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APPLICATIA FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT. WA 90201 • 259-13810 4L <br />DEMOLITION 0 COMBINATION ❑ BUILDINGMECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: �y2va R Da-^ �T^ S.a. _STE q. F�EQETi� w� 48�u� <br />zLLnAiez Tu 1430 sat sr w 31n t,) <br />TIE.7 Iwl• Ess 01, 7R' nlpl[ <br />♦Rfi.nCl OR pf[gMR IM,, p[[S ON 71F <br />n MI.X � SIAI[IMInL. <br />huu[..o p}ITRACIOR Uq APIXKSS CUT p -� AMYK SIAIELUM. <br />�7C0. 6 n <br />[ONTRKI MCl O MpM <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />nno[Ae [vyw Aw RP[w l•oe wYo ve _ <br />_� <br />I <br />u..l•r;{ nnsoRlwlncR[Ro <br />t,2i s. MoRRa M- U'zs- 432- 4401 <br />1 <br />W R R E OLf„S <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. 111E GRANTING OF A PERMIT DOES 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 AUTHONZED 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 10 27 RCW AND 206 200 WAG. <br />X 6 <br />PnarOROVu aFUAdxo <br />tFau oF[cwPlMn of lnmtnn lPM7rm KlOnpI ATTACH lWo wn[N <br />LOT SIUCA a <br />39 D.3 000n.�oo 30a. <br />PAflo[L TM I D IAAINn <br />G}ISIM1JLROIIIOW I[Tq[R.ADpII[[E.If1FRgM RWMn <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />FEE <br />SMWAILVC{'lED Z. i (c 9-7 oA1F <br />pn RuwRSS Ions[ Nn <br />MECHAMCAL <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />NG—AAINOLG UNITS <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />SHOWER <br />KITCHEN SINK L DISP <br />DISHWASHER <br />LAUNDRY TRAY <br />_UNIT HEATERS <br />CLOTHES DRYERS <br />'RANGE HOOD <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />_ <br />URINAL <br />DRINKING FOUNTAIN <br />I METAL FIREPLACE (WOOD BURNING) <br />i <br />CIOCPIACE INSERT WOOD BURNING) <br />_ <br />FLOOR DRAIN <br />1 <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />RANGE <br />SINK (SERVICE — BAR. ETC.) <br />_GAS <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />S <br />' <br />SUBTOTAL S <br />PERMIT <br />f <br />PERMIT i <br />TOTAL FEE <br />S <br />TOTALFEE f <br />FOR OFFICE USE ONLY: <br />WIOHT UwiA1,0n1 <br />K, v/v/ - <br />VA d VI[ <br />FEES <br />OT[[ G w <br />rAOMMI <br />:LLWG 4[FRMfKIRI <br />nuAvn <br />Low sA[[1[n1 <br />wvl M m <br />OnS OM <br />A6pIX1NA1 nAN pMU <br />ourn <br />sIAIF MAIP.MI NAM.IRMI[ <br />m/vfno� <br />CITYOFEVERETT <br />nR[r.V % <br />LOCAL SALES <br />TOTAL <br />/ <br />TAX CODE IS 0105 <br />TI I I M(HI'T Nn <br />