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APPLICATIA FOR CONSTRUCI%N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT. WA 98201 A 257.B810 <br />DEMOLITION X COMBINATION BUILDING F! MECHANICAL I l PLUMBING SIGN <br />PRC IECT ADDRESS � <br />_1 (,/- rT sE. <br />NR YM1 .IIlNI.'4 CII !p NgIS <br />.f�.ci uE b 64 <br />TTr ."AMR,- I !P PRMC <br />Y ,AlcT M, MSG. I- ITM1 SS 14ASE CT N Mll[ <br />glweYq Gpllp•CiOP UM ADDRESS Gil to Plrat ST•IELICENBEI — <br />cwR tPACE M vT11' <br />C.%i <br />u HEATING SYSTEM: GAS nELECTRIC ❑ <br />:w'Am av[R <br />P[7 i r <br />yo <br />cw. t"ft?" li�fC <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNO" THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AD ORDINANCES GOVERNING THIS TYPE OF <br />WORN WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. OD THE GRANTING OF A PERMIT ES 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 IS MADE AND I COMPLY WITH THE STATE <br />CO CTOA LAW B.t(11CW AND Y9f 70B W C. <br />7 <br />X IPTI •//�J 0� <br />Q- <br />'�46 <br />LfOr acpplXwvVPOPERIY/s4owR auop al •Ir•cn lwo CORES, <br />L01 _2 A Ir / ar <br />E-+TT <br />J DO L <br />NASAL TAW 10 MABER <br />CON41PUC1NJNlOAMIFNIXP 641ElEMVA MIAIfR <br />II <br />eIp1M1URf 0•I[ <br />_3r3 yy�� <br />PLUMBING <br />CITYe OCSSLS[pS[RD — <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />iEF <br />WATER CLOSET (TOILET) <br />AC—AMNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />! <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />_ <br />CLOTHE5 WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />i <br />FIREPLACE INSERT (WOOD BURNING) <br />_ <br />FLOOR DRAIN <br />AAS FIREPLACE <br />BACKFLOW PREVENTERS <br />! <br />AS RANGE <br />SINK )SERVICE — BAP. ETC) <br />I <br />GAS PIPING <br />�— <br />EXHAUSTFAN <br />i <br />jPtERMIT <br />I <br />SUBTOTAL f <br />I <br />BTOTAL f <br />PERMIT f <br />f <br />TOTAL FEE f <br />TOTALFEE f <br />FOR OFFICE USE ONLY: <br />U-) <br />•PCRI a[fB•nCR_ <br />USErat 2 <br />PE•R S[1B•Ce <br />for AP[ ^ <br />`� <br />41aE Y1BAC11 <br />L¢ARTRrt <br />rte n •p <br />•yRO cC R EBE <br />G FEE(vfI/[•'•VALUAQTION <br />��. n� <br />PFCfpI NO <br />FEE <br />euaaln <br />T <br />NfgllrlwlrAtON <br />V�MI! DMY W] <br />1 <br />Sfa'BLOOII <br />p <br />RILAIerw <br />oclap•I[cr wlr Elatl <br />21- <br />IpE 6YRIMLER MOO <br />occlpARl low aAM 1. ,/ <br />n TB Ipq <br />M•Sal <br />IIlaIAAltw <br />A00RwlFLAN OKCX <br />pR1[R <br />IPE 1EOU <br />PEA" <br />STATE BU[PMO SwK,,ARaE <br />IrvEocaHsr <br />RARS.RR 1011;01 <br />0•If <br />CITYOFEVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />NKX: aclws <br />TOTAL <br />