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APPLICATIA FOR CONSTRUCI%N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET r EVERETT, WA 98201 r257-8810 o4m <br />❑ DEMOLITION COMBINATION ❑ BUILDING ''MECHANICAL ❑ PLUMBING SIGN <br />PROJECT ADDRESS <br />iditY.�FJ 6�QoPlL_Z]�`) �ua1e�'fr__ YLS�'33�-BU�d <br />1fIW11 u•a•Ddcff nn !P 11f?( <br />l`AftNvr b l Cal <br />�fw p'(�vDaaus2�2�Zr <br />•ac�ur[ci on o[cona w[ww[ss <br />RnEMl twlm Y49p ss GIY 1P — --nYK e191E lILENBfr �— <br />M[WMCLL CONtRKipl YAL Sf%PICBS Cln !P RqR� 61•iC IKCM[• <br />RWe1110 COMiRICip1 mft C ss C111 IP Apaf 811n 1C[MFr <br />CCNtMLI niCEM <br />O � <br />HEATING SYSTEM: n OAS n ELECTRIC 17 <br />MSCARE WOa• wp SWw[ FOOTAW IIMX <br />AAI,�! FVASNl ✓A1OC <br />LWTKr TTR b <br />rOe oWVe C.� <br />I HEREB CERTIFY THAT 1 E E HAVAD 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 />AW REGULATING CONSTRUCTION OR THE <br />OTHER SLTHISOPERTY <br />PERFORRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER TO PERFORM THE WORK FOR WHICH <br />APPLICAAND 1 COMPLY WITH THE STATE <br />CONTRACRCWAND2B0200WAC. <br />—Gd <br />D uu M mm0mn^ <br />C �9� <br />if Ill M9CRvtroNM rrlq[ary isl��PuowrnsTt•cN IYlO wlxsl <br />[or raa M <br />FOILR IU ID NI A <br />C IRUCIM LOw IUIXP.• 611 I[lfn N R <br />5 [lU MIT <br />CI11 eYSVA eeI [NO <br />PLUMBING <br />MECHANICAL <br />_tO.j <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO, <br />TYPE DF EQUIPMENT <br />FEE ' <br />WATER CLOSET (TOILET) <br />AC—AHNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASHI <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK S DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNI AIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACCKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE —BAR. ETC) <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL f <br />i <br />SUBTOTAL f <br />I <br />_ <br />PERMIT f <br />i <br />PERMR f <br />TOTAL FEE f <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />,R Tffle•Ce <br />PEARsfre•Cs <br />swK mlv <br />Rw cMce TITHER <br />IfI <br />REcfot ND <br />uf(. Zp <br />101 FRfA <br />vKMT RTf <br />nnf nND <br />FEES <br />VALUATION <br />FEE <br />afK TIIVVIM[ <br />Ml M[YMLLM <br />VMTB <br />W fflkm'll <br />4NIM IM <br />OLC1p1RC1 Iq lrPMfS <br />OPOIA <br />IX:iU1'wt LOW <br />YYMNT <br />mfs n ND <br />y[LNSMC4 <br />FRE iM to REOD <br />1,[S9DN <br />•DMlIOIlLL PW1CI,FM <br />O1RCa <br />f Rf 4APY M00 <br />Pf•sCN <br />STSIEM vw sIX1CH <br />T1PEM Goad <br />nws Dal <br />D•r[ .TJS-« <br />CITYOF ­EVERETT <br />LOCAL 6ALE6 <br />TA%CODE IB JIGS <br />FDICw s <br />TOTAL <br />