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APPLICATION FOR CONSTRUCAON PERMIT <br />CITY OF EVERET I • BUILDING DIVISION <br />3200 CEDAR STREET•EVERETT, WA9B201.257-B810 <br />DEMOLITION Y COMBINATION BUILDING MECHANICAL PLUMBING SIGV <br />PROJECTADDRESS r,. tL <br />cJh��•- f+.L.t <br />UJA, '19,275 <br />Llii),'S'! <br />1[wwl yq �,L� wn+mrcss <br />crt. <br />trc <br />RKMA <br />�T,+KlrIfI1�R+IlIX,ISS <br />�1`i�� <br />V(St'. <br />�LT9II.�)/L1�1l� <br />�.+� Hy.sl[T. <br />mt. M.-VI(Al• U.A. Q8�7'S �{LT �-7cri 2. <br />R{�pyfpWyyplYi 4•M1•MISs <br />cltl <br />R <br />PUIY St•II t1rR'+l. <br />1ksS� <br />(a f <br />2i 33221c <br />C4Cn.HL41%MIP•Cldl Wn+RrcII+S <br />Ol. <br />IiP <br />AU.X. 51+1[IKr.Pd. <br />RUYBPg CURIR+Cidl Y•A.MRISti <br />fli♦ <br />Ir' <br />A.Lrp 51•Ir lYlrl•I <br />t; A!KAs.�.., A'. .1•r -T A,-, <br />T. n.l: <br />cdnn+cr PPXL'aT tr <br />L v ^r C <br />' <br />HEATING SYSTEM: XOAS. -. ELECTRIC <br />PFSCRX1t Y.MRI+r.06IX,Y.l �$U1.0[MIXr[n +] ��� <br />rArtf2 •qS2 q1 i_.1 «/r'�«I /� JU <br />�� <br />RIRI•Cl rf nydl W[1 Rbl(Iq ^ <br />N F /ell w.t (liti �.•nNA .. •- <br />n�1'f7.-.�'t1AL SIA%tL� <br />1 HEREBY CERTIFY THAT I 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 GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE ON CANCEL THE PROVISION OF `NY <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 />CONTRACTO AW 18 2) RCW AND 296200 WAC <br />X / 77s- FLIP /✓r ry'/T-r' 1 <br />PRalvs[o YY. d aunwn <br />uoa ascnol"w R.drcmr sl«nsY aumv oRuucn lMOcdus' <br />Lnr ftm. a <br />Pu.r:[luunrnumin <br />cnnsrm¢1X.+m•slnc¢n +wXrtss Inu+«Xa rnlue[n <br />SeA7irun[ P•q <br />arr susas: uu oslaq <br />PLUMBING <br />MEC,NANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET ITOILETI <br />A C - A HNDLG UNITS <br />BATHTUB }ke-�- c- <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />- <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER NEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE IWOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE _ <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />_ <br />SINK (SERVICE - BAR, ETC) <br />GAS PIPING <br />EXHAUSTFAN <br />) <br />SUBTOTAL S <br />6UG TOTAL S <br />_ <br />PERMIT S <br />PERMIT S <br />TOTALFEE S <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />