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APPLICATIGO FOR CONSTRUCTAN PERMIT <br />CITY OF EVERETT r BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT. WA 98201 A (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING JX MECHANICAL IR PLUMBING ❑ SIGN <br />PROJECT ADDRESS: q�/�✓ �'.�'� SE <br />DwYrn rx ltdlf as an !r' ^� <br />Irrrnl YM YIdRa1 Gn !r NIWf <br />1nCMIrCI On nrrbRn ux 4MMf 1a c" l' <br />0fn11W Cd IMC4q ux 411MLSS Cnt M' I4l)K filAl11K[NY r <br />WCOAWA1 CfHINC1011 Yx A11ry4ST an !M' Md! ATAII IKFMafr <br />ZZ ?fiswf�� �tiw.:. i6''SJ&ff AkafL � let <br />MIWfiMCONlnaflal ..AAdnlfa .11 rlr h10r11 f1Alf I0.141f <br />cOMr l'mC1 °` <br />HEATING SYSTEM: R GAS ❑ ELECTRIC 0 <br />prat ranlAMr ArwAW ImrADf Wvavfo <br />COrIACIMMdAWl141NI W �� <br />1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO DE 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 />HOt, 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 />OTHER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION 19 MADE AND I COMPLY WITH THE STATE <br />CONTRA $IT—OR�AW IB E7 RCW AND 796 E00 WAC <br />cc/%�//SS//�) ��llYl / //� <br />MOIIx rvMowo <br />Iraf RSCWnrKna moranrvlarlaw Wlon dlAnAtx lrgconrsl <br />tot Atom, <br />IAKCtt w 1 ItAAWaln <br />Cp1arRK110N 10A41rMIFK MIdlffa ttlrrIK1YF 11lAlarR <br />aRMAl11Nr tF Arl <br />antra nt"w Ko <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOLKFNAENT <br />FEE <br />WATER CLOSET (TOILET) <br />AID —AMNDLO UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SBA! A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRYIRAY <br />WATER HEATER _ <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FSREPLACE IWOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPACE INSERT (WOOD BURNNG) <br />FLOOR DRAM <br />1 <br />GAS FIREPLACE <br />OACKFLOW PREVENTERS <br />GASRANGE <br />SINK (SERVICE — BAR. ETC) <br />y <br />GAS PIPING <br />EKHAUSTFAN <br />1 <br />SUBTOTAL S <br />SUBTOTAL f <br />PERMIT S <br />PERMIT A <br />J 1 <br />TOTAL FEE S <br />TOTAL FEE f <br />O CE USE ONLY: <br />FOR Ffl <br />IMKII YInAfA <br />RAP RIaACA <br />RU Sf ISAtlI <br />tar <br />Im AWA <br />YADAI Mr[ <br />V LUA IONWI[KII�AwrA�gH <br />olArlHAM <br />SARVIR5 <br />r-l- <br />(11(IVAYIIWII <br />aANNnI <br />GHf DYn <br />Im,"t.11nWOO <br />IKA"M <br />- <br />0'w"nu <br />IM[4An4PE0"D <br />WAAm. <br />AIAIf M4nN11 NWHAInn <br />M--AionaA <br />- <br />fm .I", <br />MAHANnlOrrn Al <br />CITYOFEVERETT <br />LOCAL BALES <br />- <br />-- <br />TOTAL _ <br />rylf <br />TAX CODE IS 3105 <br />i <br />