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APPLICATI016FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT a BUILDING DIVISION <br />3200 CEDAR STREET a EVERETT. WA 98201 • (425) 257•8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING O MECHANICAL r70 PLUMBING ❑ SIGN <br />PROJECT ADDRESS:I� �t_ CtOag) YA�J�P. D. E • 'y2l) <br />lf..W MN N 55 all !r <br />M1[IRCSMfIt A[ nn uul .MnM SS OlY )? A <br />nl"MCMIR.frp1 M.R ALq[SS all !M hd1F FMrFIK(Mu. <br />ca.rn.cf vl.cf 5K wnM1 <br />07T53 ,_ t`T <br />HEATING SYSTEM: O GAS ❑ ELECTRIC O <br />erscneF woge,Fvnsw. mr.oF rrvp P q J �, <br />A+It100 <br />cdrAtrrrmmn un nqu .q <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW TIIE SAME 10 BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WIIL BE COHPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />41JTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW NEGl1LATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS 1 AW 19 Zl RCW AND 296 200 WAC <br />x i%.+:.Q �h ' 6-8 �(�Qj <br />saRMurm out <br />cfr LUSIrAs; Ic[Mu rro <br />MECHANICAL <br />NO. TYPE OF EOVIPMENT FEE <br />UPmf �r nnwL <br />s s i <br />URAI FIT K—InMpnrortnlr l9onsle[sOwpl.n.[n M0 [pSEsl <br />Lot NnC1lp <br />FSncll m Io nlAwn <br />caMsrRlX:roKla.nlrMxR Aulw[ss nlsnroRf AA,w[n <br />PLUMBING <br />NO. TYPE OF FIXTURE OR REM FIFE <br />WATER CLOSET (TOILET) <br />A/C—AMNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />SHOWER <br />1 <br />1 <br />HEAT PUMP <br />UNIT HEATFRS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />_ <br />URINAL <br />I METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />I FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />1 <br />BACKFLOW PREVENTERS <br />OAS RANGE <br />SINK (SERVICE —BAR, ETC ji <br />OAS PIPING <br />EXHAUST FAN <br />f <br />_ <br />SUB TOTAL_ f <br />SUB TOTAL f <br />_ <br />PERMIT f <br />PERMIT f <br />TOTAL FEE $ <br />�� <br />TOTALFEE f <br />OFFICE USE ONLY: <br />rl 101 AK. VACAnf YIE <br />Grls Ow w , <br />I IMIAIgN rq p PnFILNO m ov MOpll <br />II111R <br />nIMM(1 <br />13,25 C 0) <br />.00IXNM f.Oft, <br />WWII <br />SIAII ellilbMlSIXKYo1KR <br />CITYOFEVERETT Hell e: wcws <br />LOCAL SALES -- <br />TAX CODE IS i6 TOTAL <br />