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APPLICATION FOR CONSTRUCTAN PERMIT <br />CITY OF EVERET' • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 88201 • 258-8810 <br />U DEMOUTION COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING O SIGN <br />PROJECT ADDR iSS: SRO ST y Z-tcT-- <br />L.,I <br />Y4 N%Ril]] Gh' T/ npA <br />HEATING SYSTEM- W OAS n FM ECTRIC m <br />p)tlee[YA'yr Alp laYw romAa elvolW <br />�lfJ� <br />BM"1zn <br />,.c, RR]011.ro noa R'Ao — <br />'o,pxLblC <br />1 HEREBY CERTIF THAT I HAVE REA AND EXAMINED THIS <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />APPROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />HOT. TIE GRANTING OF A PERMIT DOSS NOT PRESUME TO DIVE <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 />PPLICATION MADE AND I COMPLY WITH THE. STATE <br />RCTORS 1821 RCW AND 2962W WAC <br />K � 1 /( S <br />Rllolalfo uM p� — <br />lI"mwRKreRpF ,,n IMIOR]I ellawoR An IIMV cat♦q <br />lW 13 rad pj1Ap - <br />INCH TYIO Nril11 <br />CdlI11MCB0NlBW MKEA.ALRYI[M rflfhIJ1R MAIMR <br />Pn 41�AtM lC1 MD <br />PLUlMINO <br />MECHANICAL <br />NO. <br />TY►E OF FIXTURE OR REM <br />FEE <br />NO. <br />TV" OF EOUIPMENT <br />FEE <br />JF <br />WATER CLOSET (TOILET)I <br />IVC _ MEIOLa LwITS <br />mwnm <br />I FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN)I <br />NEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK{ DISP <br />CLOT)/ES DRYERS <br />DISIIWASNcR <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />1 <br />METAL FIREPLACE WOOD BURNING) <br />DRINKING FOUNTAIN <br />1 <br />FIREPLACE BA4FFIT(1WOOD BURNING) <br />FLOOR DRAIN <br />I <br />FIREPLACE <br />BACKFLOW PREVENTERS <br />' <br />GAS RANGE <br />SIN( (SERVICE — SM. ETC.) <br />GAS PIPING <br />ENHAUST FAN <br />I <br />, <br />1 <br />SUB TOTAL / <br />' <br />8118 TOTAL 1 <br />PERMIT / <br />PERMIT t <br />TOTAL FEE t <br />' <br />TOTAL FEE t <br />FOR OFFICE USE ONLY: <br />IR IWNAI:A <br />RlMefIMCR / <br />FIE NIeId <br />RwCMpKlIlNR <br />IfI <br />RLq►rIID <br />uM laR <br />- <br />lorAKA <br />Y1dMr rre <br />as ORo <br />VALUATION <br />E <br />I .lLAAIIAn <br />wn gy[uMll <br />MMpeloGTl <br />'22oz 400 1I <br />R"'�e10 <br />i <br />loollRMM <br />Pi J I <br />accuYllrlow <br />a lAf Yl <br />ane O±ri <br />EdwCAI <br />ApMIpMNRw Md <br />IIIIlrrlIl mitt', <br />;i7"-- <br />OIN(R <br />I <br />W ALVA R1m, <br />MAtd <br />]NN RRUwR PRCIWq! <br />IlFe proNer <br />nARe AFFrovtPe] <br />." 612 ")�) J — <br />CITY OF EVERETT <br />LOCAL BALES <br />TAE CODE IS 3105 <br />nnur w.w.] <br />L(L <br />TOTAL <br />7 <br />