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APPLICATIA FOR CONSTRUCTI VN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • (425) 257•8810 <br />❑ DEMOLITION COMBINATION li} BUILDING ❑ MECHANICAL ❑ PLUMBING I 1 SIGN <br />PROJECT ADDRESS. --- Z2-TN _(lt(77 AA.A <br /><Ee�LY M2rYC1 117YMSJ & A141AW fJZJJ jto•L!i•7A/3J- <br />gY4(n uul OTIO FN PA !•' nV,t <br />N — - -- - - I'm •IKR[Ss CITY M <br />ARCMT/CId1 IIlSINAn Nw YMAss CITY !Ir M[M <br />�Ey,wY_�selra 1 vf►I 112 7N s7 w.[ wcvR:TAR, f+A 9lizE LL6rALNIkesJJB <br />NNIn•1 CO,InKIm uw •pRRH Cln I�r nflX 11.1E 11rw <br />MCN.YC4 F.O4iR•f.1U11 V•./ARItsS an tr AVl a1CIr IKFWr <br />%IMIN6 CONIPKi011 Yw•AMIss CITY In 1'IIOM s1A1tIKl4N• <br />COIIRKI M[! Or "0"11 <br />�O /IFEay L <br />HEATING SYSTEM: g0A8 ❑ELECTRIC ❑ <br />IxR.wRr w.rw •NP SIUARI r001.6[ rlwlvlo <br />COMKI nRla •In rIM Ro <br />1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW DIE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WIIL 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 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLI WITH THE STATE <br />CONTRACTORS LAW 1R 27 RCW AND 296 200 WAC <br />/A1 � ' /I' <br />�y <br />rroovouv or P%IM <br />Im•l ntx%nlgl.C' r Fln 111mc,b1Mlm a AnACll mcaR[sl <br />ml ( MICR ar <br />wRcn uno HpwRR <br />v0 • 0/O <br />CMSIMKIYM If1YI114RR MII.NSS Ill[np[F MIIMFR <br />SKMM WIt <br />CITY wvwls 10,04 u0 <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUPMENT <br />FEE <br />WATER CLOSET (TOILET) f1lAIC—AflMa <br />UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />_ <br />LAVATORY (WASH BASIN) <br />I <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />/ <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />I <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT WOOD BURNING) <br />FLOOR PRAIN <br />GAS FIREPLACE <br />BACKF.OW PREVENTERS <br />I GAS RANGE <br />_ <br />404, (SERVICE — BAP. ETC) <br />GAS PIPING <br />EXHAUST FAN <br />SUB TOTAL f <br />SUB TOTAL f <br />PERMIT f <br />PERMIT f <br />TOTALFEE III <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />IRMIitlMv,S gMIIISKs SO[fllsKs AyLCIItX •A•RIf R ITI� �7 �� MCIA'1 •RI <br />114110uF <br />4rl(I411Iw1A1gY I <br />101 • vK•xl sln <br />�S V s D Hll <br />I�d(RNII•Rl PR Vsl00R1 <br />1 G2 S <br />AIR1..5 <br />nlRwnn - — <br />Q�,1•LN:Y AIIro•I,als <br />-I Z. <br />unw•RIIWP <br />aAsrw Nl � <br />Olta <br />wrxwrN <br />'— <br />r mrRH4rtoo-- <br />fIM 4ANM 41111 <br />rtAmr <br />M••RY <br />AAre•L 1)91 CRY OF EVERETT <br />•R IV �_ TAK CODE IS 7105 <br />•IglrtnH nwcrtc• <br />RI4lR <br />SI.11 MMbMIP11KWRM <br />g'NLOCALSALES <br />-me. I` <br />--- <br />TOTAL <br />