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APPLICATI010FOR C ONSTRUCT»N PER611T <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET S EVERETT, WA 90201 • (425) 257-8510 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: _ , if rota�j/ 1j.L/,J���t <br />UDC1isdC__ 19 .L20 8574 91.Sw 64 992cRti Nlv) -Rior <br />Gl. to hqq <br />pCIfNC1 p1Mp[4Mn uq YpnF 55 C." --- <br />!M hnwn <br />%1glM CONlgffiW YFN YlM655 Gif Ib rr(Y![ staff MIEVIN• <br />%oxrnKl r%c[arAn. J% 7.�J 3 /-% <br />HEATING SYSTEM: ❑OAS ❑ELECTRIC ❑ <br />DF6CYgi �p,eWfWi f pDIADF Nvq D <br />on d re rood <br />CpI1KtTn5M1M %pR rp <br />I 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, 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 I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION 15 MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS <br />SSILAW LB 27 RCW AND 296 200 WAG �/ o <br />i7.... L/ � • 6 8^• V <br />X �cFs5a�4 <br />I�o�`y1 vD nl elm wNn <br />n.�Th �h•�, <br />—. <br />I [au scwrflwarlq%nn mugN NlD+.w AnKNrM cIXWfi <br />10r flat. a1 <br />iKAc% ru m ritwFq <br />CONSlI.K11Orr10ANItIASFq. AAIESS. R.EIIIEM MwS'L <br />_ <br />sKWArla DaE <br />un EYEgqu IK[Nu No <br />PLUMBING <br />MECHANICAL <br />no. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />MO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AC—AdNQO UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />SHOWER <br />r <br />_I <br />HEAT PUMP <br />UNIT HEATERS <br />KITCHEN SIM( A DISP <br />r <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />_ <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER _ <br />WOOD STOVE <br />_ <br />URINAL <br />METAL FIREPLACE(WOOD BURNING) <br />_ <br />DRINKING FOUNTAIN <br />I <br />FIREP t INSERT WOOD BURNING, <br />FLOOR DRAIN <br />r <br />OAS FIREPLACE <br />BACKFLOW PREVENTERS <br />) <br />GAS RANGE <br />SINK (SERVICE —BAR. ETC) <br />GAS PIPING <br />EXHAUSTFAN <br />I <br />r <br />1 <br />r <br />SIAi TOTAL 3 <br />SUB TOTAL f <br />PERAKT f <br />r <br />PERMIT t <br />TOTALFEE f <br />TOTAL FEE f <br />r._ <br />FOR OFFICE USE ONLY: <br />INIIutmEn, <br />KM M1fK. <br />LR MIfK. <br />%.II EIRD. MIMFq Jn <br />�O <br />of <br />MCIbl NO <br />m 7OAr <br />IOIAMA <br />vKYllpR <br />FEES <br />VALUATION <br />FEE <br />❑vfs ❑..1 <br />uwnM __ <br />MP DWRtM <br />umf5 <br />SUE V ff,w,. <br />MIONIIAgM1pN <br />%IwM <br />- <br />OCLIMYC. MDW YrAIf <br />MdII <br />IK:CWMI1 Wp <br />pAMYf Mt <br />yfl:NNfAI <br />DIES D M <br />I... <br />.—Imm MAPI IgIX <br />IWEfWW%l[AROD �— <br />IWE.I.ulY M09 <br />Mltryf <br />OIMq <br />belt pIOWII pAKrY%y <br />M1gIKwd15 <br />IIR nl:arnr <br />%AMU ArlSIDW Der <br />CRT OF EERETT <br />V <br />LOCAL EALES <br />DAit <br />TAX COD1193105 <br />TOTAL <br />