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APPLICATICA FOR Cr1NSTRUCAN PERMIT <br />CITY OF EVERE" T • .1UILOINO DIVIaI0N <br />3200 CEDAR STREET v EVERL-T. WA 06201 v260•SO10 <br />❑ DEMOLITION COMBINATION ❑ BIIILDINCO' O MECHANICAL ❑ PLUMFi010 ❑ SIGN <br />PROJELTADDRESS:7?e7-_ sr <br />n Ux! nlul ml xY. <br />»YY1r aivn Iowa. <br />al-+ cF iFRNcsSF <br />HEAPNO SYSTEM: Z OAS ❑ ELECTRIC ❑ <br />aaw »nfwlrt lOpilW »vOl 0 BA:J <br />l5 zo si�� <br />-- <br />IT `�_ <br />lrcl »A]pl WlrlwTrt .o <br />��ejrt.EG7TI �� 64-zgrlL�Fl <br />I IIENEBY CERTIF THAT 1 HAVE REA 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 DIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TILE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIb PROPERTY TO PERFORM THE WORK FOR WHICH <br />.APPLICATION 1 MADE AND I COMPLY '711TH THE STATE <br />NTRACTORSttt 27 RCW AND 2962)00 WAC <br />X l �� I SL_ <br />nuM QµnxiO <br />IFalafcrtvlw0r rK0nAn IP10xN I[law plA^¢xTwo<'�r11N <br />l01 .z 1 Mod p IH�„ 1�ItsJ V ILACIC- <br />'-- <br />INEFnumrwFA <br />wranlEllollaw LertEA l ss r^F».o I AINII <br />AI 11� rlF <br />CIiY IJfMMIEF Y� <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NG. <br />TYPE OF EOUIPMENT <br />FE[ <br />WATER CLOSET (TOILET) <br />AC—AANIDLO UNTRI <br />z., <br />BATHTUB <br />I <br />FORCE D AIR SYST EMS <br />• <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />I <br />I <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK E DISP <br />CLOTHES DRYERS <br />r <br />DISHWASHER <br />r <br />RANGE HOOD <br />LAUNDRY TRAY <br />I <br />WATER HEATER <br />CLOTHES WASHER <br />I <br />WOOD STOVE <br />I <br />URINAL <br />I <br />METAL FIREPLACE WOOD BURNT <br />DRINKING FOUNTAIN <br />I <br />FIREPLACE INSERT (WOOD IIURNlAq— <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFI OW PREVENTERS <br />GA4 RANGE <br />i <br />SINK (SERVICE —BAR ETC) <br />GAS PIPWO <br />EXHAUST FAN <br />I <br />I <br />— <br />I <br />I _ <br />I <br />I <br />I <br />SLID TOTAL t <br />SUBTOTAL t <br />PERMIT f <br />PERMIT f <br />TOTAL FEE f <br />TOTAL FEE f <br />CYYC OCCNIF I IQC OMI Y• <br />rAPII MTYCII <br />10 i <br />rtlA MTYCN <br />?p , <br />POINT 7 <br />nw MgMYIA <br />if <br />NCFPI NO <br />uM tort _/ <br />A <br />I01NMN ��g <br />v laR <br />Ont ON0 <br />fEE <br />VALUATION <br />FEE <br />IMI <br />xlNWiIAAiM10N� / <br />.OPprRLLNO <br />VIIF <br />Y!lOrppyQ.lIl <br />. to S.F LIVh/4 + <br />A d <br />RUTAlI10 <br />OLCIIN'<Y Wool~ <br />1f li J <br />rw[IMIMh[A rtOn <br />OCCl/w1,ON0 IyEYFN1 a� <br />DiFF rw <br />rtFsw <br />wa. <br />AOt'IgNll llwand <br />O <br />PIHu <br />rw AIMYIro-0 <br />rtud <br />Mul MIIOMI MXEwAOI <br />lrrtnroxfl <br />—� <br />WANT lo»nvf0ly <br />I/A4 <br />yll 10 Y 4(r <br />CRY OF EVERETT <br />LOCAL SALES <br />TAX CODE It 710E <br />nmr.KOwA <br />TOTAL <br />