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APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 •257-8810 <br />DEMOLITION COMBINATION ❑ BUILDING 7 MECHANICAL ❑ PLUMBING SIGN <br />PROJECT ADDRESS /n0z Skr�w.Ifi `-✓C•'[�(!, WQ L�Pzoj <br />D"l�l..._L <br />g <br />RWBIW LCH1RICip1 MMA«PCS6 GtY ti FP011E 6TAlE LKCNSE• <br />cp+TaAtT mlcE«name <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />«SCPOE YAYM AND6WARE CAGE PAaLVED <br />CON(I[T rtnSONANO M1gNE NO �1 - n a <br />TIT <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 />m mx)u%C{Bu4DBa <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />CEOAIDESCRviX1N«PF PTY(SHOM1BEEowp+ ATTICRTWOG>PIES) <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />IT &«4 « <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT i AM AUTHORIZED BY TIIE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRA TCRS W 18.21 RCW AND 296208 WAC. <br />PAa«ETu to rwuBEa <br />TE <br />X s� ✓. .-"�U/E/C7 r �9-a(/ <br />M1MBEa <br />C Tm1CT MLOARLENOEP.A !M Ew <br />'Td"! ✓i` 02 PPP �^TEPPi� wTE <br />CITY BUSINESS LKENSE W <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />NO. TYPE OF EQUIPMENT FEE <br />WATER CLOSET (TOILET) <br />AIC—AMNDLG UNITS <br />BA7lITUB <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 />LAUNDRYTRAY <br />I <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />1 <br />UP'NAL <br />h1ETAL FIREPLACE (WOOD BURNINGI <br />D..,,YKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />' <br />GAB FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />I <br />SINK (SERVICE — BAR. ETC,I <br />MPIPINGSUBTOTAL <br />SPERMIT <br />STOTALFEE <br />S <br />FRONT SETT AVV VMAP <br />!�/ <br />USE tONF�.• Z <br />SEiBACM <br />ZCJ • <br />LOrIwE+ <br />(� <br />6CE KMACK <br />S <br />:+cANr slrt <br />MYES m-mr- <br />ftNICNECKNW6ER- EE <br />FEES <br />/ <br />Y. <br />VALUATION <br />RCCEPTNO <br />FEE <br />&14DAu <br />HEcaru <br />wlT«owEuwO <br />w'E OF DLDOTI <br />G <br />mUMBMO <br />Wp.1 <br />0«W+NI LOAD BASEMENT / <br />MECHAN4 <br />PANLY <br />I <br />❑YES V•/q <br />- <br />ACOI11CN4 m.W CNFCM <br />FPE 6rMIM1RtCP RE00 <br />PFA60N <br />OMER <br />FPEMARM PIOO <br />REASON <br />6TATE BU4pN6 SUNCHAPbE <br />TYPE«CpIST <br />RAN AAPPaOYEo er <br />CITY OF EVERETT <br />FUBIcW ,„ s <br />LOCAL SALES <br />�� <br />DATE G % a•o <br />TAX CODE IS 3105 <br />TOTAL <br />