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APPLICATION FOR CONSTRUCTAN PERMIT <br />CITY OF EVERETT I BUILDING DIVISION <br />3200 CEDAR STREET I EVERETT, WA 98201 I (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL 11 PLUMBING F1 SIGN <br />PROJECT ADDRESS;.',1I SO4 - 1IIs7 /12— S-E <br />VMA ss <br />5poftrilufT RSItIt�A iDM-91sr PLSn-91sr�A.c.rr LV4*a�iy7 9ifLw4*xs)1v7 gfsl <br />llxI( n/L- <br />M1:HTTclmmLn1115 VAA ATSAISS an I,P PIIO14 <br />awlm rANIwlm UM Aa is a1Y PP nIM SIAII LKTNV . <br />VN <br />T.It Clt/ <br />w1PKj l <br />HEATINO SYSTEM: [)GAS ❑ ELECTRIC ❑ <br />ASCpIF YP1MI IM SawR IOpapF NYpVFn <br />a]NI.LI nMSd FM11'Idl MO <br />I HEREBY CERTIFY THAT 1 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 SPECIFIFD HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NUT 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 />CONTRACTORS LAW IA 27 RCW AND 2" 200 WAC <br />X <br />Pnaosln lnl w Nwm1n <br />1lmlwxRPTI(INa ltnwPry ISIATMI MIOw winAcu nrocOW si <br />101 Nnat J <br />P rl TM ID IUMEP <br />CIMfiwlctd 10AI1TN1{R ARa485 1 tlI M P <br />�6-- <br />Sa . W �H <br />0119~SSLICEN51 W <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF EWIPMEIR <br />FEE <br />WATER CLOSET (TOILET) <br />A/0—AAOIOUII UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A OISP <br />CLODIES DRYERS <br />DISHWASHER <br />i <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTH@SWASHER <br />I <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />_ <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />I <br />BACKFLOW PREVENTCRS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />�— <br />EXHAUST FAN <br />I <br />SUB TOTAL E <br />SUB TOED <br />_ <br />PERMIT f <br />PERMIT $41 <br />1 <br />TOTALFEE $1 <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />imre�vinl,P- wuSrISACA <br />lmx 1MAPEA <br />MNN11MtAtA Iq 01N.FllsA1 <br />IMItS <br />n1Y1 PPnInyjP Pr <br />m <br />O11s D IA)� <br />a w1X101 <br />ntAwwo <br />-- <br />sAsrl4Nl <br />OMf O n <br />NCPu.cu <br />ASaISWe1 nwewa <br />GIMP <br />STAIINAIUNRPW IV41 <br />CRY OF EVERETT <br />LOCAL SALES <br />TAA CODE IS 3105 <br />nINCASwA <br />--- <br />TOTAL <br />wrwI <br />