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APPLICATA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, VIA 98201 • (425) 257-8810 <br />❑ DEMOLITION C7 COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING L SIGN <br />PROJECT ADDRESS:_ OI G3rcl sr. S-F. <br />?p 2:4c Can4Nlyy�or. P0.1FyK ail3 EuMtr_. 9Slc3__ DS-3O6.3175 <br />tuN l <br />Hww"LlmmYMP YMYIdIFi <br />4CNAwm COVIP¢Ip Na YCPFss CIM1 Tf PMH AIAH ICIMRI <br />hNyMCdlPulp Nq ADd<R C." 1. My/ SIAIFIFrNV. <br />Cdr <br />t pwCl d wnI1N <br />(L -J <br />HEATING SYSTEM: ar6Ai ❑ ELECTRIC ❑ <br />g9CMf W,YIr rNll SOUR .CCrrpF MYdN P <br />CdrACI n RId1 AMMRM 4C <br />� •308-317 4 <br />�`.S•n t�rCSda.lm <br />PLo1nv7• <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />AND KNOW D O SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS <br />)'ROWSIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WIIL 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 ANT <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION THAT 1 AM AUTHORIZED BY 'HE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />C047Ft ACToA AND 1 COMPLY WITH THE STATE <br />CONTRACTOR AW K TRCW AND 295 ZW WAC <br />K ���� <br />Mau oruPlrrldld Krr IAOKM VAowp.n¢NlPomryrsl <br />Iol Na. p <br />FMCrt wIO MI1NIP <br />3 �i oor° OnrJ7 <br />cd4rgK:IK11110IM HHnK NKMss RHNIO4 MIIMP <br />wR <br />all lk-. %s ICI MINI <br />PLUMBING <br />MECHANICAL <br />NO. <br />_ <br />TYPE OF FTATUKE OR REM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />WATER CLOSET ITOILE <br />APO-ARNOLO UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />3 <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK f DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />I <br />RANGE M000 <br />LAUNDRY TRAY <br />_ <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE RYOOD RUINING) <br />_ <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD bURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GASRANGE <br />SINK (SERVICE — BAR, ETC) <br />GAS PIPING <br />EXHAUST FAN <br />SUB TOTAL f <br />SLID TOTAL f <br />PERMIT f <br />PERMIT f <br />TOTAL FEE $1 <br />TOTALFEE f <br />FOR OFFICE USE ONLY: <br />H`MPVHU <br />c <br />NuytyC. <br />•i U <br />LIK v1YfL� a <br />�[ <br />n.NnNr.MMK _ <br />(o / 3 S <br />Irr <br />I'd <br />war, NO <br />,ft lOX <br />Ia,.PF. <br />25-0 <br />WMI 9N <br />Ovs OM <br />FEES <br />VALUATION <br />E_ E <br />_ <br />WIN.MfM <br />( lyt <br />7 <br />i-- <br />) <br />, <br />Prw1l�w.lA.lsy <br />pPAnIIPI IAKI <br />"d■ 1 <br />s <br />(r.+C�l11FA'.4• w•�.i�l• <br />(IrCIfAN\1a.0 F.V NI / <br />FCU4'WN H.NCWp <br />Mr 4'AN--AIfPPr00 <br />11N(N <br />OIKK <br />rra AuwmaP <br />W..lry <br />^ <br />I'm rN rdn. <br />�} <br />.Y-•n% _ <br />ry.N..rwrnrne. <br />oal 6� <br />'OF EVERETT <br />TAIf ODE 18 EJ OS <br />TOTALr— <br />