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APPLICATIA FOR CONSTRUCIbN PERMIT <br />CITY OF EVERETT I BUILDING DIVISION <br />3200 CEDAR STREET a EVERETT, WA 98201 R 257.8810 <br />: 1 DEMOLITION F] COMBINATION fl BUILDING ❑ MECHANICAL (7 PLUMBING I SIGN <br />CONTRACT 1ACE -MCVM <br />HEATING SYSTEM: GAS C1 ELECTRIC ! ' <br />�R <br />TIC rnnvnl <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMI"ED 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 IS E AND I COMPLY WITH THE STATE <br />C IB 7 RCW AND 206200 WAG <br />^/, O 6 <br />o UK a eDRDRAI <br />LEGAL KKPVT" OF w501r I%IOW% KLONOR IT TVADC fi, <br />LOT 1,>l3 eLpEE 1{ _p <br />,] <br />MKFNAa to <br />R <br />1 <br />T Dul E u RS [ FwaNF MHR[R <br />6D I DATE <br />CliY RuIoais LKENK ND <br />PLUMBING <br />MECHANICAL <br />NO, <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AC—AHNOLG UNITS <br />BATHTUB <br />I <br />FORCED AIR SYSTEMS <br />! <br />LAVATORY (WASH BASIN) <br />! <br />HEAT PUMP <br />_ <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK L 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 />' <br />GAS FIREPLACE <br />BACKFLOWPREVENTERS <br />! <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC) <br />GAS PIPING <br />EKHAUSTFAN <br />fv- <br />SUBTOTAL i <br />SUBTOTAL f <br />PERMIT E <br />PERMIT f <br />TOTAL FEE f <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />IRON KT A <br />WAN SETBACK E <br />WEKTAat <br />RANMCe HATER <br />•[E <br />RECEE'T NO <br />UK <br />LUTARA <br />/c,15C1 �—. <br />vACANTATE <br />DYEs nNO <br />FEES <br />VALUATION <br />FEE <br />NEOe10 <br />HEKtNr IAIITAI[]N <br />Iw ra Dw[uRa <br />eHEn amrl <br />iwNcr <br />NOP IVc^fs <br />OMUTUU EDAD <br />eASEMLNI <br />� N <br />ADC'T'CW'EFINI GIEdI <br />F wE 6PRMllEA WOO <br />REASON <br />OTHER <br />FPEAUAMMOD <br />REASON <br />eMTE EuaDNo EtRntAnDE <br />rrROTCDN57 <br />wANS ARrROVEoer <br />WR B 2�N <br />CITY OF EVERETT <br />LOCAL SALES <br />TA%CODE 187106 <br />RTLCRgwE <br />TOTAL <br />