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APPLICATIN FOR CONSTRUCRN PERMIT <br />CITY OF EVERETT • BUILDING D VISION <br />3200 CEDAR STREET • EVERETT, WA 90201 • (425) 257•B810 <br />DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS:_ <br />Sr��omish __P_IA ►i . mi—at Ex-P• +I�fl� N y24%�• �70S <br />114.41 oft f ss brr <br />3ny. Inc S��_d� ^' _ <br />Yw YKP(99 DIN F.YA a.NtCF4p. <br />n 1AleM LpiPYaO4 Y4 •p•YSf Dry _ )m --- MlM 641(IK[4p� <br />C 101(1RKt VntF p Mw <br />HEATINGSYSTEM; ❑ 6A8 ❑ELECTRIC ❑ <br />p�H.K4��e�r���� •J4[n sou.w r I.p Hvp o <br />cdr.1;1 n aSa•,ial mrl,w rq <br />nrlorouownhYpn — <br />if" pxnwtltrrp rlldTKrr lYgwN NlowW•n.[Il rrq con[u <br />for NtKA p <br />rY a _J <br />lEI' GlA <br />I HEREBY CERTIFY THAT READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TORE TRUEANOCORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THUS TYPE OF <br />WORK Will L BE COMPLIED WITH WHET 4ER SPECIFIED HEREIN OR <br />NOT. TIIE GRANTING OF A PERMIT DICES 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 I 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 LAW 1821 RCWAND M200 WAC <br />A E 4•i7W <br />/J /�r, <br />w�� Mq <br />l( 11a wA3a <br />.3L422 a0000 30 � <br />CONRtIRKt10NINMIrNMP NXr115[ r(IfAOMMIYMP <br />Ut1 MR•A f5IK144 4p <br />MECHANICAL <br />PLUMBING <br />NO, <br />TYPE LIP FIXTURE OR REM <br />Fee <br />NO. <br />TYPE OF EGIIIPMEFfT <br />FEE <br />WATER CLOSET (TOILET) <br />—AMNDLS UNRS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY )WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />0 <br />UNIT HEATERS <br />KITCHEN SINK 8 DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER _ <br />WOOD STOVE <br />�r <br />URINAL <br />I <br />METAL FIREPLACE (WOOD BURNING, <br />DRINKING FOUNTAIN <br />_ <br />FIREPLACE INSERT MOOD BURNING) <br />FLOOR DRAIN <br />i <br />GAS FIREPLACE <br />1 <br />BACKFLOW PREVENTEAS <br />GAS RANGE <br />SINK )SERVICE — BAR, ETC) <br />GAS PIPING <br />EXHAUSTFAN <br />1 <br />SUBTOTAL f <br />SUBTOTAL S <br />PERMIT f <br />PERMIT S <br />TOTAL FEE f <br />_ <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />FPIMtapAFIL <br />wMple.Cll <br />iQ Mle•h <br />n�C1Kb A <br />v oi4 <br />f(F <br />wFIM4D <br />�/L <br />uu lO•/��1 1 <br />_ <br />Ip•w• <br />rY:A4t xlf O4Y <br />OHS <br />FEE <br />VALUATION <br />FEE <br />•YtwK1 <br />I <br />w KN11YN1A1g4 <br />WpANIINR <br />IIMIR <br />WFpl1•YII <br />,F <br />/• <br />nIN11M1 <br />- <br />OfLIMN:r a1 m.Y4• <br />Np__ <br />iiM Sne44(NR9D <br />111'f.YMYaO.O <br />Ni <br />PYM41 <br />Om fie4n <br />NfMUIY - <br />lmtp PIAY[wc. <br />IY••M <br />1 •K •IMY woo <br />w•Rm <br />RI•IF MI4PY1114K44IIf11 <br />Irrj�ra�al <br />^'fVl <br />nA4R ner CRY OF EVERETT <br />LOCAL SAIEB <br />Nn 7"njr PO TA%CODE IB]106 <br />nR•r.w % <br />TOTAL <br />