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APPLICATA FOR CONSTRUCTAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />0200 CEDAR STREET + EVERETT, WA 98201 • (325) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION. _❑ BUILDING }.MECHANICAL ❑ PLUMBING ❑ SIGN <br />Ir. I Vm I,Dc'115 all Pn nIOVI <br />.1.Aw.1 cml.CIW YN YOM SS dM1 !f' P.~ AMP IKf VSC. <br />n uVx.O COMInK\d Y4 MIPIItf CITY l�n --- PwM II.IFISIM1. <br />HEATING SYSTEM: AS ❑ ELECTRIC ❑ <br />dscRu wurw. wlg1.N rnYlAw rna1HP <br />cwrK. nPSP...N+rwwr w <br />1 HEVEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPI NATION AND KNOW THE SAME TO BE TRUE AND CORRECI ALL <br />PROVISIONS Or LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK Wit L BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO ONE <br />AUTHORITY TO VIOLATE OR CANCEL THE PACVISION 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 10 PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />C*CTORSLF27FICWA IDt9S200 <br />wvroxo uu d Pl+dl.1 <br />If04 RXnPIKnd I'IIPI4PM1 IY[IWq !FLOE nR.rI4VrNO CnnIY <br />/ /ND <br />-UQQL <br />PA11C 1 w I a .AA+Irn <br />6 <br />CITY FIYM[SS lKIN4 VO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUNMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AA: - AHNOLO UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK E 01SP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGEH000 _ <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKNG FOUNTAIN <br />FIREPLACE INSERT WJO BURNING) <br />FLOOR DRAIN <br />OAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANtA <br />SWK (SERVICE - BAR. ETC) <br />6A3 PIPING <br />EXHAUST FAN <br />I <br />SLOB TOTAL S <br />SUB TOTAL S <br />PERMIT S <br />PERMIT S <br />/ <br />TOTAL FEE S <br />TOTALFEE E <br />FOR OFFICE USE ONLY; <br />rPIMT v\n•C+ <br />Pr•P xls•CS <br />ILO: x11YC+ <br />n•n CNc. MPMn <br />rIT <br />WIWIM <br />USE IOW <br />.01MA <br />vK.N1 MIT <br />FEES <br />V LUA N <br />FEE <br />tu111r1n <br />-- <br />O.rt O w <br />n(I(W\\IInM\pMdPwrllPp <br />Ynd <br />n.AAMKI --- -- <br />wrHYrH <br />_� <br />----- <br />�P'hluP.x. nn.rn.n <br />unwlrluw uxwxl <br />_._ <br />__ <br />rn. erwnitn P[�Y-- <br />nF.nd <br />.00IIIfnN nwo.c. <br />- <br />O\NFP <br />FKf I.4PV PlOn <br />w.l\Y. <br />FI.11 Mwnnll Y.XM.fKII <br />-• <br />-• <br />nnaroN+l <br />nWn wmn.rne• <br />CRY OF EVERETT <br />nwr.Ka.+ <br />-- <br />LOCAL SALES <br />-• — <br />nxt <br />TAX COOS IE EIOS <br />TOTAL <br />go <br />