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APPLICATA FOR CONSTRUCTION PERMIT <br />�* <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 P (425) 257-8810 <br />DEMOLITION ❑ COMBINATION El BUILDING ❑ MECHANICAL ❑ PLUMBING [ISIGN <br />PROJECT ADDRESS: �f 17- "1 V ST SCCrur!`� vA <br />�ort.'fP M�If/tvft ADDS-40ri t*- w NiIK<-'lirr Wh iPoy] y.I' 7�YrSP/ _ __ <br />rD;; fAl14 <br />1111. 7Y '� ST <br />E3IF/LAl <br />Wa— <br />'ffY•.1 <br />um .mwss <br />un <br />n <br />%W <br />fV9f -_ <br />.nMrtCr DD MLOYIP <br />YN 1NIMft <br />Cln <br />nr <br />--ft CONE 1- <br />YNPDf%C 33 <br />%EM EMII IKCY1rr <br />NCH•MC•I CFNIP•cfm <br />Y%MKPY 53 <br />an <br />1w <br />nYilf SI.11 lKENFI• <br />%IINNOCONERY;IpI <br />YM YXYlr3 <br />C." <br />m <br />%Ip1f SMfrIKENAr <br />L0N1R"'r"`r °f %OPi <br />HEATINO SYSTEM: ❑ OAS DIELECTRIC O <br />DF[CwPF W}M •M SQI[w rOD11p MYQHD <br />CpIICI nP3DN rM I'I[INr M <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 />_ <br />%IDfo3fD08 rc %PION <br />WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />1[0.1 pscP�IgNp %q%Rn IYIOKMKIMpI Anl01IROGIPRR <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />sot Race p� <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 />L.,NITRACTORS LAW IS 27 RCW AND 2" 200 WAC <br />IWICfIfu IDM IP /��� <br />♦' [ <br />♦ <br />CONSIROCffrnIMNIrNrcP •(KKaIf RI[IPIafE MMMP <br />X <br />sauluPr MN <br />nf. Rwfr3s InNu M <br />PLUM BNIO <br />NO. TYPE OF FIXTURE OR REM FEE <br />MECHANICAL <br />NO. TYPE OF EOUIPMOR FE! <br />WATER CLOSET (TOILET) <br />A/C—AANALO UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK E DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />_ <br />CLOTHES WASHER <br />WOOD STOVE <br />METAL FIREPLACE (WOOD BURNINGI <br />URINAL <br />FIREPLACE INSERT (WOOD BURNING) <br />TMINNINO FOUNTAIN <br />FLOOR DRAIN <br />OAS f 01EPIALE <br />BACKFLOW PREVENTERS <br />OAS RANGE <br />SINK (SERVILE — BAR, ETC <br />GAS PIPING <br />EXHAUST FAN <br />I <br />I <br />6U8 SOTAL 3 <br />SUB TOTAL f <br />PERANT f <br />PERMIT S <br />TOTAL FEE E <br />TOTAL FEE i <br />FOR OFFICE U_SE ONLY: <br />fwMf 3i �Dv, <br />nu vfsu:. <br />wvn•cP <br />%•uaacP NIIIM= N <br />IHf fONf <br />Imw• <br />vcNI PIT <br />O•Fs O M <br />FEES <br />�� <br />Hfwlf lKaulgr. <br />malNruwa <br />Rnp RDdll <br />nIKRM <br />NIMWfM <br />Or.1:IMM:t Vnnalir.l5 <br />Pwlll� <br />CY.r1Y•MI 10•D <br />a•MNPI <br />Drl■ Cl <br />— <br />•npl[M•I %•NCwtl <br />rq TPPPA1fP R9D <br />w•Sd <br />_ <br />OIwP <br />M W00 <br />w•Prn <br />SEMI R%D%Il FPKH•wK <br />nwc•KpP <br />r•%rcl'IINPf <br />n•NS •IOPn•fnA• <br />_... <br />CRY O:EVERETT <br />LOCAL SALES <br />TAX CODE IS 0105 <br />TOTAL <br />