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APPLICATA FOR CONSTRUC&N PERMITS <br />rITy OF EVERET7 •BUILDING DIVISION <br />9700 CEDAR STREET • EVERETT, WA 98201 • (425) 257•8810 <br />1 DEMOLITION ❑ COMBINATION yE, BUILDING ❑ MECHANICAL _ . Ill PLUMBING ❑ SIGN <br />PROJECT ADD <br />CAilM .. <br />olwl� <br />�ANA- CL6 a.ib✓G. <br />IINS41 uM NgPI S$ 011 !u hCV <br />_�N6l11E�P_S--_1-I2'_C&IdiY_Ji& - 71L _ fftS) 7+SZ—Collos_`L <br />il�lf�,l�•rtc�t�pll.M V�LM4 nYfw$t C", <br />aNlou•� IP�_.L91��T�D/J_C4.� /CJ]__fi!_�Q_�. ��_�L�.�rl�/9� <br />AICII IKINV 1 <br />Y{CNSMC%/. f46Ntw.fipw Y1l NfR$$ i�h )I hYMI {Ilti lClYR• <br />wIIIKIM 10 Im MM S00110 W, l nlhl yIOC ICINSIS <br />30 'DoD <br />cwrwcl lrw.l IK yr <br />HEATING SYSTEM: C1 CAS ❑ ELECTRIC ❑ <br />SryluM ,lLl1IN w�-4 .`T <br />COMNL'I OI IITf141M M1nIM NO <br />f! P Irrn <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APKK-ATION AND KNOW THE SAME 10 BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORCINANCES GOVERNING THIS TYPE OF <br />WORK WIIL BE COMPLIED WITH WHLIHER SPECIFIED HEREIN OR <br />NOT TILE GRANTING OF A PER\YI DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE Cd CANCEL THE PROVISION OF ANY <br />CTHEA STATE OR LOCAL. LAW REGULATING CONSTRUCION OR THE <br />PERFORMANCE OF CONSTRUCTION THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THE, PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPUCATIPH IS MADE AND I COMPLY WITH THE STATE <br />Cox GTORS AWIK17RCWAN J$ 200 WAC <br />/ • / •I T <br />fN11 MIT <br />Hll•lP[uTK•Ilvla monwry lLlpl$N HIOK (p.I.CTI TYlO COTRH <br />IOI IlOa a <br />A-y-en3 -17!",c 7L <br />MKLfL I". O Nr•wwP <br />CalKIM1GIKY11wN11YiM .pIRF$ rtifH10L MIlIIFFw <br />01t M11NFSS ICIMV 4f1 <br />MECHANICAL <br />PLUMBING <br />NO. <br />TYPE OF FIXTUIIE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUM1flET <br />FEE <br />WATER CLOSET (TOILET( <br />AC—ArMGLG UNBS <br />BATHTUB <br />FORCED AR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <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 />CLOTHESWASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />_ <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT MOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />SACKFLOW PREVENTERS <br />DAIS RANGE <br />SINK (SERVICE — BAR. ETC) <br />GAS PIPING <br />EMAUST FAN <br />SUB TOTAL E <br />Sue roTAL s <br />_ <br />PERLNt s <br />PERMB s <br />_ <br />TOTAL FEE f <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />/MMIVIW. <br />WAAVT.LY <br />$I ull"IDP <br />nYICwCP MIWP <br />111 <br />PIfIfINO <br />IlN tort <br />101". <br />rXA"Nit <br />Oue Oro <br />FEES <br />VALUATGN <br />i4nR <br />[_i—'�_ <br />--T <br />` <br />wKlrtlreu�r>, <br />ro otrrtuw <br />IIrI} <br />wta ROdll <br />NhT E.ABI}01TE• <br />— <br />1'IIMIMi _--- <br />YrcN.IrY <br />-_— <br />,----- ' <br />oclr �. =an. <br />rg <br />unwrl local <br />e.uyNr <br />Gus <br />•mi(14.Inwclrn <br />__ <br />Iq s.PnwHPwov <br />A. <br />Ytww <br />I/N.IAIM_PIOo <br />7/✓�j <br />w.•T1 <br />� <br />a1.11MI.OMIN111CMN11 <br />�• <br />_-- <br />1 <br />_--r— <br />II•T n rot l <br />n.ry A <br />C RY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />hn.+rlwa <br />TOTAL <br />