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APPLICATIO&OR CONSTRUCTIA PERMIT <br />CITY OF EVERETT R BUILDING DIVISION <br />3200 CEDAR STREET R EVERETT, WA 98201 + (425) 257-6810 <br />i I DEMOLITION ❑ COMBINATION ❑ BUILDING MECHANICAL I 1 PLUM13ING ❑ SIGN <br />PP- IECT ADDRESS: �S Z�7 —I S.5 • S •W , - -. <br />OMNFR YN fpOI[ff 11 !f hOR -. ... <br />roA�YsvILLS fbwve� ccpT!!JG _ _ — <br />1[NfMI YN f00"[1! 1 MI llP nRMr <br />. PIUWMCw1 Ip1 ��1YIEa1[{1 on I. Rrryr1 {MIFIILfNIL• <br />cwlwcl Rgct a RlOa <br />HEATING SYSTEM: ❑GAB DIELECTRIC ❑ <br />o wa.ANn Ag[OpIAaMY0.Yro <br />C LP <br />canAcl uon,aANo ��L/ 1 4S 2 <br />OFF1 GES. � 21 S PfzIN1GLERS� <br />_ <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />O Cj <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />1l101ououu a nnaNY <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TNIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHET14ER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />U!" augticlra ncgRn IRIOAN {fltl7f pP AnApiKOCORU <br />Io1 ROC+ a <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR UTICAL 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 COMPLY WITH THE STATE <br />CONTRACTORSLAW IS27 RCW AND 2"200 WAC <br />PARc[t I011) NIAIgR <br />X 5 15 00 <br />CONfIRUtIgN1aN11Wi1, Wa1[6/ n1lHrW MNMF <br />HOrY111R1E z7-cmcat pA1T <br />all w fflcfwW <br />PLUMBING <br />MECHANICAL <br />NO, TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. TYPE OF EQUIPMENT FEE <br />WATER CLOSET (TOILET) <br />AC —MMOLO UIMTB <br />BATHTUB <br />' <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />r <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK E DISP <br />I <br />CLOTHES DRYERS I <br />DISHWASHER <br />RANOEHOOG <br />_ <br />LAUNDRY TRAY <br />) <br />WATER HEATER <br />_ <br />CLOTHES WASHER <br />r <br />WOOD STOVE <br />URINAL <br />I METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />1 <br />PLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />I <br />I OAS FIREPLACE <br />BACKFLOW PREVENTERS <br />' <br />I GAS RANGE <br />r <br />SINK JSERVICE — BAR, ETC.) <br />OAS PIPING <br />_ <br />1 <br />EXHAUSTFAN <br />1 <br />r <br />r <br />SUBTOTAL S <br />SUG TOTAL E <br />PERMIT E <br />I <br />PERMIT f <br />TOTAL FEE f <br />TOTAL FEE $ <br />E FOR OFFICE USE ONLY: <br />V"IVIRACR <br />KW ptRAC+ <br />Pa l4i <br />nWCI !! <br />efl <br />gfIlI NO <br />mtnc <br />wN,ml IMIAfm <br />tm W[A <br />rQWI *It <br />On{ ONO <br />EES <br />_ VALUATION <br />—1� <br />RM WR <br />NofR MAUN0 <br />R <br />f1[Ia ROB'11 <br />-- <br />nWRNp <br />pCCIIU.Ct rtl ntllgtf <br />MdR <br />aiuMN110N <br />RRYYLRI <br />pYl! DMI-� <br />y1wArL4 <br />AOdIXFY n "ON" <br />OIgA <br />IN- "MHRg00 <br />gARw <br />Iwt AUAAIgaY <br />gAV7! <br />FIOt RKMKI AMYM( <br />\ <br />tnfarwll <br />nANRAre. <br />prd{ <br />CRYOFEVERETT <br />LOCAL BALES--'— <br />TAX CODE 15 0105 <br />TOTAL __ <br />