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DLC-1.12-98 WED 04:12 PM EVERETT PERMIT SERVICES FAX NO. 425 257 8857 P. 04 <br />APPLICATION FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET x EVERETT. WA 98201 • (425) 257.8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING 121 MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: IL2(], 7STN ST1ZP 6.T _ice <br />oYj <br />.rCugO On Mf•4r[n ul .rxx,tf> - Vn -7i -.�� rxpxr <br />T.e•. rr..rn•rrm motor Un 4r niKwl HAM1 Ir;(Ngrr <br />Y(CM. N'[�CIINIP.f,Iafl Yul I.N1,FS1 t.i♦ ^' ••'•!" ^""'^'"" <br />AAR 4,. AT'-t-1_0_ -DAL3A ZoCi G27, 4(i-54, <br />cox CFPPKt arlOru <br />27t:)o `= <br />-- <br />HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br />- <br />D[zcart wOxAAw Saumt �pouGt wvolvcp <br />A,vv flTz@ SPtx +lGl tERS « __ <br />L.11Tr. v./ bFFIL� r+R7Z Pt-A's-A P_ <br />tprHcr rtnsoN.xn.xor: r,o .� <br />f3lLvM f S TAP1�t±I LI o __... <br />�•IN tATO -�Pfi .. GO. 20L &72 •Ikg�t <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINGO THIS <br />APPLICATION AND KNOW TIIE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WIT(( WHETHER SPECIFIED HEREIN OR <br />NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO ONE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REOVLATINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFOMA THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITII THE STATE <br />CONTRACTORS LAW 18 TF RC W AND 295 2W WAC. <br />[I'��� T{ j / M <br />E_J <br />Gw W DAq <br />exyo(rZiw nr Pmwxa <br />__- <br />L(GALMSt"t-OFr I`FL 15x "'C" An.cxT c"" <br />1pt SIMI W _ <br />--"— --' <br />pAMR Yn p ..rvo(n <br />11z8OA41�140003 <br />CdirPtrNwlo•x1FM'(R..UnN(c57[lftwfw4 MN0[M <br />Otr W4x[Si ll[nf[xJ <br />PIUMEINO -- <br />MECHANICAL <br />N0. <br />TYPEOF FIXTURE OR ITEM <br />FEE <br />N0. <br />TYPEOFEOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A!C `- AMNDLO UNITS <br />BATNTUG <br />FORCEDAIR SYSTEMS <br />LAVATORY (WASH DASINI <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 />WA7ERHEA7ER <br />cIOTHE_s_wssHEn <br />_ <br />wooD s7ovE <br />URIBA <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING( <br />FLDOHORAIN <br />OAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />—T <br />SINK (SERVICE — BAR. ETC <br />OAS PIPING <br />—_—_ �— <br />EKHAUSTFAN-� <br />I PERMIT <br />3 <br />A <br />TOTAL FEE <br />f <br />TOTAL( <br />TOTAL FEE f <br />FOR OFFICE USE ONLY. <br />r.nrr ArtA•a <br />Aru fru¢N <br />SKK stIMCA <br />RAKottAAfrYFtn <br />rfr7(� rl <br />Arrxmttm <br />uft Text .D1.r4 vgANI PR FEES _ <br />Or(f O x0 A... <br />IKG�O W�4rKw xO Or AKllwa -H a 61w. <br />mrn rurvA*O <br />Dc[unr[t An tv tuertl o cw.xl to.D nu Hrrt <br />Ln.w uI[xuwn� <br />�n :r7+xitR woo ..-_ .Hwy-_ •relrKwx n..Iorr. <br />OIISR <br />mo Ayin�ntun -� .n AAnr - - <br />FI.1{ FMONf. Pmcx.Ixi( <br />Hr[pr ppxSl lvKM'rA E+ CITY OF EVERETT nIP v.Kw*s <br />LOCAL SALES --- <br />mr C) . 7) m TAK CODE IS 3105 T,TAL <br />