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APPLICATIA FOR CONSTRUCAN PERMIT <br /> �* <br /> CITY OF EVERETT•BUIL:"rIG DIVISION <br /> 32DO CEDAR STREET F EVERETT.WA n6201 .(425)257-8810 <br /> ❑ DEMOLITION COMBINATION /❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRESS: m ss�aZ F: �d�1 .SAH fL C✓ __ <br /> ?ejQf 1111 y� <br /> 1[N•YI y1/ YM.Iqd Sf <br /> all lr <br /> •ICMIFCi mm n "��5 C.n . lx' nRnr <br /> dMn•l tON n•t101 _',V�.p 1.4n1 t5 dit !/x' q�nvM �ry�/��rl•il lCrxS't/.f, <br /> Q •�-r [� l WkL <br /> YrcH Yc• c In.clon •Au—xres-slS— nry �'�to Hort luTilKrxx. <br /> h1lYBM CpiR•fld1 4•l•dINiN all P• MW fl•IF ISfrx• <br /> twrn¢t M1c[d HEATING SYSTEM: jQOAS ❑ELECTRIC ❑ <br /> dernrrKKar�o sOU•M root MvdHo cdn nAwrr• FriPll xo <br /> �f2 <br /> 1 APPLICATION <br /> CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Inam PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> Prlolo I u.l d Mho" PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> �R WORK Will.BE COMPLIED WITH WHETHER SPECIFII O HEREIN OR <br /> liah dxMnloxd lSKlR nIMA7lw xldrd•M•Gx1YAlcdxN NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> IDI At= d AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> SrpfT— 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 1 COMPLY WITH THE STATE <br /> F Fl l010 MAMIK CONTRACTORS LAW IB 27 RCW AND PDS 700 WAC <br /> COYtIR11CrIW IfYxHMrtR hMEsf mFMOA MA![n {n��/[ <br /> C�h MIi1Nl[SISfxN rn <br /> PLUMIBNO MECHAMCAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYTPE OF EOUNIMEMT FE-- EE.— <br /> WATER CLOSET(TOILET) AC—A"MG UMTS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) ([ HEAT PUMP <br /> SHCWER UNITWATERS ' <br /> KITCHEN SINK A DISP I CLOTHES DRYERS r— <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE(WOOD BURNING( <br /> DRINKING FOUNTAIN O FIREPLACE INSERT(WOOD BURNING) <br /> FLOOR DRAIN I GAS FIREPLACE <br /> BACKFLOW PREVENTERS 6 GAS RANGE <br /> SINK(SERVICE—BAR.ETC.) OAS PIPING <br /> EXHAUST FMN <br /> SUBTOTAL S SUBTOTAL F ' <br /> PERMIT E PERMIT E <br /> TOTAL FEE E TOTALFEE E <br /> FOR OFFICE USE ONLY: <br /> raWl wfpA Ifw NrFxll DIIi MIe•C• M1w bhO A rFt MFfel Mp <br /> 0/ -3c- <br /> IM mK 10I.M. v.cwl al[ <br /> �• GYFf OYo <br /> If RW11NMl•r / ' s mumSYrwk l ) <br /> 2l O <br /> U:I�A•N.• rnnSvY. Uf.(IIMMI IO•P F• rfrl wfx•MF4 <br /> Its ff WI <br /> rw [A ROO MA" •GOrIX1h4M1wdetf <br /> otNa <br /> IN•4M MOP rF•tT - �— <br /> rTO?At <br /> 1 YACw1KK <br /> LM1dta••I n.re•"M1'a'Fne' CRY OFEVERETT LOCALSALE6TAX CODE IS 3105 <br />