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APPLICATA FOR CONSTRUC-RON PERMIT <br />CITY OF EVERETT K BUILDING DIVISION <br />J 3200 CEDAR STREET • EVERETT, WA 98201 F (425) 257-8810 <br />y� DEMOLITION ❑ COMBINATION O B ILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: <br />ro n1oNc - <br />-30:t� <br />1(M+NI 11IYJX55 CIIY IN nrylf <br />•nG\rrCIM aSRPRw 4•n \MIR55 OM1 lT nK'/R <br />axtn4 CWIMCIOLI 4•R AWnt%s CII\ fir nNM SI•II IICfH51• <br />MFCI.wCALCOVIP\CLOP 4.%AU9R55 OT' I1' PIgNf iIlkr tKENSE• <br />n UUBMGCW1R.fla1 N.R An SS CITY !IP PN r SIAIF ISENSI• <br />CO HIACIIM Ot NVnR <br />HEATING SYSTEM: ❑GAS ❑ ELECTRIC ❑ <br />a SCPRIr WJPI1.Nn sou•IR tOOrAOL MM WO <br />cw.cr "" •NnrNONE M <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 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 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 STAT': <br />CONTRACTORS I IP 21 RCW AND 296 200 WAC <br />IL <br />INIaoslOvsE a Plnm.n <br />lfnu aumPTKINa I•IKInPrvIAKKS'.IFnaw on AnACN rvwca+ts <br />LOT max a <br />�'o �nnENl` <br />cnNSInIKrKwI11Mx HNan ux+Rtss tnlrxoNE Pm <br />u•n <br />OOYKUSM6516ENGl 4D <br />MECHANICAI <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TRIPE OF EOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C—IVHNDLG 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 />_ <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR GRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC.) <br />t <br />GAB PIPING <br />-- <br />EXHAUSTFAN <br />SUB TOTAL S <br />SUB TOTAL f <br />' <br />—r <br />_ <br />PERMIT f <br />PERMIT f <br />TOTALFEE f <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />I"I VT111IX <br />aM 5rll.d <br />SIa WHACK <br />n•MpRP NUMRFP <br />rFf <br />Mr11PIM <br />NM IOtlF <br />WOLITIwNI\IKIN <br />(1CllIMNCt M\ry[PMIIS <br />1A01F <br />r Ht SI+mMIEn PlFQD _— <br />I wt AL.RM PIOC <br />.vnnroMAl <br />IOuwEA <br />v¢wt NIL <br />Ong ❑ M <br />FEES <br />VALUATION <br />FEE <br />E <br />— <br />KLFMM'. <br />MMP0AUlM <br />m." <br />sin Or FIWxI <br />ft'" n <br />MH II.AI <br />(ICCIT\N11010 <br />A\,V 4[Nt <br />Ons D M <br />.OPIIONH n.NOYQ <br />__ <br />Ilr•ifN <br />OTMn <br />pOl MMUMf. SI/KN+MH <br />rMNS+mnOvrnn. <br />CITYOF EVEI <br />SALES <br />TAX CODE IS ]105 <br />nmIK YIfYLOCAL <br />TOTAL <br />