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APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT p BUILDING DIVISION <br />3200 CEDAR STREET p EVERETT, WA 98201 p (425) 257.8810 <br />OLMOLITION ❑ COMBINATION ❑ BUILDING (1 MECHANICAL n PLUMBING I SIGN <br />, <br />PROJECT ADDRESS: '11(y., 9 <br />'2J (Li c)icl'a-f.lf <br />�L 1 �- <br />ARMIIUt aR PE4p4tP <br />MAW�SS 4 <br />C'h <br />M M1IUIR <br />wwmcmTwlm <br />441M0`Rt! <br />C�h <br />( M AMM <br />M.Il11UMYl <br />- <br />, <br />1 C <br />\ i'.I tl'zI L- <br />JY'✓2l71LLH1( 1/:] <br />L41%l , LI,g-a I Ik <br />MFCHAw"fmmKtm <br />\I? <br />MAM HI ss <br />I <br />ah <br />�,Ij L <br />!F Aldl <br />ii FIKEMSE <br />AIAMMO CONIRuaU11 <br />MARAI[R1tp5 <br />oil <br />!'R R,OM <br />SMtFICENIN. <br />HEATING SYSTEM: OGAS ❑ ELECTRIC ❑ <br />K. IYYUl4�Ml lRl N•QYEU <br />Cg11ACI n11fOMAM IPg11f <br />1 HEREBY CERTIFY THAT 1 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 />1'llmovPUY K InAlaNn <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />lFM1IXXPAICMK nKll'lPl•ISINNI KION a1plIAc"m t s' <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />lot pRxa K <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORN FOR WHICH <br />APPLICATION OMPLY WITH THE STATE <br />CONTRAC 827 AN 200 WAC <br />1 P <br />—c�--csucrB' <br />CpAITFI 1• I(MRP y'INI[SS II'FNC14 M11R[P <br />lu <br />wl <br />a •p11PMee IctNRlw <br />PLUMBING -- <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AID—.VIMDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />14EAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CTHES WASHER <br />LO <br />WO OD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINK WO FOl1NTAW <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />I <br />GAS FIREPLACE <br />' <br />BACKFLOW PREVENTERS <br />IOAS RANGE <br />' <br />SINK (SERVICE — BAR, ETC I <br />OAS PIPING <br />EXHAUST FAN <br />' <br />may_ <br />, <br />SUB TOTAL f <br />SLIB TOTAL ! <br />PERMIT f <br />PERMIT f <br />TOTAL FEE S <br />TOTALFEE f <br />rvn vrrl4c Rlw ..,.�•• <br />1!f <br />MfT'1'\Iq <br />fPM11 Y1pACR <br />KAp V1pNf11 <br />SLUE pFISKp <br />HpNC11LM MNff <br />op <br />I,u m„H <br />'p, APIN <br />v4:wl sit <br />F/E7T <br />VES LU TION <br />� <br />mAlnwn <br />It <br />o•re aMl <br />1KItNH i,Nnl4roN <br />to lMpuMl <br />emu MUNI' <br />to <br />pCL'IryN'1 NlnaiWq <br />IM[f11MNI lUM1 <br />OAMWN1 <br />NI'HAM1H <br />INOIII <br />OKp ON <br />Apa1RW4 AANCIYLI <br />Ip1151'IMiXIFP MU'U <br />INNY/1 <br />OI'4p <br />lIN1 YAHN PIQO <br />PI NRUN <br />f MH p'MUNIt YRK,MIpW <br />I'm Mrxlm <br />nANR4N•NM+P• <br />CTY OF EVERETT <br />hmi r. M1KR <br />— <br />LOCAL SALES <br />- — <br />----- <br />•' <br />TAX CODE IS 3105 <br />TOTAL <br />PAIE <br />