVIM <br />V{I:PAM1K4 <br />L7 <br />,KI(iPI UVOA�w4 <br />J <br />ImIM IRn�LPG <br />Silt MZ 0G91 O S� <br />pC11Ca',A'A111 I4'l51iMlS <br />U-1 2 <br />CfCWAPItGAG <br />RA4M1I <br />O.rc <br />ACdI[WAI MANOMP <br />— <br />flat PP11nlIPMOD <br />WA50N <br />GIMP <br />rim AUPV Rio <br />MA.ITI <br />SIAIt RI"Grltl [,R1[„AM1C <br />; r1 <br />J � <br />I'm M rrylcl <br />HAP<Arr"avrnnr <br />CITY OF EVERETT <br />Zi <br />LOCAL SALES <br />TAX CODE IS 3105 <br />is PrD ps <br />TOTAL <br />