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APPLICATIA FOR CONSTRUCT& PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • (4251257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL (3 PLUMBING C SIGN <br />11PROJECT ADDRESS: liP'gO 27// Ski osz;fe Lw <br />n KACZK/1 VwCdill IZT4 LvAwuvid yEGBG III_2Y�7'GJCa�' - - <br />1,asG.,� ml si4rrtssA, 1�a3 ce�rav�r <br />Ir�4.[N//1 'A• Yq rYgw SS tlli V MGM <br />HY,411�r wy[YIIP YN Yka45i CIIv )m ha•�iTT-T IGR'ZT9 <br />l�.trA%l..-.. /LzYVK�cj---v SI./ Lfv-j4 9RtioS vi4r v�Jr.^�Q 9�•r^ <br />—� IMYP FUN icFAM• <br />COMIaIArwSF tlr NPM <br />_.. — <br />HEATING SYSTEM: VIGAS ❑ ELECTRIC ❑ <br />w}LAPr wJI1M rM15!)rHM rQQI.\pt NYI1l WIT <br />fJFkrE yx naYa•F• <br />tcKow, M1rIIN{1q <br />r 9.ya6.�r7-LGte <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF L LWS AND ORDINANCES GOVERNING THIIS TYPE OF <br />WORM WIT L BE COMPLIED WITH WHETHER SPECIRFO HEREIN OR <br />NOT THE GRANTING OF A PERMIT DOLS NOT PRESLIMC 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 WORM FOR WHICH <br />APPLICATION 15 MADE AND 1 COMPLY WITH THE STATE <br />CO41 CTORS L AW HI71 RCW AND M ZW WAC <br />, <br />r • �j(�� <br />i YI � cup <br />�INKMOYPIn[ T FNgolNll <br />C\f04IXFcnn•nd ornd4mY H1\oay Fuaw dlFR¢rl lYq cowA <br />lot AO[P IX <br />l <br />4w q-/Ia / w& <br />�Pwrt mlo 4Aaan <br />S //niB tr// G/✓ CYT To <br />CONS1RA:igH InW HgtA gMaYFS 1[ItrYEK MAMn <br />q11 FLAW SS ISIMY W <br />PLUMBING <br />MECHANICAL -- <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF EGUIPMENE <br />FEE <br />WATER CLOSET ITOILET) <br />A/C -A NOLOUNOB <br />BATHTUB <br />FORCED AIR SYSTEMS <br />_ <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />_ <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD B JRNNG) <br />_ <br />FLOOR GRAIN <br />OAS FIREPLACE <br />SACKFLOW PREVENTERS <br />GAS RANGE <br />_ <br />6NK ISERVICE - BAR. ETC) <br />GAS PIPING <br />EXNAUSTFAN <br />SUB TOTAL S <br />SLID TOTAL f <br />PERMIT t-- <br />PERMIT f <br />- TOTAL FEE ! <br />TOTAL FEE f I <br />FOR OFFICE USE ONLY: <br />rwwl vlarF <br />wwula•ca <br />sFX Frlun <br />Fgr.IAawa rrr <br />VALUATION <br />wnAM rq <br />PL[ <br />NPF /Na <br />IOI .q• <br />vK.YI yll <br />Or 41 <br />FEES <br />A 4n4'r <br />wlll\II I4MIPIMN <br />InrrY PwHMa�wl <br />o R19710 <br />MIIIR•1({ <br />`. <br />—� <br />�—� <br />I <br />—_ 1 — •• <br />- <br />w�.��Y�JT���• _ <br />YN �• Y•ntrr•,\\ <br />Uf1aYN11UHj,� <br />F.NMN <br />OvIF N <br />FPPINMu 11 W r'rNFr <br />raR MIP/rIINN w� <br />q.V1I <br />�I ✓�(�, <br />n.YF V9VNWrVII/P• F-cliYOF EVERETT <br />LOCAL SALES-- <br />nal,_- � O 0 M CODE 15 3105 <br />rlvAtAwrgw <br />11111 MMl+ntnaa•YM! <br />Mwr.wm. <br />TOTAL - <br />r <br />.` <br />IrFF RrJaIII <br />`''/i/F`/rJ•I. <br />