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APPLICATI00 FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT P BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT. WA 98201 A (425) 257-BBI0 <br />I DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECTADDRESS: /f%` is C[t� <br />'a. <br />If <br />IIp• <br />MMYKif <br />pn <br />!� <br />M101K � <br />YCNRCI p.d4lWlp <br />YM •pM.t11 <br />Cln <br />M <br />1'.Ip,A <br />nYM TUN ICIMV. <br />dwpM CGNIIMLIW <br />UK NVUEM <br />pll <br />!P' <br />-- <br />wfPA•K:M CMMACIM <br />MAKAX"11I <br />an <br />M <br />wK tnII1CINM• <br />nlpAlllq CMIAAI.tm <br />YM AOPwO <br />pM1 <br />it <br />nOA FIAII ICEW <br />CWIp•c11PC1 d 111MM <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />dacwll lrplM •Pn SRww roolAd AmIWo <br />cwTAcl nwpP Axn nPM •M <br />TT <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 />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 LOCK 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 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 1S 77 RCW AND 2" 200 WAC <br />X �✓ %u <br />pppMtfo usE d IulOplO <br />IENIdxPP11011d Paowpn lMUMI MtdI m vl•CK MO sl <br />IDI MOd d <br />IAllCfl lu 19 MA�Ip <br />CIMIMKI•YllpW lT•fFP MXIKIE RlEP110PE MMNfl1 <br />{RNAIIIK (MIT <br />pn FI nLctwA <br />PLUMBING <br />MECHAMCAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />N0. I <br />TYPE OF EIOUIPMBIf <br />FEE <br />WATER CLOSET (TOILET) <br />A/O-NVMCLO UMTB <br />BATHTUB <br />IFORCED <br />AIR SYSTEMS <br />LAVATORY(WASH BASIN) <br />. <br />HEATPUMP <br />SHOWER <br />UNIT Ilf ATERS <br />KITCHEN SINK A DISP <br />CLOTIES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOCU STOVE <br />URINAL <br />Alf TAIL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR ORAIN <br />fi h4 FIREPLACE <br />SACKFLOW PREVENTERS <br />GAS AANGE <br />SINK (SERVICE - BAR. ETC.) <br />GAS PIPING <br />-- <br />EIWAUST FAN <br />SUB TOTAL f <br />SLOB TOTAL E <br />----- <br />PERMT f <br />.�1 <br />PERMIT ! <br />TOTAL FEE S <br />TOTAL FEE E <br />FOR OFFICE USE ONLY: <br />111(W1 V IpY4 <br />w•p y1MfY <br />SOt M1YM <br />nAp GC jM�ri/ <br />IFf <br />wnll'I W <br />�16 nrrl - -- <br />Im w • <br />vCAPI sit <br />O rFE ONp <br />FEE <br />VALUATION <br />FEF� <br />%* A. <br />_ <br />i <br />NIMA.I 1pul•IRn <br />� d IIw11NO <br />47l d UPdll <br />MINYM-M <br />� <br />; <br />0.LIY'•M• M�M1.'u.. <br />dfu1MM11UN1 /•VM\I <br />fVlLap <br />D.In ON1 <br />AdIISINp n•V OIII Y <br />IPp V.u'nHP wOII <br />AYVYI <br />_ <br />OMP <br />IYP 4•iry ulVU <br />w•NV <br />al•11 Mp1YMILFCIMMt <br />i <br />HIti n1Y �Mn1 <br />n•rs •ImNTn K. <br />CRY OF EVERETT <br />LOCAL SALES <br />-- <br />TAX CODE IS 310S <br />TOTAL <br />