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APPLICATICISFOR CONSTRUCTIG1 PERMIT <br />CITY OF EVERETT a BUILDING DIVISION <br />3200 CEDAR STREET a EVERETT, WA 98201 a (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION BUILDING ❑ MECHANICAL O PLUMBING ❑ SIGN <br />PROJECT ADDRESS: -Ak5 9--I-�" S4- SL,y <br />ItM l VWY wss nn n Rqw <br />.MCMIfCI nR my wP YW 4 ss CITY <br />Y `_fxICV 1 I'm Ha rues _ see a bo we �K Y LT. H.# o 251 QZ <br />wlu. IA.CIDI 'IW • 55 all lw nxM "Alt ISIAN • <br />wCAWKR WAPUCTm 4w• ss On /e P(I'A %?AM,"gEr <br />NU Cp TWTD. YY l ss an IT RpIF I,Amtaw I <br />CO'IIP.CI PDtI p wp'n <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC 0 <br />IR 9CMet NORP WMAK IWI. N WD <br />Cplr•CI rtPldl PNn nE1Ero <br />r <br />iL <br />( > ) 4eA -q <br />PKwovDuu w <br />I HEREBY CERTIFY THAT I HAVE READ AND EKAMINED 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 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 />CONTRACTORS LAW 10 27 RCW AND 2" 200 WAD. <br />A, <br />IlnuatCAPtlwp mDPtAn Rrowrlettow w. IY'D CDRA <br />( - _ <br />IDIAwd a <br />1V110t1 lu ID MMFA <br />CONSIAUCIgAIOW IINIRA .OdiftA lntl'rgAF MlrlAA <br />4pu1Dc wit <br />OnAU ffut tmw <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TV" OF EGUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />1 <br />AC-AMNOLO UWTS <br />L <br />BATHTUB <br />' <br />FORCED AIR SYSTEMS <br />.� <br />LAVATORY (WASH BASM) <br />1 <br />HEAT PUMP <br />I <br />SHOWER <br />' <br />UNIT HEATERS <br />I <br />KITCHEN SINK a DISP <br />1 <br />CLOTHES DRYERS <br />DISHWASHER <br />1 <br />RANGE HOOD <br />LAUNDRY TRAY <br />' <br />WATER HEATER <br />i <br />CLOTHES WASHER <br />WOOD STOVEURINAL <br />METAL FIREPLACE (VOOD BURNING)DRINKING <br />FOUNTAIN <br />FIREPLACE INSERT WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACEBACKFLOW <br />PREVENTERS <br />No <br />GAS RA' lESINK <br />(SERVICE - BARETC.I <br />OAS PIPINGEXHAUST <br />FAN <br />1 <br />i <br />1 <br />SUBTOTAL <br />S 1 <br />SUB TOTAL f <br />' <br />PERMIT <br />11 <br />PERMIT f <br />1 <br />TOTALFEE <br />$1 <br />TOTAL FEE f <br />' <br />FOR OFFICE USE ONLY: <br />,M T:npw <br />(l <br />INTIMN <br />2 Q <br />MR Mre.[A <br />M1WOAd MAAIIA <br />rFf � <br />KC.[e'Iro <br />IDt IOMI <br />101 • <br />Nei <br />YKWI MtF <br />44"A O ro <br />FEES <br />VA LU <br />FEE <br />AIRIAxn <br />/Cv .02'. <br />— <br />- <br />wa1111A•1 <br />wIF uwr`nn <br />1 <br />sin aroprr <br />b�'S J f, <br />n'AaRo <br />�4F <br />Aw.Acl <br />R O <br />'vn H�wlt <br />Z <br />pZ1IRA1lu•D <br />e.vwNr <br />ores Jf.A'X <br />wcAWrw <br />MDIKIAN.M1W Cftx <br />IR MA KOLA <br />K.MIA <br />DTA[A <br />--� <br />IR 4APY Kn'D <br />K.xrn <br />al.tl FRDMI Pen14R <br />D <br />rrM1 Or fdRl <br />M1Wx.PIxIpTDeI CRYOF EVERETT <br />LOCAL SALES <br />D.It 1� 9D TAX CODE IS 3105 <br />rrxx r,Adwx <br />//JJ�� <br />TOTAL <br />