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APPLICATION FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />• 3200 CEDAR STREET • EVERETT, WA 98201 • (425) 257-9810 <br />❑ DEMOLITION (-1 COMBINATION ❑ BUILDING ❑ MECHANICAL ! PLUMBING ❑ SIGN <br />PROJECT ADD��R,EB/pSppI <br />CAS<A __SCJ1t*- r^IC rsss -Is" A.T SA/ 'r • zf 7003 -ftf• r10-Sz02 <br />.RCIInf GI P11MVfIRn u.n .GOiH [in M MtM <br />OtKn4 CptlTnACTrn MN ARIIK AS oil !•' mi'm "All.iffn1A <br />Aa.IIAAa:mfAM1AAft(IP UK 0I01 01" Zr %r]PAl nmlt lKEAIf(• <br />%.HIM CPI1PuaOn MKYIIRSS all m MYR /tgtlF0.Lr <br />HEATING SYSTEM: ❑ OAS ❑ ELECTRIC ❑ _ <br />MFf:1Als lMyal AAa tfKMKI r(pIAW NIOIYEI <br />A.,•.A, ; i,.m. <br />fO1TAGl mafaM Arn Ir10PA q <br />J Oml TMAVfR 9Zs-z10 s=Oz <br />.raJ r.r •'lu•alwfwi. wn 4V4,mr7 <br />�-- <br />OR rIGSl ow <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THS <br />APPLICATION AND KNOW THE 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 Or ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OP 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 I COMPLY WITH THE STATE <br />CO IRA; RS TAW IA /RCW AND PFf 200 WAC <br />A / /O 00 <br />LKIIATUY r <br />Impm)No «mmown <br />Ifom MX"TKNill nIOIVIn IM910I 11HOWWAI" IMCCitll <br />lot___RnCII tN <br />PAKCrI toIP mAAyP <br />camtmic'm INNIfKPrK AIImN ill Rlt%cwt MlrMn <br />__.. <br />fail IkM`1 Is I. aw r0 <br />MECHANICAL ------ — <br />ND. TYPE OF EQUIPMENT FEE <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />WATER CLOSET(TOILET) <br />AIC-1VH DLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WISH BASIN) <br />HEAT PIMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A 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 FOUNTAIN <br />FIREPLACE NSERI(WOOOBLNININ(11 <br />_ <br />FLOOR DRAIN <br />GAS FIREPLACE <br />— <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />�� <br />SINK (SERVICE — BAR, ETC I <br />GAS PIPING <br />EXHAUSTFAN <br />nA la /Aa J <br />• rrAn v. n•A� LMN a <br />I/ N w' F. <br />MAY;. /." • r <br />_a II[u.i <br />—_ <br />M. <br />SUB TOTAL f <br />SUB TOTAL f <br />PERMIi f <br />PERMIT f <br />_ <br />70TAL FEE 3 <br />TOTAL FFE f <br />cn0 ncclrc Mae nw V. <br />ImVi1 VIKAT. <br />m.P ViF.'+ <br />wula .. <br />MAFCIR(•MMI_O n ItI <br />I v 4V <br />D <br />IMfIF'I MO <br />uu mw _-- <br />gar .m. <br />r.aAMl vR <br />��IV.•,•Ma/ <br />—_FEEf __ <br />V LUG M_N <br />_.�F Ems__ <br />O llf O MI <br />mM Hy. <br />_�______. _ <br />I <br />rNAWTIUIMIKn <br />nV Ir MK.IAYP <br />AVTa Nmnl <br />---__ <br />—. I <br />I %�It <br />14 <br />n,mlV <br />Vl, wn•.. AI <br />IM\'.:l Y"••+a 1, <br />It f- it"11mI <br />I.VNnI <br />u � <br />IOIVFAIn W�y1• <br />• <br />- <br />IPFAUW.l, 0 <br />WHa <br />—_— <br />% t f <br />C� I/ <br />aIAH AunbM,F=KwKM <br />--- .J- <br />n mronl M1 <br />f <br />nrrn 'filcnrY nm <br />ZA1 <br />CITY OF EVERETT <br />LOCAL"LEE <br />dC I< <br />f <br />A 1 <br />TA% CODE If 3105 <br />TOTAL <br />