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APPLICAT& FOR CONSTRUCRON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET t EVERETT, WA 982G1 • (425) 257-8870 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL V(PLUMBR4G ❑ SIGN <br />PROJECT ADDRESS: <br />C:A�i SA <br />FA <br />-7m rw— <br />)Y AIYM x111111C1M111 <br />. � i rTwPr�L <br />F nItRCI mrl n wn 3� J <br />HEATING SYSTEM: -90AS ❑ ELECTRIC ❑ <br />p ICMF Pllw •Mr YlU•A IMIbF vngvND <br />/.At SftTyE ! u/AMr <br />HLA/LR <br />f.Wt•Ct n1191M xNI MYf MP <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPL ICATgN AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK VPIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT THE GRANTING OF A PEAWT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCK LAW REGULATING CONSTRUC,1 ION 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 />CONTRACTORS LAW 11127 RCW ANO ESS 2W WAC <br />p <br />J 11 <br />r"RroxFP lnt ar YKIWn <br />IFIHl ntxwFlmKn FIgF!"n 1Y"MY MI nl•nACK two 1'Mlti <br />PUT ROFi IN <br />--- <br />(JOU <br />cdwr"Icrcw Hw11F1ArR NXilnx rcllnaNN YAKMn <br />Xr TI"Y - n rc <br />nnwswas IrFKY xo <br />MECHANICAL <br />MIIMNIO <br />NO. <br />TYPE OF FIXTURE DR REM <br />FEE <br />NO. <br />TYPE OF EOUIPMlNT <br />WATER LIOSET (TOILET) <br />AIC — AAEIOLO UNITS <br />BATHTUB <br />1 <br />FORCED AIR SYSTEMS <br />LAVATORY RVABN BASIN) <br />HEAT PUMP <br />SHOWEA <br />UNIT HEATERS <br />KITCHEN SINK E 015P <br />CLOTHES DRYERS <br />01SHWASHEPI <br />LAUNDRY TRAY AWATER <br />RANGE IOW <br />HEATER___ <br />CLOTHES WASHER <br />WOOD STOVE <br />UNINK <br />METK FIREPLACE IYYOOD BURNING) <br />DRINKING FOUNTAIN <br />FIRFRACF. INSERT VI*OO BURNING) <br />FLOOR GRAIN <br />OAS FIPcPIACE <br />_ <br />BACKFLCW PREVENTERS <br />OAS RANGE <br />SINK (SERVICE —BAR. ETC. <br />GAS PIPING <br />-- <br />EXHAUST FAN <br />SUB TOTAL f <br />SUBTOTAL t <br />_ <br />PERAKT f <br />PERMIT f <br />.� <br />TOTAL FEE t <br />TOTAL FEE IF <br />sNWT alKrlt ` <br />ww ulw. <br />YOI FL <br />I <br />Ff1� <br />— <br />IR OKI <br />UPIY <br />;;If <br />OxMiKt <br />O IO <br />MIMIIKKiNIOw <br />PYHIM <br />MIa <br />FnKOn1 <br />PARING <br />pGA/A41:F Y� n sliile <br />i.M1I <br />nIIMYMI IOMI <br />F•YMNI <br />Onx Os <br />__ <br />•YIN <br />_ <br />IM 9AwlFPR90 <br />RIM" <br />Iq •)ARV MIYO <br />Nm <br />_ <br />FNII YrOM1YAKIYNV <br />T;W, , <br />n•In •IYYlwlnn <br />CRY OF EVERETT <br />Air. "RAY` <br />LOCALSALES <br />- — <br />-- <br />TAX CODE 15 3105 <br />TOTAL <br />lYn <br />