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APP!_ICATIOG FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET F EVERETT, WA 9P?01 a (425) 257•8810 <br />(7 DEMOLITION ❑ COMBINATION )R BUILDING ❑ MECHANICAL ❑ PLUMBING J SIGN <br />PROJECTAbDRESSt Aag 2/_,qtd S} SL....1 _ <br />Lyl nA 4-burs Ifn QnLl+n `i�• S E3M t1 QWitl i4]51 4ElQ 9 )yP� <br />pn Ir hGN <br />tENwl YY YXTRf S6 <br />bn !M nNM <br />u1nNRtl OR CEfKY(R Yw FANIFSf Gn I/ nKIA <br />kv 1 i Y�X 1-Ia YYYs - see a Div b- Ire AIM I ,K Y i N► o a I .TZ MIW[ IRY:IOTi M yM fnnRS{f pIT RYIII IKSM1i! <br />WdYFn4 Kdt1YCISM YFI fnRIYSS pM1 /F' RIOT[ ATAIF IKFNM0 <br />nIMI1gCdIRv:ip1 YY SOOIYy Gn FIF AK}K STAFF IKFNX! <br />Cdfwf P <br />HEATING G RVI%=U: 7l AO F-1 el e^v. 1-1 <br />tlEXRe[ RVRK SM }QUSRE fOptliO[ YKpKn <br />2;��_�C]ml III Ye ys{Pr�[_e. <br />.._......__._._._.. `.— v u <br />CpI1SCt ARSd �MnInM W <br />e <br />,_—P'Ylc i � •31. I�S~I <br />( ) 4L3q • 9 <br />_ <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW 111E SAME TO BE TRUE AND CORRECT ALL <br />I.KraYa115L M YRGNIf <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />If04 mw.,TKwplrcAen IMORM KIOYGIR T iTq CpY -- <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />/y <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO OWE <br />Iof k= a <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 AUTF40RIZED 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 lA 27 RCW AND M 2W WAC <br />J <br />IWKp fAFIb MAYfN` /4'• �•n+k <br />G]NfITRKIKMIdNIfNn{R NpR{S. RI[AgNfMMfR <br />X <br />LMgNE PION <br />bn pRRty LKFNSf NO <br />PLUMBING <br />MECHANICAL --- <br />NO. <br />TYPE OF RXTURE OR REM <br />FEE <br />NO. <br />TYPE OF EDUIPMENT <br />FEE <br />WATERCLOSET(TOILET) <br />AIO — AlNIOU3 UNBIS <br />—r— <br />BATHTUB <br />' <br />fOfICEO AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />I <br />HEAT PUMP <br />SHOWER <br />IXIIT 14EAiEflS <br />-- <br />I <br />KITCHEN SINK A DISP <br />CLOT TIES DRYERS <br />DISHWASHER <br />1 <br />pANGE HOOD <br />LAUNDRY TRAY <br />I <br />WATER HEATER <br />CLOTHES WASHER <br />II <br />WOOD STOVE <br />—T— <br />IXIMALI <br />METAL FIREPLACE MOOD BURNING) <br />DRINKWO FOUNTAIN1 <br />FIREPLACE INSERT AVOOD BURNING) <br />FIOOR IN <br />1I <br />I GASFIREPLACE <br />I <br />BACKFLOW PREVENTERS <br />OAS RANGE <br />I <br />SINK (SERVICE — BAR. ETC)III <br />(IAg PIPING — <br />EXHAUST FAN <br />I <br />SUB TOTAL S <br />SUB TOTAL S <br />PERMIT f <br />PERMIT f II <br />TOTALFEE f <br />TOTAL FEE II <br />, <br />FOR OFFICE USE ONLY: <br />Ipdf YfeYll <br />ryMVteYF <br />Pq�ile.Y.L <br />AfNprf.4 MUYFl1 Iff <br />IlffFpl Np <br />7G 40 30- <br />I�KI/1 <br />IOI YKf A� <br />O�{I <br />YSCw1 YIF <br />FEES VALUATION <br />FEE <br />MRAM <br />�Oi <br />I\�/ <br />!•!� <br />Ort6 NO <br />O <br />MKNNINxTYNYI <br />No 1X PWIUM <br />5Y[al wDyll <br />AIKYNn <br />IIMIA <br />(e4 D S <br />tKtlKvxi-T <br />N.neurS <br />MLIAfxIIwR <br />efYMNI <br />_ - <br />U'nxwrN <br />_ <br />HMI IiR non-- <br />Ir16d <br />ROprIAYnwpra <br />-- <br />- <br />OtIRR <br />-- <br />IiRxUwAYP <br />Rf4n <br />MAH NAIIKRI Ypn1Y111A <br />/ <br />nFdcl <br />wx.m mmneK <br />CITY OF EVER <br />mor..pf <br />--d <br />- <br />LOCALSALES <br />-- <br />TOTAL <br />�I <br />_ITA <br />wlt TAXCODEIS31SS <br />