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APPLICATIOO FOR CONSTRUCTON PERMIT <br />CITY OF EVERETT E BUILDING DIVISION <br />3200 CEDAR STREET E EVERETT, WA 98201 E257-SS10 <br />O DEMOLITION 0 COMBINATION $1 BUILDING ❑ MECHANICAL ❑ PLUMBING n SIGN <br />PROJECT ADDRESS 7 C/ 7 / / 1_ ./ n I /% — _ <br />MA, ADdrtCs <br />µY.IRTECifF 0EO51GNER M/.&IODGESS PIT SP Rpl< <br />�L1/ivE <br />OENERµ Cd1IRAOTGI WL AC(GESS CITY IO p10K STATE 1OCTANE III <br />YEC111NICµ CWiRILI'N1 MAIL ).OGRESS CITY )C nqM STATE UCENSft <br />RUMBNq CON1R.iLtIF ITALAOPIESS CITY Z,T NUKE STATE LICENSEE <br />CpI1nECT pock O WOINI <br />RESCOW WORM AW SUUAnE ICKGAGc OLVLo <br />Fes/" Io LI_.P <br />HEATING SYSTEM: G GAS DIELECTRIC ❑ <br />cpllkCi rFnSprArlll pr4.laM <br />R 09Ln USE a BULmnG <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 />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 TILE <br />OWNER OF THIS PROPERTY TO PERFORM T14E WORK FOR WHICH <br />APPLICATION%/mom- M EE AND I COMPLY WITH THE STATE <br />CONTRACTORS L 8.2] RCW ND 296200 WAC. <br />- <br />60 U E 11 DAG <br />LEGAL OESCAPIION nr rnonEIGY ISIgW11 SEIOW GIG ATTAGr NAVCG'rtS' <br />Lol BLOCK a <br />p AII1 <br />s69 6� <br />Cp151GULl LOAN LENIXR. µX11rEE9. 1ElfRg1R NUMRER <br />N <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK M1 DISP <br />DISHWASHERi <br />FEE <br />i <br />! <br />! <br />j <br />CITY BVSMFSS l ICENSF NJ <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />KC—AMNOLG UNITS <br />FORCED AIR SYSTEMS <br />! <br />HEAT PUMP <br />UNIT HEATERS <br />~— <br />i <br />CLOTHES DRYERS <br />RANGE HOOD <br />i <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />i <br />I <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE (WOOD BURNING) <br />! <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACNFIOW PREVENTERS <br />SINK (SERVICE —BAR, ETC) <br />i <br />! <br />! <br />FIREPLACE INSERT (WOOD BURNINGI <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />i <br />! <br />_'— <br />! <br />EXHAUST FAN <br />j <br />i <br />! <br />SUBTOTAL Sil <br />PERMIT f <br />i <br />I <br />SUBTOTAL S <br />PERMIT S <br />I <br />j <br />TOTAL FEE S <br />I <br />I <br />TOTALFEE f <br />FOR OFFICE USE ONLY: <br />N.MER <br />DYES R NO <br />IX*ITIIMGAIUN <br />MI pOWEILM] <br />SIZE CA BUDG91 <br />UT GS <br />Rl"Ato <br />CCICCUl.NCY <br />10G SICRES <br />OCCUPANT IOAO <br />9AE[MENI <br />LAY, <br />GULTY <br />1 <br />... Wµ <br />LIVES ❑NO <br />ALIAGICA4"LAT IIEP <br />HZE 6RIIGXLR GET) 0 <br />GEASCO <br />OONR <br />fFlE ALARM GEOO <br />REASpI <br />S1AIT BULdNJ BUIGIARI'{ <br />IrrLgtADNST <br />CITY OF EVERETT <br />v,Atc WGAs <br />LOCAL SALES <br />TOTAL <br />DATE TAIL CODE IS 3105 <br />1 <br />