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APPLICATI& FOR CONSTRUC&N PERMIT <br />CITY OF EVERETT • BUILDING, DIVISION <br />3200 CEDAR STREET F EVERETT. VIA 88201 A258-B810 <br />❑ DEMOLITION ❑ CORMINATNNN ❑ BUN DING ❑ MECHANICAL ❑ PLUM NO ❑ SIBN <br />ARGERCl IX111 wm. 1 AL ss GIY )m NKXVF <br />WWRNL tW ?m YAi AW%ss CITY xM IYA I SIAIE INNION. <br />YECN/MILAI CWRACTM MAE Ann11ESS OP, ZIP PIIG[ SIAIE tffIY3EF <br />A IT'-( nLV KILT I&L <br />RIRINGCn11TWTM AIAnA by uIr nP PMl STATE LCENSE• <br />coNlRAcI PIECE a vvGN <br />HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br />pESLgEE MpL1 ANn SnUARE fOOIILf NVOIVEn <br />LONIAGi Irtg5011 ANp PIgF4 MO <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TINE 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 ERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATIO IS MA AND 1 COMPLY WITH THE STATE <br />CON T CT S LA 18.2 RCW AND 2D8.200 WAC. <br />�--�U'r'I. <br />PRDPosfollsE or nwua <br />IEDAL DfscwPTpNa PfKrERn 151KlPM gFIOW ORARACH rwncOnEs1 <br />Lor xacA a< <br />PNCEL TM I D N R <br />cparnuclnNlDM IENDEn.ApDRfsq tCIEAAK NVAM[R <br />,��� <br />GiY BUSME55ICEn5C Nn <br />PLUMBING <br />MECHANICAL _ <br />NO. TYPE OF EOIAPIIDR FEE <br />OW.- <br />TYPE OF FI%YURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />AC —A 4NOLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />Imo_ <br />LAVATORY (WASH BASIN( <br />HEAT PUMP <br />BHOWER <br />'S <br />UNIT HEATERS <br />KITCHEN SIIL A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE MOOD <br />_ <br />LAUNDRY TRAY <br />( <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPIACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />( <br />GAS RANGE <br />T <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />Ll <br />F'L.DOIL fIArc <br />IXHAUSTFAN <br />L`- <br />I <br />D AL.. I N S <br />SUB TOTAL t <br />SUB TOTAL 5 <br />PERMIT f <br />PERMIT f <br />TOTAL FEE f <br />TOTAL FEE f <br />I_ <br />FOR OFFICE USE ONLY: <br />ERMT yigAGN <br />MARSFTW. <br />SHK SEEM. <br />NANGSCxwwrR <br />TFF <br />Mary <br />IIDF xaNE <br />ION AMA <br />vAc.1N1 $IlF <br />FEES <br />VALUATION <br />FEE_ <br />g1AInPA: <br />_ <br />DYES Olen <br />NEI611111N111ttW <br />MOr [MTLUN6 <br />glxE OrNIXVr1 <br />IMNIq <br />pllgplN(' <br />I <br />=I,IPANCY Mn15!,vAES <br />mci.Av N11nAn <br />_ <br />5ASFMNI <br />WC14MCM <br />NWP <br />OYES DM) <br />Amig)NA AMG(CN <br />iFE 5P1YM1[N NEO'O <br />NrASON <br />WMn <br />iIMN MQD <br />FO'D N AS. <br />SIAIE &FInINn SI WIIAIi A <br />IYPEMfp51 <br />NANS APrrovEn By <br />CRY OF EVERETT <br />Plan. 7LOCAL <br />SALES <br />— <br />-_-- <br />DATE <br />TA% CODE IS 3105 <br />TOTAL <br />