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APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET r EVERETT, WA 99201 • 257-8810 <br />' DEMOLITION COMBINATION ("I BUILDING P MECHANICAL PLUMBING P SIGN <br />T_ p]*lI4a]•9 <br />CONTRACT FREE Q t. <br />HEATING SYSTEM., 6AS ❑ELECTRIC ❑ <br />a oRbt ru sou r0.ttAp� vED <br />CONTACT nasoN AIa FNOAE ND <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TH15 <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 C( .3TRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS P ERtY TO PERFORM THE WORK FOR WHICH <br />APPLI MA E AND 1 COMPLY WITH THE STATE <br />RACTC 10 7RCWAND2962DOWAC. <br />rDD OFIRMOIN,I <br />"E <br />ON DE.FT11 N OF PROPERTY IeIIOMI eF DR A"AaI caP[R <br />for nd:A a <br />FAacEt TA a <br />L t T�{I IOWtENOER 6f.10.F NAMMP <br />b y <br />DATE <br />Y <br />CI1Y BVSAAEE LKt NSE N0 <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />NC — AHNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />I <br />LAVATORY (WASH BASINI <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISPIF <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRYTRAY <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 />OAS FIREPLACE <br />BACKFLOW PREVENTERS <br />_ <br />OAS RANGE <br />iLE <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />EXHAUST FAN <br />i <br />SUBTOTAL f <br />SUBTOTAL f <br />PERMIT f <br />PERMR f <br />TOTAL FEE f <br />XL TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />rRwr ssln.CA F <br />1 <br />M. KHIACA <br />mum", <br />MAN GIi<E NNDER <br />rEE � <br />REctA•T ND <br />m 70"EK, <br />LOTAaEA <br />VACANTARE <br />its O ND <br />FEES <br />VALUATION <br />FEE <br />IWALD04 <br />9 <br />PFNME lIW111RAI <br />XDAVIS <br />m pW um <br />/ <br />SAIMMILD311 <br />tj S <br />nL.PPR <br />WaEmAEf <br />j <br />000~1 toAD eA NENT <br />nIts WTo <br />mcNAMcy <br />ADafIDNALHwI CNFCA <br />Fm FPNwAL[RxOD <br />WP" <br />O MR <br />rPF AIAPN PEOD <br />RAEUN <br />STAR etxA E1lRaWloE <br />TYPE Dr CONE) <br />• <br />asas AFFlwvEu e. <br />611E 8 2 �OD <br />CITY OF EVERETT <br />LOCAL SALES <br />TA%CODE 18 3105 <br />PLaLc waves <br />TOTAL <br />