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APPLICAT& FOR CONSTRUCRON PERMIT <br />CITY OF EVERETT " BUILDING DIVISION <br />3200 CEDAR STREET Y EVERETT, VIA 98201 Y (425) 257-8810 <br />I DEMOLITION ❑ COMBINATION ❑ BUILDING' , QS, MECHANICAL ❑ PLUMBING � SIGN <br />PROJECT ADDRESS: 1OZS'jl-- 5"t � SW 9Ul , P - - __ _ _ _ <br />2 <br />ARCMfL1 pR IKNYKP uW 4YM 55 <br />^�Rill.c NIPffim uftm ss Cltr 10 IM[Wf {MNICHM. <br />f 19,Ii5 <br />jCM�.I.ns4��"Y <br />ZA ..,7 <br />HEATING SYSTEM; ❑ GAS ❑ ELECTRIC ❑ <br />Pl s�:we5 rµl. ".nlsMt 1 I�t Ylvelnq Zes S,F <br />can¢r nPwn.rn ewwrw <br />FnKov PlPl rr wAwD <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW TILE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING f1/1S TYPE OF <br />WORK "IL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. Tlst 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 />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION 15 MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS IAW IS 27 FtCW AND 201 WAC <br />�� �'Q� <br />"I <br />iroAI MNM-TMW PAIKTPn ILIn1N1 nIQPd1AGACM lYYOmnen <br />III &MR a <br />FAIKO un0 EIAAwn <br />COM{In1CIgH IfIAII I fMFP AM"Ist t(111Y1014 MAweP <br />6GIIH MIt <br />�� <br />all MINE"tclw M <br />MECHANICAL-- --_ <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET ITOILET) <br />AC—MIND_LG UNITS <br />_ <br />BATHTUB <br />FORCED AIR SYSIEMS <br />LAVATORY (WASH BASIN) <br />NEAT PUMP <br />T <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />i <br />DISHWASHER <br />RANGE HOW <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />1 <br />WOOD STOVE <br />_ <br />_ <br />URINAL <br />METAL FIREPLACE PNOOO BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT ANDOO BURNING) <br />FLOOR DRAIN <br />OAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />' <br />_T <br />SINK (SERVICE — BAR, ETC) <br />GAS PIPING <br />EXHAUST FAN <br />as <br />1 1 O <br />SUB TOTAL i <br />SUB TOTAL i <br />IO_/ <br />PERMIT i <br />PERMIT { <br />-L m0 <br />TOTALFEE i <br />TOTAL FEE i 1*1 <br />'le <br />OFFICE USE ONLY: <br />IM le1R Ifllfn• YA[Wl wlfI FEET I VALMAIMM I_ <br />On6 Olu mmo r <br />MKINI I IEIIAI"W Ml ? I —I'm Nit IN ow",-- �--- -- <br />LIMN <br />•ppll(WA1 n W t'IFfA <br />OIMA�_ <br />\IIIF nwRWll FIFCIWYE <br />CRY OF EVERETT n"rIMKwA <br />L CODE IS ES3105 TOTAL _-- --t+• <br />