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/ q APPJLICATICA FOR CONSTRUCTON PERMIT <br />m / CITY OF E• BUILDING DIVISION <br />0200 CEDAR STREREETT A EVERETT, WA 98201.257-88I0 Tt <br />❑ OEM n COMBINATION BUILDING ❑ MECHANICAL I1 PLUMBING SIGN <br />PROJECT ADDRESS 1,_ OJ111/, `/'Fn`� Iu"1 4�1- <br />_ <br />FA <br />/'yam f M4k.I G. 4A, 4b[%1 VVI 61-64. <br />3L0 <br />W9MOCd1TR,:T& wl•LUMss urr ry r•ynE R.rE rriMY.. <br />C Re r,n, uj <br />cwr.ActAPcE or rAXw <br />HEATING SYSTEM: j<GAS ❑ ELECTRIC ❑ <br />tt SCP�y,Y�p11(NgJOHnE FOOTbE1MaVto <br />I'� ILA O _I Pit A)ej <br />LOHr•C� rq <br />Lrr <br />SP M1 <br />rrloPoeFOusf o<� <br />LEO•L nvriwaP.OPE.tr IerlJMl etLOW O. ATTAw CdE11 <br />for 'TL Elpq_ _TIT <br />�S r7�f71/S C•��O%G/L7CT �.Frf <br />I HEAEBV 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 IS MADE AND I COMPLY WITH THE STATE <br />CONTRACT/O W B 27 RCW AND 296200 WAC/ <br />` I <br />✓m <br />Pf ff 7T S d ISL. • <br />PAnCFI A.Io roue[. <br />f LOy/tl[NOEn. AprA1(68 LFPr1JIEMW <br />•N Cl^^r �n: �ir <br />� •rWE orr!!!F <br />332 JW dmomi , MAtf ✓q ""711rJ G%i%• <br />Clrr Wsvlse l[[N6t HJ <br />PLUMBING <br />MECHANICAL <br />NO. <br />I TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />jIT <br />A/C — AHNDLG UNITS <br />BATHTUBI <br />FORCED AIR SYSTEMS <br />I <br />At <br />I LAVATORY WIASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />I <br />KITCHEN SINK A DISP <br />I <br />I <br />CLOTHES DRYERS <br />1 <br />DISHWASHER <br />I <br />RANGE HOOD <br />O <br />LAUNDRY TRAY <br />II <br />WATER HEATER <br />I <br />CLOTHES WASHER <br />i6 <br />WOOD STOVE <br />Y <br />URINAL <br />IO <br />METAL FIREPLACE (WOOD BURNING) <br />OF <br />DRINKING FOUNTAIN <br />FIREPLACE INERT (WOOD BURNINGI <br />_0 <br />FLOOR DRAIN <br />GAS FIREPLACE <br />0 <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />P <br />SINK (SERVICE — BAR. ETC I <br />j <br />GAS PIPING <br />EXHAUSTFAN <br />i <br />SUBTOTAL <br />P�' <br />SUBTOTAL E <br />PEAMIT <br />PERMIT f <br />TOTALFEE 61 <br />1 1 <br />F I TOTAL FEE S <br />I Y9.U11d1N 4I$i 4-R I SF <br />FA(VfT KIM. r <br />mA.MTeA[A <br />5' <br />MKIVAq <br />PLAN MC.MMt. <br />HEmCFiPT <br />NO <br />UMZ0CPE <br />Z <br />LOIAAE. ]VACA.1 <br />lQ <br />'• E D MO <br />FEES <br />VALUATION <br />FEE <br />EulO•q <br />I ZLB <br />r4gNt LMnrtgN � <br />14I'ATIT um <br />I <br />Sitf 0f ftm I <br />C S <br />nuuUA,l <br />accgw.Ec. InaEmwe <br />aO."`QSyyIP' <br />OCCNV.T LOW SA -,Nl <br />[l rFs rNU <br />YECIUMCµ <br />— _ <br />FEE 6PRi [. mOO <br />M•SpH <br />ACMIpI4l PLAN LIIFCN <br />OTMn <br />nrtAurw moo <br />m•saN <br />STATE eulWq FY.CIM.OF <br />_ <br />TYPE OF CONsr <br />-1,/ <br />ft.S 1131' <br />1 <br />CITY OF EVERETT <br />LOCALBALEB <br />TAX CODE IB A10S <br />PUMc.awS <br />TOTAL <br />- <br />