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APPLICATIA FOR CONSTRUCAN PERMIT <br /> CITU OF EVERETT-BUILDINGDIVISION <br /> 3:00 CEDAR STREET•EVERETT.T,WAWA 9898201 •14251 257-8810 <br /> ❑ DEMOLITION fr1,COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS: LL Z: <br /> gAHK. �u? ee%lJe.�LA njLf3Jda '_LE n sJv6 PLo rr-�i7L <br /> YCN7FlcI swu -u.s•odn ss nn » nK.w" <br /> OFMt I/N� /q YN WIIdRS y all M mom ��y y4,I.�lctttw. <br /> ll <br /> -» hliF� AI7 � ryY <br /> On lF1 llCt <br /> %IIYP•Q CONIRKiq YNYnY41e5 nt• » MYI! swric NY• <br /> Cpin•CI MICU.q <br /> _ HEATING SYSTEM: GAS ❑ELECTRIC ❑ <br /> dxwer R:Ilw•M] •qr 1181(wYnlWo Cq,ACI rtRYW•IRI nrnYDRo <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> raol o�0 W orlKt APPLICATION AND KNOW THE SAME TO RE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING HIS TYPE OF <br /> WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> UON dx rldld nn IeNORNYLow gsn•CR,ROtgRw NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> 101_�am__p AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> SJ���sr 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 /> R•KCR 1Y 10 MRRRn C04114ACTORS LAW If 27 HCW AND M 200 WAC <br /> CBY5IRIKIRWIdn1fYRR ES R111YId1l MARIlP �t�l <br /> IPA1S- eaY,uR s !f 'i�5 <br /> cn wAKLSe lelR51 Nu <br /> PLUYSXIO MECHANICAL <br /> NO. TYPE OF FIXTURE OR REM FEE N0. TYPE OF lOI omorT FEE <br /> WATER CLOSET(TOILET) G AIC-M11gL0 UNITS <br /> BATHTUB <br /> FORCED ADI SYSTEMS <br /> LAVATORY GNASH BASIN) G HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 6 DI$PCLOTHES DRYERS <br /> DISHWASHER RANGE HOOD <br /> LAUNORY TRAY WATER HEATER <br /> CLOTHES WASHER I WOOD STOVE <br /> URINALI r METAL FIREPLACE(V000 BURNING) <br /> DRINKING FOUNTAIN p FIREPLACE INSERTIW000 BURNING) <br /> CA FLOOR DRAIN GAS FIREPLACE 1 <br /> BACKFLOW PREVENTERS GASRANOE <br /> 91NK(6ERVICE-BAR.ETC) OAS PIPING --T- <br /> EXHAUSTFAN <br /> SUBTOTAL fSIIB TOTAL f <br /> PERMIT f PERMIT f <br /> TOTALFEE f TOTAL FEE f <br /> FOR OFFICE USE ONLY: <br /> IIYIN,YIRMI M•P FF1jef11 im YrF•CR IRCXMMfR O III MryO1W <br /> /JJG/Q <br /> llv toY�r� Im•p• r¢•NrYR FEES VALUATION FEE <br /> O.te o w wwdlr G(/ <br /> NI Iw111 MM11q 50 o IRK(lM we q wzq <br /> nlRwrRl <br /> �p�I�y,1M41:• Vn•i,all UfA IRWI1 l0N1 F•Y1A41 / y![NYII'N •^ <br /> One --- <br /> rKEYRw11IfRR10D ry•YM •Onlllw•111M CMC• <br /> O1NIR <br /> !q•UJN nOP M••tn <br /> bl•11 wwOMI PwCx•MI <br /> ,•rtwranr n•Yb NrownTOA• ...;EVER <br /> LOCAL EALS <br /> ou1 TAACEM nOlwTAr.L Rana - <br />