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APPLICATA FOR CONSTRUCA6N PERMIT <br />CITY OF EVERETT• BUILDING DIVISION <br />0200 CEDAR STREET a EVERETT, WA 90201 • (425) 257•8810 <br />C.DEMOLITION COMBINATION BUILDING ❑'MECHANICAL PLUMBING R SIGN <br />Ji <br />PROJECT ADC SS: �4�D—_�—+I—WK—� gVrY�I WA <br />4.UbA, 2�_—Pl»$t ��ZZ—lltJlo���� "" 9 — <br />n - Y.rt.IMIIFaa� w �%A � a � • . \ . Gllw! <br />YiC1.MC4Cdin4:lW Y.twI %f MY 1' %dll af.N tcrw. <br />%IYMgCWIR.ftOP Y4.MYILaS CII• I., M!M al4FtctW. <br />cwr""' nYcl u r}an11 <br />HEATING SYSTEM; A GAS ❑ ELECTRIC ❑ <br />_ <br />DF a/,yyl.yD apy1nf 100Np nvpHD <br />NDtAP1DY.M 'r �pl� <br />O N ^5--- <br />�� / q✓t NV C <br />�p sT4L: <br />- <br />e,• <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME 10 BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />tYMroslDw p "'MON' <br />WORK VOL L BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />H," MNWTMKpmaYPA 14Mn11 M1Dw p1 m.CM 1KOCD.KL <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />Lot tYKX p <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROt EFITY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />C047RAI 7S LAW is 27 RC A 7" 200 WAC <br />IaI1Ct1 w1 n <br />U S <br />•��( <br />COM4iMMlMMIO.Y IFMIFR MIIY45S t11nVIR M1UIln <br />X <br />SVWA IA1 0.11 <br />OT. wY1Aas 1n1.St Aq <br />�UYSINO - <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR REM <br />FEE <br />NO. TYPE OF EOUIFMENT FEE <br />WATER CLOSET (TOILET) <br />NC-AMNDLO UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY RYASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK 6 DISP <br />CLOTIIEB DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />1 <br />WOOD STOVE <br />METAL FIREPLACE (WOOD BURNING) <br />URINAL <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOWPREVENTERS <br />GAS RANGE _ <br />SINK (SERVICE - SM. ETC) <br />FM 9 PDWO - <br />EXHAUSTFAN <br />SUBTOTAL f <br />SUBTOTAL S <br />I <br />PERMIT f <br />PERMIT f <br />TOTALFEE $1 <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />IPfW1 VixY11 KM NIMf:t 9R NIYP AWCIAjt.!�n� ILI41LA 30 Aff Y'IW <br />WA <br />lh.I <br />IfKw11M14MY <br />IwOPMFItm <br />mum I 0"A. <br />%.A <br />-. <br />MAF• tl l•}� f <br />_ <br />U'f l/YM�O.y <br />3 <br />aAV MMI <br />O.0 n <br />y1.NY/'4 <br />.001fYW AMCIfCP <br />INF l[/PaP1[rJjD <br />IY.MN <br />olmn <br />FwK 1W%Yo <br />Y <br />/t /KA-' <br />xI.R M4D.M e1111C14A,f- <br />A1q Ir,AVI.e <br />---- <br />IIAprDY.l <br />-,VFW <br />%.Ya-.rr�ymvrne• <br />[. /]tits <br />�_ <br />CRY OF EVERETT <br />T11t OOE B 05 <br />_1.�. <br />TOTAL <br />- <br />