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APPLICATION" FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT e BUILDING DIVISION <br />3200 CEDAR STREET a EVERETT, WA 98201 a (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDINO bZMECHANICAL ❑ PLUMBNIO ❑ BIGN <br />LDM P_#L L J(—L N <br />rENANI YYl/L'ONF55 EI tY >o t71yI <br />AB Trt1 OR IKSIGNtR W A Ess Pn 1N <br />GE.I., Cw R+AoON ,..n Aw.,ees ....... p <br />i'iL,n.^Ai.nXt/...r•G.� IJ-m iwnu79- LMAlt RLJ'A �hlfvWH- 7�')ID� /)Qegr9Z 33/c aS <br />3-i,3 - VgLl / <br />CONIRACr rPoC[ OF Nb1e <br />HEATING SYSTEM: ❑GAS DIELECTRIC Cl <br />MSC1tleEWMMANtI SOUAnt FOU�M.gVFO — <br />�� — N <br />cp11ACr TNepNAM rnLVF Np <br />/ <br />2iCn_ <br />��^I,C,p _S <br />I HEREBY CBRTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PRONSIONS 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 REGULATITIO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT 1 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 IB 7 RCW AND 296.200 WAC. <br />./ <br />rnorosrO sE Ot PntpNG <br />S �5�� O G 1 . J <br />W'1'V <br />tEG4 otscnB-nor. of rrgPERr ISNOw Wjt OR AnACNr COf4tSl <br />L01 RIMS Of <br />PARCEL tAA 10 R <br />a as oo� a��✓, <br />cpNSrRIK:rICN toRN ftM%n. ADDOESS. TtttrEKINE MM A <br />5 1 GA t <br />CITY wgw%S LCENSC R <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TV" OF EOIAPMBET <br />FEE <br />WATER CLOSET (TOILET) <br />A/C-AHNDLO UN. IS <br />BATHTUB <br />FORCED AM SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />I _� <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 RANGE <br />SINK (SERVICE - BAR. ETC) <br />GAS PIPING <br />EXHAUST FAN <br />SUB TOTAL f <br />SUB TOTAL $ <br />- <br />PERMIT S <br />PERMIT S <br />/ <br />TOTALFEE S <br />TOTAL FEE S <br />^ <br />ene nucirr uec nRN'. <br />I I+UNI GIIPAfA <br />Pf AR [f1PACM <br />SW sf IRACe <br />PJANbIFfIt NU FR <br />ItIF <br />PFCFn•r Np <br />37 <br />ru+r <br />un MBA <br />I+ANI SGE <br />FEES <br />VALUATION <br />FEE <br />DIES 0w <br />PfIpO IIVIlA1roN <br />WOI R.lRIIN.: <br />SIR tN OLOWII <br />—'�— <br />I�MII[ <br />NOW NG+� <br />MFCNAMICAI <br />0� <br />O[I:LIrAN:Y <br />Mv51iM1'f5 <br />WfVrINI IUAP <br />BAYNFNI <br />ruour <br />Otts ONo <br />AMOOI At n ANCW(k <br />-- <br />IIPFSmINNICR PEG'0 <br />nrAspl <br />O1fHR <br />OWE AIAPM REG0 <br />f1F AS0, <br />G F.11 fiat PING slM OAP:1E <br />nrE nl CON" <br />TNANS ArmoV nBw <br />CRY OF EVERETT <br />rnRl m. w(MeP <br />-- <br />LOCAL SALES <br />— <br />TOTAL <br />- <br />PAIF <br />TAX CODE IS 3105 <br />