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APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT• BUILDING DIVISION <br />3200 CEDAR STREET • EVERErr, WA 98201 •25S-BB10 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING MECHANICAL ❑ PLUMOINr. CI SIGH <br />PROJECT ADDRESS: <br />OVA VAAjc�ss <br />ATV "cTI`AmI9MN YM ArgrYaS On nT• <br />!� W WNT.YCIn1 YM YVyea (ln <br />ry• <br />M1YWr <br />"All t1 m. <br />YLMYS4 COIIWLTa1 YYI.aYWss nn <br />-- PP -_ — <br />na1( <br />STATE ICLNM. <br />Evv, roe. , -7%-7 'k��.,r <br />3:.1{1�_Wh <br />%10(1 767-13 <br />Eve.�il <br />nIMMO pNTN.1[NJ. .a NgllEsa 1 <br />N <br />np.L <br />fnTS IIL[NYS 2qQ <br />psrrTYLI N.CEaNaw <br />—'—_. <br />HEATING SYSTEM: ❑ OAS ❑ ELECTRIC ❑ <br />paPME.QY eM EW �'.' OOIAPF MSOIYEo <br />�NTV Ll I•� „ <br />f.(NYr:I ni1S(ITI Yfl n1aR MO <br />_ _ <br />I HEREOY 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 GOVERMNG THIS TYPE OF <br />WORK WILL RE COMPLIED MTN WHETHER SPECIFIED HEREIN OD <br />NOT. THE ONANTINO OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTRORIrY TO VIOLATE UR 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 WORN FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW IB 2TICW ANDM,200 WAACC, <br />E / y� ,yy/1 YA7 <br />AlloraEN ufE M �� <br />_ <br />umoserwnlaNn nlonnn lvloNw rtlonalsHACN nu eaneq <br />LOT uorar d <br />FNC(l w Io MNE[A <br />CGIISTT111CTInNIdW HNosn. YYrK aa. 1.1(An.1[Nwern <br />P urF <br />ary eYSNRes1ATT.ft No <br />PLUMBING <br />MECHAMCAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYFE OF E01116UMT <br />FEE <br />WATER CLOSET (TOILET)NC-MNOLO <br />I11AI8 <br />�— <br />BATHTUB <br />FORCED AIR SYSI EMS <br />LAVATORY ASH BASIN) <br />HEAT PU;Ap <br />SHOWER <br />I <br />1 <br />KITCHEN SINK f DISP <br />1 <br />_UNRHEAIERs <br />CLOTHES DRYERS <br />DISHWASHER <br />LUNGE HOOD <br />T <br />LAL04DRY TRAY <br />1 <br />WATER HEATER <br />1 <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />ETAL FIREPLACE WOOD BURNING) <br />_ <br />DRINKING FOUNTAIN <br />IREPLACE INSERT (WXD BURNING) <br />FLOOR DRAIN <br />TAS <br />FIREPLACE <br />1 <br />BACKFLOW PREVENTERS <br />'AS <br />MANGE <br />T <br />SINK (SERVICE —BAR. ETC.) <br />JEXNAUIST <br />AS PIPING <br />rAN <br />_ <br />T <br />SUBTOTAL f <br />SUBTOTAL f <br />PERMIT 11 <br />PERMIT f <br />1 <br />TOTALFEE $ <br />I <br />TOTAL FEE f <br />1 FOR OFFICE USE <br />I IIIF NM�IOT MRA�YKYIT YT[ <br />Ons O NY <br />W KII4T Ul ATAAI)4 wTa LAIRIAAl MRREaITI <br />am 010, <br />nANa[rA YAayn rIF <br />_S G <br />FEES <br />uAlusAl <br />n 111MT <br />TrnYYrAI� <br />AOnTI(WAI nAN1YKfs <br />n.n <br />RTYf n1111/A16(YMYRK <br />F OF EVERETT <br />nwc WTIITIA <br />— <br />)CAL SALES <br />---- <br />-- <br />CODEISJIG! TOTAL _ <br />_ <br />