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APPLICAA FOR CONSTRUC06N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT. WA 98201 • (425) 257•8810 <br />DEMOLITION ❑ COMBINATION ❑ BUILDING 'MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT <br />rnwrN ADDRESS: S" <br />I4'L —W,W-t�0 Snr`sa/•!�>� <br />�•n.oaYff a r. niprll <br />IfN•NI YM 4p1I {f OIL H Pg4f <br />•RMIIcIOn ML(flln Y4 •OARS( <br />Qwpkcw,IML1m <br />YN NNMLS11 <br />all <br />Pr <br />M1IM SI•II lCIN41 <br />49=0 <br />11rCY•NK4I.Mln•rIW <br />UINk9M163 <br />aM1 <br />7e <br />I+aM SI•II ICLYft• <br />.GsrSTS_j1Ac <br />/r✓re.wf�Er.�uno✓d4. <br />!g?c%�Z3rra* <br />e7>t71<tso7.2oT <br />1•.I Icmmk.lrn <br />Y•t •'Lw Ft <br />n1. <br />7s <br />P,NYM tl•IrMW. <br />c74l onc[w <br />HEATING SYSTEM: AGAS ❑ELECTRIC ❑ _ <br />OF9CtYN N.]RR •ND WU•A I(pl•D{ NWIND <br />aortrr�cc 6iaftic .PnF's <br />COxI•Dl ILPfOM•MhVMr ND <br />_ <br />MIONRDIIk FR YYdN(1 <br />Je <br />1 HEREBY CERTIFY THAT 1 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 WII L 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 LOCAL 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 />C041RAC AW IA 27 RCW AND M 200 WAC <br />X <br />link MSC!"t"T 1w MIorfm lSf10lt11 NlO M."wil IRO FaYt' <br />IDI coal or <br />AYICGJU Ip R <br />OL coo <br />CDNfKKFnOR IOw IrMIIFR'00tiFf RlfnK14 MIIIIIfR <br />all FU4RLtS ICIMt[NJ <br />_PLUMBING <br />MECHANICAL ---_— <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF EOIIIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C—AAMDLO UWM <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN( <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK & DISP <br />CLOTHES DRYERS <br />_ <br />DISHWASHER <br />RANGE HOOD <br />_ <br />LAUNDRY TRAY <br />WATER HEATER <br />_ <br />CLOTHES WASHER <br />W000 STOVE <br />_ <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />OAS FIREPLACE <br />BACKPLOW PREVENTERS <br />OAS RANGE <br />SINK (SERVICE — BAR. ETC) <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL f <br />SLID TOTAL f <br />PERMIT f <br />PERMIT f <br />TOTALFEE f <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />uw xwr —�Io1 wF Y•cwOlpit <br />istGNU MRIWfi <br />NFRWIIMI•IUN NO w AKILMn MIF w omit <br />IMIF 1 _—._ <br />p[{;IINM'r Y1 M1 VJp <br />IIIII Nln'It11R MOO <br />ra kARU MaD -- <br />ILI'f lK .'wRl <br />(IF I nrfl••1 No <br />-v <br />^^ wl.N k <br />all, OM -- "— <br />IDDIKMk ItNafP <br />SI•ll MRdYI MXCx•IIM � <br />CRYOFEVERETT n�I r.Ld.A <br />LOCAL SALES -' <br />TAX CODE 153105 TOTAL <br />