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APPLICATI02 FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />8200 CEDAR STREET • EVERETT, WA 88201 E (425) 257.8810 <br />❑ DEMOLITION R"COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECTADDRESS: /22- 62 PI S.W. <br />n n _ n .. I - _I •Jn IR_ <br />I~ Yw wORFIS at, ♦7 .Mw <br />MIMAAfCRCORTWC10A v.R.00f SF C1n Tn "C,W SIATF LCENH. <br />n1AANOCdiKAf,1OP V.l AO1TFff Gtry M M1VR STAN IICENNr <br />COIInAKI PFFCF OF IraFY 0 S F 2 7 <br />CRC <br />HEATING SYSTEM: 0AS ❑ ELECTRIC ❑ <br />EflL1fRF Y1OR1 A"" S7 NX1i "FF"FD ID <br />�/70 �eW <br />[ON1Kf n11e0Y.Me- <br />LM1RY11.M0 <br />, 5 u <br />q79- 37 <br />I 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 T14IS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE 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 1 AM AUTHORIZED BY THE <br />OYMER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18 27 RCW A 296 200 WAC <br />IT �LA 1 7/ <br />O vfF a IIIRdMI <br />:FOR IEXfMIKX•OF I 11"IROFrN a[lowwAnKH1vFOCDRH <br />Of Z ROGx p $ 39 - 96 <br />INICTt I" I O MIIM(A <br />99 3 - Log, - oz - 050 <br />CONSIRIICIX]N IDwIEMNR AfXAR1f. IElFIF.nf M.fAKR <br />SK TVFE DAL[ <br />an IeIeFE"ICFMFS IND <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE on ITEM <br />FEE <br />No. <br />TYPE OF EOUNMOTT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C-APHNOL0 UNDS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A L <br />I <br />I CLOT14ES DRYERS <br />DISHWASHER <br />1 <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (VWD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK(SERVICE - BAR, ETC) <br />GAS PIPING <br />EXHAUST FAN <br />SUB TOTAL S <br />SUB TOTAL S <br />PERMIT S <br />PERMIT S <br />1- <br />TOTALFEE S <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />1.1 vTF.MI F <br />ip/%TJ-/)/ <br />Rrw FF1eKF <br />mNlel�� <br />AwLYECII rpPRrR <br />rlF aew <br />KfeF'INp <br />INf IDrIF <br />/c <br />LOI,W• <br />vKw1 off <br />OrtF O w <br />FEES <br />VALUATIONZ <br />wYvn <br />e1 <br />O <br />a7 <br />LEKwf I NRIM� 7 <br />WI a lNFIIIMO <br />IMIF <br />fHF p MObll <br />�) G` <br />FIFMAI <br />-77 <br />D <br />OCLIe'1wf NIn f1lRlf <br />2 <br />Ob.IMM110W <br />e1Y1EMW1 / <br />O tf Rw/ <br />Y11:NYY.Y <br />O <br />MIDIId4nw[W CR <br />- <br />IH SnM1ER R[OD - <br />IE1td <br />OIN[N <br />rFK RANF• FKOo <br />FE.Nn <br />SUIF eunDFAf RnrwNr+ <br />- <br />— <br />5� <br />III'E tK rowl <br />-� <br />nARFAFMIOViDe. <br />Q <br />MlyB /f• <br />CRY OF EVERETT <br />LOCAL SALES <br />TA%CODE IS 3105 <br />nIN r, F11RAF <br />) <br />00 <br />---- <br />TOTAL________. __ <br />--- <br />•' <br />