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APPLICATIA FOR CONSTRU6T1IO�,,�N <br />CITY OF EVERETT A BUILDING DIVI81ONlr`"' <br />3200 CEDAR STREET A EVER ETTr 8B210vp• (l`gg`R-L25 BB10 <br />❑ DEMOLITION ❑ COMBINATION '0 BUILDING � MECHANICAL <br />PROJECTADDRESS: <br />Sc �L 1 iac 7 5�- S, SW 6Vtee fT <br />TLFAM YMA ss cn A .NDNt <br />Mlalnumoi Town MNY ss <br />PERMIT <br />❑ PLUMBING ❑ BIG!$ <br />R WMO CbIrRlfrbl YA4 ADbttl bh jN FmW wit l[fMn- <br />mrlrwCra\cTwrpp <br />IkECRFE MOA AMNIA A0F pWlY[➢AA <br />uull� <br />HEATING SYSTEM: alrAS ❑ ELECTRIC ❑ <br />ncL oiodLFT jF UriS <br />, O.4 <br />wlorosro ux w IMNIr10 <br />«oK otwAnanw wwenrvrywgebowasnApingtwpp <br />Lot Rad pF <br />1 HEREBY CERTIFY THAT I HAVE REAL AND EXAMINED THIS <br />APPLICATION AND KNOW TIIE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIO'''S OF LAWS AND ORDINANCES GOVERNING T141S TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO DIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCK LAW REOULATINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSI RUCTION THAT I AM AUNIORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />(CATION 19 MADE AND 1 COMPLY WITH THE STATE <br />CON CTO 18 27 RCP7 AND 2" 200 WAC <br />S T / <br />FO41Yq D\r �- <br />Ory pKr(5}Ir_f M[ 1q <br />5 <br />J <br />FAnCtf rw 1 o A <br />GMrq.:rR)IIOw IfY]fA ADdN'!4 RIrnIDNr MAIArn <br />PLUMBING <br />MECHANICAL <br />No. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF EOUMMENT <br />FEE <br />WATER CLOSET(TOILE <br />_ <br />A/C —MIINDLO UNITS <br />�— <br />BATHTUB <br />' <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN( <br />HEAT PULIP <br />SHOWER <br />' <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />I <br />CLOTHES DRYERS <br />DISHWASHER <br />I <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />1 <br />WOOD STOVE <br />U111NK <br />' <br />METAL FIREPLACE GVOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE NSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />DACKFLOW PREVENTERS <br />' <br />GA9 RANGE <br />— - <br />SINK (SERVICE —BAR. ETC.) <br />OAS PIPING <br />EXHAUSTFAN <br />r <br />i <br />_ <br />SUB TOTAL 1 <br />SUB TOTAL $ <br />PERMIT A <br />PERMIT A <br />TOTAL FEE E <br />TOTAL FEE 3 <br />FOR OFFICE USE ONLY: <br />rggr vrn\c. <br />qw vrs.c. <br />YFS/NYr <br />AMII I.MIAI.A <br />IotAgA <br />EllO YD <br />E <br />VAlUAl10N <br />FEE <br />LIFOINn <br />p <br />No F fgtrlm <br />.1 <br />Sus w K(Xw. <br />nuwo <br />OCI;IR.Mf.• Iq IV \IIYKI <br />I111b1' <br />MSIT.1.uAAFGp <br />w.CWN\IUnI <br />.\N1tNr <br />On\D •It Ovl� <br />IfflILY <br />AmrKYw nwa(p <br />OrA <br />AAADN <br />IM WPMg00 <br />q• <br />F\Ar[ MNwAI NAbI\Mf <br />rrAwr:oxsl <br />P1 Da• <br />oA 4- <br />CIIYOFEVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />TOTAL <br />