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APPLICATI86 FOR CONSTRUCON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • (425) 257-8810 <br />I DEMOLITION i� COMBINATION <br />PROJECT ADDRESS: /1137 _ <br />❑ BUILDING ❑ MECHANICAL ❑ PLUM3ING ❑ SIGN <br />0' fT rF _ <br />I!M•Yr uM MlPf s! a\r N+ •rOM _ - - <br />•ARnrcralaT•w+ Ym •mms! <br />J11Q � .S• !n; �s) I My SY 5k wipe /'fyPC ✓S Eroarz � <br />aMIW CAYIP•Clar YN •RM\) al\ !.' q.M Ft•II IKfMV r <br />IiCN•VK•I CfMIN•CipO VY 1r41e11i aM1 !•' hYYR IIIIIIKFVfI• <br />mV CDAIP•CIm Vnlw 51 all P. +•rv0 !1•Ir IKFVVI <br />carA¢I rwcr o..Km <br />HEATING SYSTEM: X SAS ❑ ELECTRIC ❑ <br />aFcma Wpn 4C •miFQ /nV1YC/tl01 iF <br />CdiKl ""' EhF' <br />I 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 COMPUEO PATH WHETHER SPECIFIED'TEREN 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 MADE AND I COMPLY WITH THE STATE <br />CO TORS 7 RCW N//O77yf//{A200 WADI <br />tW AND <br />K f ��' <br />!ar•vrt a <br />r\oraoolly a emoyyp <br />IrWYax lla.a lWarKn IUlIq FrlOWam•cH nrOl'aKL <br />!m._�_moc+ v <br />r P` - /p <br />1'•IlCrl to Io rww+ <br />'j/� 00/ gp1�OD07 <br />canrmK +Kr114NHYlA •aWrc! NIInKIYE YIMIW <br />�n,,11 rHiF t <br />sY3 G/d� <br />OI..IIKIAVIKr HSf Mp <br />PLUMBING <br />MECHANICAL <br />NO, <br />TYPE OF RIITURf OR rTEM <br />FEE <br />NO. <br />TYPE OF EGUIPMOR <br />FEE <br />WATER CLOSET (TOILET) <br />NC —&"MG LYATB <br />BATHTUB <br />FORCED AM SYSTEMS_ <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A -ISP <br />CLOTHES DRYERS <br />/ <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />/ <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE OVOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (V000 BURNING) <br />FLOOR DRAIN <br />I <br />6AS FIREPLACE <br />BACKFLOW PREVENTERS <br />OAS RANGE <br />SINK (SERVICE — BAR. ETC) <br />GAS PIPING <br />EANAUST FAN <br />SUB TOTAL f <br />SUB TOTAL f <br />PERMIT f <br />PERMIT f <br />TOTAL FEE f <br />TOTAL FEE f <br />WAR CFPCE USE Mm V• <br />IMVI VIAY'•_-aMx\YC• <br />4a Y�'� <br />nWCItC. MAM+ <br />IIf O <br />rtfFM\p <br />uu lo+Fw r. <br />Iol wA <br />vcwlNR <br />FEES <br />VALUAT1011 <br />_ <br />NpHt lw+t•rgY, <br />wMPWIUI <br />InwIR <br />vn a ftw". <br />s- <br />nIMIMfI <br />— <br />— - +-- <br />ycr rl ,..,�r• <br />ra amw+lamOn—� <br />� <br />MnwYtlwn �•. m•, <br />rt•+w -� <br />C <br />wrxu+rm <br />•oordN nW<wc+ <br />__ <br />olrtA <br />r •.Aw moo <br />rt••m <br />a1RI MrI WY1 PIIKWmK <br />--' <br />—__ <br />LQ <br />� �/ <br />M1mrtf.QNtl <br />''ITT <br />n•rs•omortn+\ <br />all / T <br />CNV OF EVERETT <br />LOCAL SALES <br />TAN CODE IS ]10f <br />nr,c Wam! <br />-- — <br />TOTAL <br />