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APPLICATS FOR CONSTRUCON PERMIT <br />CITY OF EVERET• DIVISION <br />3200 CEDARSTREET • EVERETT, WA 98201 -(425 )257•SB10 <br />0 DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑/P�LUMBIBI/NG LI SIGN <br />¢`ECT AD09E88 7,S�y $T S•��� <br />2.� ���� <br />IFIYNI YM 4pRl Sf all !n NVYII <br />T. C.. /. TE•L� - 611d+; EY�.Prg�G K 7,/LZ __EfIL��.%�' <br />FICMNCIP1dPOMN Y4 •aRR S{ CII hl' R(tiI <br />dMn4 GdlRA[Ip1 YM •D�'In�'I..Srr1�� CN{ !• hvm F4a 1CFNY • <br />eSAtQQa�jQltflL/�tl� fSF�E _�{OL�j0,61.200 <br />VCNINC f. IRrfiW 4•R Yd45f CIII! N NF SNIT IKFMSFI <br />Rl M4 IRKIIT YMfa1MFS5 Clb M l'1[A1 fO1f ISINY• <br />CMIIIKI TM:! p MY <br />_ <br />HEATING SYSTEM: ❑ OAS O ELECTRIC 0 <br />dKMI R+}w fiMI sw.w hall 4YPKD <br />�lj,✓� r_r FIR <br />GIMtY1 nRYY1 •M MPI rU <br />-S <br />rmoYOlrcl r nwdrn <br />1 HEREBY CERTIFY THAT I 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 WT L BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT THE ()RANTING 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 1 COMPLY WITH TIIE STATE <br />CONTRACTORS I AW IA 27 RCW AND 2ES 200 WAC <br />I[aAl dfCy dPrbllRnIFNDMl e1lOR V'A!lA[x i{ID TOKf' <br />IDI Naw IN <br />I R <br />Mal) <br />CMTRIFIRN ID.N If MFFR NMRILSS RITI.•Y(E A <br />pil euvAif ICIN4 Na <br />PLURI MO <br />MECHANICAL <br />NO. <br />TYPE OF FIXTUIIE OR REM <br />FEE <br />NO. <br />TYPE OF EOIIIOMENT <br />FEE <br />WATER CLOSET ITOLET) <br />AMC —MINOLO UNITS <br />BATHTUB <br />' <br />FORCED AM SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />, <br />SHOWER <br />' <br />UNITHEATERB <br />i_ <br />KITCHEN SINK A DIBP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />_ <br />CLOTHES <br />WOOD STOVE <br />T <br />_WASHER <br />URINAL <br />METAL FIREPLACE MOOD BURNING) <br />MIINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIPEPLACE <br />BACKFLOW PREVENTERS <br />OAS RANGE <br />SINK (SERVICE - BAR. ETC I <br />GAS PIPING <br />EXHAUSTFAN_ <br />SUBTOTAL E <br />SUB TOTAL f <br />PERMIT $1 <br />PERMIT S <br />TOTALFEE $1 <br />TOTAL FEE E <br />FOR OFFICE USE ONLY: <br />IedR KFNYA <br />dw w1w. <br />PdwlM <br />rSMP[ NNIIIIR <br />rlL <br />7 ! <br />dnI•'I 11D <br />aN lPR <br />1(gN11MMlKF <br />OCLIMNCI VPIMy{ <br />M011• <br />IR PMMMI{RPFID _- <br />NE 4IMIMaD <br />II•F d C", <br />IDI.w. <br />I'll <br />❑rl{ ❑ ui <br />VALUATION <br />E` <br />� <br />___ f -.• <br />--ram <br />--�-- <br />MMINKt —�� <br />Ma b nMllM Sltl P MPG'll <br />lMlfi <br />wslf.Mnwn UYYNI <br />OHf ONE <br />�' <br />nlAw•rll <br />MIb.NF4 <br />A60R.IN4 DAM CMP <br />d.FIF <br />OIMA <br />Ri.{Rv <br />FIHI MRDNfIFMCN.IMK <br />PANfi.mgltn e. CRY OF EVEREIT <br />LOCAL SALES <br />oA1L / 1 TAX CODE 18 iTDS <br />nMlr. wrKw. <br />— — <br />TOTAL <br />- <br />