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APPLICATIA FOR CONSTRUCTAN PERMIT <br />CITY OF EVERETT • BUILDING DMSION <br />3200 CEDAR STREET • EVERETT. WA 98201 N (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION IV SUR.OING ❑ MECHANICAL ❑ PLUMSMG ❑ SIGN <br />PROJECT ADDRESS: E1LCkGRR-o bjili t 6CM _ <br />E77rAPRISE Rcnr A PAR A000 dM-W Ao &Vrm Gua WIS. ?2P9ssa <br />1[NNNI 4N NbE55 Cllr Iro rNONF <br />AWRTCT OR MVGK <br />4RM ACDI'E5s <br />C."IIr <br />`N <br />rQQnfS <br />C'a1rimmlic <br />Co_ 9/3 141 1 .SEq <br />Z&O All <br />� 032NG <br />GFNInu CONIMCTM <br />4ul 4IDRESS <br />—4e <br />CDY Im <br />PI"[ <br />51AIE lICF45f[ <br />)Q// 71PAD- s <br />CM7IP <br />O-M r. <br />CO PJ Pidlaa Alx LTV <br />911 OR <br />MECNIMC4cMtR vo. <br />MAR Ag [55 <br />C., Ilr <br />rIRYR <br />sWF LYENSE0 <br />/ <br />M UUI3MG CONIRAf10D <br />MAN AODDESS <br />Clh Ilr <br />VI10NF <br />SUUF IICENF[[ <br />eoNIR4F ngcE anew. D oo <br />HEATINGSYSTEM: ❑GAS DIELECTRIC 2' <br />MSCRIRF NMN AND SQUAW FOOTAGE NMVEo <br />C ", lrtnsprAMI'7", <br />rill <br />(94-Flee 4k-rl-riins ELEcncrcq <br />W <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW TIIE 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 AUTHORIZEO BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE VKNK FOR WHICH <br />APPLICATI00 IS MADE AND I COMPLY WITH THE STATE <br />CONT ITO//RS LAW 10 27 RCW AND 290.2D0 WAC. <br />/�E/ /� I / <br />rrroros[G usf p mAKnFn <br />CA orml 4ce y <br />IFG40FcfNmrllprp nwF215REIDw `oRlA'nACN lwo corlFSl <br />FOI_�_NCCK�R�tt��7 \/I i—p / 1 I <br />/� <br />ruled I.I D MAIN, <br />CONSINI1NYIlOAN IENRR. AOIFFSS. TIfAgNE MIrIfP <br />SgFIA�AI[ / <br />bIY NISIFE 55lCENN rq <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF laUPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C — AABIOLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />I <br />HEAT PUMP <br />eHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />_ <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS SERE <br />SINK (SERVICE — BAR. ETC) <br />GAS PIPING <br />EXHAUST FAN <br />SUB TOTAL S <br />SUB TOTAL S <br />PERMIT S <br />PERMIT S <br />TOTALFEE S <br />TOTAL FEE S <br />FOR OFFICE EISF ONLY' <br />I Drnr1 WIRArK <br />IYAD SrIlUCR <br />Yxsnllull <br />MAN VICE. NUNN1rR <br />J %'J7✓ <br />r[r <br />NrCFMT NO <br />USE tON( <br />�m APrA <br />v¢Am ItF <br />❑YF$ ❑W <br />FEES <br />VALUATION <br />FEE <br />R.RI fMMI <br />_ <br />5�/� <br />_ <br />IdIGNI OMlA1gN <br />MOI p VWIIIING <br />[III p R10691 <br />/SUU <br />nvuRrvG ___. <br />---i— <br />UIXUPAN:Y <br />DIgIA• <br />I WI'I SIR"', <br />MCII.N1 lOAl1 <br />RAS[AiNI <br />❑v[5 MI <br />4f 1'NANN'Y <br />__ <br />_ <br />Dr ASDN <br />AMYINwAI WAIN bI(CR <br />FIRE SMNKLER RED <br />no <br />NDI- 7c2 o <br />01"C" <br />DNEA WIR[OD <br />O <br />nrAmv <br />NDY p ^• <br />S/RCRNY <br />51A11 RIR( DM: SINCNAM:r <br />' <br />ttrc pr. T <br />MArs.rlw"D�I rYnnr OF EVERETTtT±OTAL <br />�� LOCAL SALES R % TA% CODE ISJ105 <br />