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APPLICATION FOR CONSTRUWAN PERMIT <br />CITY OF EVEREfT A BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT, WA 90201 r (425) 257-BB10 <br />❑ DEMOLITION '2I0 COMBINATION ❑ BUILDING MECHANICAL ❑ PLUMBING ❑ SItIN <br />PROJECTADDREBS: 44rtu- If1-Cf iv <br />FL1 <br />2 <br />U47rIcr W n1y'JNFa YW YNYfss Gn m qVQ <br />qVR STAR IICTrAEI <br />NICK ylS�1 kBeEc «as/4r <br />q1a( lUrl lCf•h1Er <br />RINFAI L'ON1RArid Y•A AIKIYFI Gn ff R10Ni FIATF 1"49 <br />K •.t o .\ <br />IprltwcrgvaalYaK <br />HEATING SYSTEM: G(6AS ❑ELECTRIC ❑ <br />a�cwr waK Ab slwlK raorNR rnatvrD <br />� <br />canAcln •bnw <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />A rPL1CAT10N AND KNOW THE SAME TO BE TRUE AND CONRECT ALL <br />TROVISKMS OF LAWS AND ORDINANCES GOVERNING 71415 TYPE OF <br />_ <br />a �APONT <br />NORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT THE GOANTING OF A PERM17 DOES NOT PRESUME TO GIVE <br />tEo4 DEFcgnnwainw+Fnn tNtOnN ql ngdrH•ctl TnO rafts <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />tut KOCA__a <br />OTHER STATE OR LOCAL LAW REOULATIN3 CONSTRUCTON OR THE <br />PERFORMANCE OF CONSTRUCTION THAT I AM AUTHORIZED BY THE <br />OWN[ OF THIS PROPERTY TO PERFORM THE WORK TON WHICH <br />APP T ION 19 MADE AND I COMPLY WITH THE STATE EFAgcn <br />RA, TORSLAWIBETRCWAN 2"2w WAC <br />w I D MAl1 n <br />X <br />lr1(1'191F <br />GdbIpF110NlOW lfrllin YfMN.SS Ml1pIn <br />IRt1A <br />DalplY <br />SstCENKNO _ <br />PLUMBING <br />MECN AL <br />NO. <br />TYPE OF FIXTURE OR IRM <br />FEE <br />NO. <br />TM OF K0004AM <br />FEE^� <br />WATER CLOSET (TOILET) <br />1 <br />AIC—MMDIG WETS <br />BATHTUB <br />' <br />FORCED AIR SYSTEMS <br />AVA LTORY (WASH BASIN) <br />1 <br />HEAT PUMP <br />1 <br />SHOWER <br />1 <br />UNIT HEATERS <br />i KITCHEN SINK DISP <br />CLOTHES DRYERS <br />1 <br />DISHWASHER <br />RANGE HOOD <br />_ <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />1 <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT M-000 BURNINGI <br />FLOOR DRAIN <br />1 <br />OAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />' <br />SINK (SERVICE -- BAR. ETC I <br />1 <br />GAS PIPING <br />' <br />EXHAUST FAN <br />1 <br />SUBTOTAL3 <br />SUBTOTAL f <br />PERMIT i <br />PERMIT f <br />TOTAL FEE i <br />' <br />TOTAL FEE <br />. ­ _...__ ___ <br />,"I TVHUIM <br />'-- <br />pMFiIF•CN <br />MK MIMCA <br />RW GXGIMUNA <br />7 <br />rii <br />Rcrn'r r10 <br />Iqf laK <br />Hot YK• <br />vAtwt SIR <br />VALUATION <br />FEE_I <br />-IFIVES <br />0,19 Ow"� <br />NFId111Mr1TgM <br />eta /WFIIM <br />moor K0M1 <br />RUlrAi <br />_ <br />OCCIMNrt b1Y llAlf <br />DC.CIAY11 tw <br />iWi1RMt <br />WCNY/FY <br />M011n <br />Drts Ob <br />Apa1Kg4 RAN p![f <br />rgIYNRYnAF00 <br />MA" <br />OtNfn <br />MNAM1M09 <br />At A" <br />%IA11 KKDM1 VIACNAIKIt—_�1— <br />i <br />nP1aroNAT <br />n•NAY+rovfnn. CRY OF EVERETT <br />nwr. wtKlAn <br />LOCAL SALES <br />drL TAX CODE 15 JIGS <br />TOTAL <br />