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APPLICATIft FOR CONSTRUC•bN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 90201 • (425) 257•8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS:_�iI�i4EJ%TaEG/�P�iQK7•/ft /d7s 7S 5•u7 E�/6•RQJr' <br />10 IZ/h off '300 .joss. fYj/ f 701, Bf, <br />MCIprRyy <br />_ <br />su•IP wart.Mlfowur <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />rnptwl nvaKn <br />/�dLSTi�SL ASP?�yA�Lr <br />C rsnl ntnw yp <br />/lid` 10L•9)X <br />6,5 <br />.�',�i��&mil <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW T14E SAME TO BE TRUE AND CORRECT ALL <br />RR IMCNIG 1 m MM0M1 <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />Reu pSLRRI" TV" MR" Isom, Kim OR An" Twa CpKe1 <br />WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERLXT DOES NOT PRESUME TO GIVE <br />l0, Socp p <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION <br />OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TUE <br />PERFORMANCE OF CONSTRUCTION THAT 1 AM AUTHOR17ED BY THE <br />OWNER or T1"S PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18 27 RCW AND 2" 200 WAC <br />PwMvl Tu I O MA7. <br />/la_0 <br />CdR,R11CIM TpMIFMKR YXq S{ nlfl'INr1F MIIIYR <br />� <br />��MIKKSIIKFNSL T10 <br />MECHANICAL <br />PLUMEINO <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE Of EOUIPMEM <br />FEE <br />WATER CLOSET (TOILET) <br />A/C—AAINDLG UNITS <br />BATH NIB <br />FORCED AIR SYSTEMS <br />UVATORY BVASH BASIN) <br />HEAT PUMP <br />SHOWERN <br />UNIT HEATERS <br />KITCHESINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (V2000 BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT MOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />OAS RANGE <br />SINK [SERVICE — BAR. ETC) <br />OAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL f <br />SUB TOTAL f <br />PERMIT f <br />PERMIT f <br />TOTALFEE f <br />TOTAL FEE f <br />run urrlce uSE ONLY: <br />n "Wxf;V Irne24 Sa .nr,AO <br />OTC DM, <br />IfgR11MwKW MO pLM,uMO s�tFaFUKv,I <br />MIMMU � <br />I�ii xT ro n Ur.ls unA+.II lour nvuRl -- —' <br />MfNAMf.M _-•— <br />O,Ce D Rn _ <br />Iq xnr•wIfATEbD �� ryANfl Any11ryN10q Mt• ' <br />Iq NAMIe10P - qS•w __ Ulr(R QO <br />S111S MMPMI SiI1YrMryy <br />TTn newel nARAAmKn,neT <br />CRY OF EVERETT nwr. rKrMA <br />LOCALSALES <br />1%99 TAX CODE IS DIGS TOTAL --- . <br />