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APPLICATIOOFOR CONSTRUCTION PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />0200 CEDAR STREET • EVERETT, WA 90201 • 257'8010 <br />I I DEMOLITION 1 1 COMBINATION I I BUILDING I I MECHANICAL I' PLUMBING I I SIGN <br />PROJECT ADDRESS / 3 n L -` C <br />OEI mOmIRACINI Y•lxtmum, OTT w RI041 ITI.Ri m, <br />BIAIF am— <br />fAxtlWtl Pp[:f M Ylflltl <br />HEATING SYSTEM: ❑ 6AS I 1 ELECTRIC rJ- <br />IKunieE AM twuw/r�[rola[fn/alno <br />[wucl ran[onwo moraw <br />RaroMout[a tuaono <br />1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED 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 GRANTII:G 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 1 AM AUTHORIZED BY I NE <br />OWNER OFT IS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRAC LAW 1021 RCW AND 200 200 WAC. <br />X � �"[,e - OG <br />I[oAEor.xRRlw or rlvfRFr lEalwR MloN ORArrACR nromnftl <br />lar Rota a <br />PMa:Ef lu 10 M1lI1*11 <br />t'pGIRULIIpN IOAM I[ARR, AppElY lFlfhONf MUEER <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />FEE <br />MR <br />piT I[IWit/lICE1G( M. <br />MECHANICAL <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />MATTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK A DISP <br />_ <br />NC—M1NDL0 UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYERS <br />_ <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />RANGE HOOD <br />WATER HEATER <br />WOOD STOVE <br />URINAL <br />1 <br />METAL FIREPLACE (WOOD BURNING) <br />_ <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />i <br />FIREPLACE INSERT D BURNING) <br />GAS FIREPLACE <br />BACKFLOVI PREVENTERS <br />SINK (SERVICE — BAR, ETC I <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAH/ <br />SUBTOTAL f <br />SUBTOTAL f <br />PERMIT f <br />TOTALFEE 61 <br />PERMR f <br />TONAL FEE f <br />FOR OFFICE USE ONLY: <br />rRONI MItACa <br />HEM tFItALa <br />tO[MIVCa <br />LI{cX 17R <br />17/— DY LZ) <br />rEE <br />IIEGF1Pt w1 <br />HIM IarIE <br />IolwA <br />w rus[ <br />GT[t D ITT <br />FEES <br />VALUATION <br />FEE <br />LINKI <br />WKYR LANTAIM <br />M INVEM <br />IRAIt LL <br />mm ilt RI <br />Rlll•hU <br />ptpp I rwff I <br />I 6MINtlfR SET) C <br />FPE•IMYREoo <br />CCC1AY11 TOW <br />MN14R1 <br />DIFt G M <br />y <br />Wp110RYRM1Gft1l <br />IE15p1 <br />_ <br />0111ER <br />MA" <br />WAIT I11 [XTKI tU1WN10E <br />vmwca l <br />RAxs•ITnn.[D n. <br />PAIF <br />CITYOFEVERETT <br />LOCAL SALES <br />TAX CODE 15 J105 <br />rulc TldR9 <br />TOTAL <br />