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APPLICATIA FOR CONSTRUCTIN PERMIT <br />CITY OF EVERETT Y BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT. WA 98201 • (425) 257-BBIO <br />❑ DEMOLIMN ❑ �CC,�OMJJBBI/I�NNAT1IO1N� El BUILDING <br />�()( MECHANICAL ❑ PLUMBING'] 816N <br />1EN.Y1 YYI .rNIRFSS (.Ilr hr n✓)4t <br />YFCM.MCR CLYtP.CIUa 4.'I .nlYM 55 <br />fllr )R' OIgN( 11.1 IIKENSE. <br />n IR.eM Cd11R.f,1pR YYI IU1455 <br />Gn Bin naPtl 51" <br />rf 1"%N'• <br />cwtPwi PRKt d -O`` (7 '� <br />NEATING SYSTEM: AS ❑ ELECTRIC ❑ <br />oEscaPF v�a..No sou.•a1L .Sao�iwL ..vavrn <br />coNl.c. alasoN.Nnr .w <br />I 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 />tNKFouP Rw Or eundNR <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />OFrwortan lSllnvm eLldY w.nwNiwO cd.tsl <br />NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />UEGu oEscP�vtKr <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />m1 uoc. d <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 />CONTRATORS tJAW 27 RC W A//NAA 296 200 WAG <br />�C <br />L �Q{pl//L�y���)l� <br />�—R <br />PMLH w O NUHrt ^„1 <br />CP15iMKtgN10.N 1[fyM1FR Nlnaf SSIrIgNE NIMHI <br />�10 <br />(X <br />CC..// V✓✓ 11, <br />Jir NlYMf t'S1K`I N/f[MO <br />--.—__— <br />PLIIMMNO <br />MECHAMCAL <br />FEE <br />N0. TYPE OF FlETURIE OR REM FEE <br />NO. TYPE OF EOL"PMENT <br />WATER CLOSET (TOILET) <br />A/C — AALNOLG UNITS <br />FORCED AIR SYSTEMS <br />BATH: UB <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWERUNIT <br />HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD _ <br />WATER HEATER <br />LAUNDRY TRAY <br />W000 STOVE <br />CLOTHES WASHER <br />METAL FIREPLACE (WOOD BURNING) <br />URINAL <br />FIREPLACE INSERT BVOOD BURNING) <br />_ <br />OF NKNG FOUNTAIN <br />GAS FIREPLACE <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />--T <br />SINK (SERVICE — BAR. ETC ) <br />GAS PIPING <br />EXHAUST FAN <br />SVB TOTAL II <br />SUB TOTAL S <br />PERMIT f <br />—� <br />PERMIT S <br />_ <br />TOTAL FEE f <br />TOTALFEE S <br />FOR OFFICE USE ONLY: <br />rPdll uTW. I M.R sr"" ISinew. n.N do fA <br />KIM <br />Ntroal IiwutroN <br />NO d IAYIUI G <br />SILL Or NmRI <br />rlaYPwr. <br />Yr, ..rxY .._._--_ <br />ocae.Nc. <br />.udSlnPs <br />d:Gm.N11o.P <br />e.u.%NI <br />oPdm <br />❑us O+n <br />—. <br />.npvr.Y n.N GPc. <br />__ <br />fIXL SraFI.l[P Pf�D <br />Rr..fH <br />n 11RR <br />a1.11 PIFIUMt1 Y1rIf.N.M:( <br />dNu r. wrens <br />HRE.'APN PLOD <br />IIL.cRV <br />1rrFdl:drcl <br />n.N5.nraown Pr <br />CITY OF EVERETT <br />LOCAL SALES <br />'- <br />TAT CODE IS 3105 <br />TOTAL <br />