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/ To o"o8f <br />APPLICATIC4 FOR CONSTRUCTN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />9/00 C fl, q SREy�REIT, WA 98201 • (425) 257-BB10 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL PLUMBING ❑ SIGN <br />oen Isrt ARVRecce. 41L wed. Q_Mu1T 0 <br />HOAAE f5A5E w3AM6 A5 ftJW r MJD40* <br />Tmwr6Fo"s1w1l. W"AMMESS CRY 8r P. NF <br />TnVut NvnwwW nn w a ....._._�- <br />GONSfk• A%bC. Groa•2t6TM5f. 5.VJ. MftuJTU TEIP{ a 9B 'S )�H"9821 <br />I" <br />STATE <br />M&RI'r MEGH. �5e 153RDAVE 9.9. POMME7 %6715 %5)883.92'L4 M6R1'rW Jjp5 CA4 <br />CONI Pi EU <br />OFiLMBf MVRI(ANn SW RE E49tAOE MVOIVFO <br />y rN r�N1511 I,UM514eE <br />HEATING SYSTEM: GAS El ELECTRIC 0 <br />CONIACT PFPSONAM PHONF ND <br />c-�As piPlr�y <br />I HEREBY CERTIFY THAT 1 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 15 MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 182277 RCSWWAA(TNND,229�6�2000 �WAC�. 9,yy <br />yl��Vl NW!/YF4IFi <br />Pnnrosio vsE Uc nugdNG <br />LEGAL DESCRIPTION Of PROPERTV ISRorm BaoAv URATTACN Tx cmcsl <br />LOT uacK or <br />'PA rt TAX 10 XXmKA <br />CORSTRUCTIMWAN IENfFn. ADDRESS. TELET ENVYBER <br />SIGNATum i7389 DATE <br />,(CITY BUSINESS LCENSC NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />NC—AMNDLO UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />_ <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK 6 DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR, ETC I <br />IAGAS <br />PIPING LON TO <br />EXHAUSTFAN <br />SUB TOTAL S <br />SUB 70TAL S <br />PERMIT T <br />PERMIT S <br />TOTAL FEE $ <br />1TOTAL <br />FEE t <br />cnle ,.cIry "CC nut V. <br />FAMIT ITTBACK <br />REAR SFTRACK <br />SIDE SEIBACP <br />r1ARC1ECR REAPER <br />IEF <br />PiCFIrT NO <br />us-EIDNF <br />IDI APEA <br />vADAN19TE <br />❑vES ❑ NO <br />FEES <br />VALUA71ON <br />FEE <br />RPIn1Nr <br />T <br />N(IONt I14AAtION <br />MO OF MLUNG <br />NVP <br />512EpglIXVtl <br />nlP1 V4gl� <br />OCCUPA\f.Y <br />moor <br />NO 01511w 1s <br />r1r.CUPAN:IUAO <br />RASF4EN1 <br />❑Y(S ❑H <br />Mt('l1AHCA1 <br />ADCTInNALM1AY 01(1;11 <br />— <br />FIRE SMINXLER PE9'D <br />P .lc,R <br />OTNEP <br />TIRE AUNMPEO'D <br />Rf ApOV <br />iFAH" PIIx UMG SVB[NARD( <br />Tl Eorr,O•aT <br />InRV <br />DATE <br />CITYOFEVERETT <br />LOCALSALESwAXCODEI53105 <br />Pngl rc: vAxKP <br />-- <br />707AL <br />--- <br />