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APPLICATI01 FOR CONSTRUCTAN PERMIT <br />CRY OF EVERETT R BUILDING DMSION <br />3200 CEDAR STREET p EVERETTI WA MOT p (425) 257-Mi 0 EX. <br />❑ DEMOLITION ❑ COMMNATION ❑ OURMI Ni ❑ MECHANICAL ❑ PLUMBSFO ❑ Sm <br />PROJFCT ADDRESS: .' 27 d& 98t4 <br />�cl; ERf. Ft C.L (i I L _ <br />gwl.R Wa COR[pS arY !M NUrL <br />Mu <br />1WJtrli!R2At LJU W-S 1113 5 aN4 1 z z wo _4sit µo � WA -11 D 34 4b4 W41L14} <br />A FFCIMmWIAK! YYIA ss aM n lir .}( <br />y( �2i y - 4XC_ <br />WW[ COMACCFI YYI ACQ ss Cnr M mOR SIAFE LICYYRE. <br />9 `d Jls-0 <br />cm, RAc r.ln FIF. <br />-- <br />HEATMO SYSTEM: ❑ OAS ❑ ELECTRIC ❑ <br />o[ Raw Awp souAPL FOOrAOE .nalvco <br />a $ LY <br />caxrAcr RIN011 AIp wox[MO <br />I n) n.)o (Tt fv 4,-J lk.A A-✓ r <br />1 LI rao QN 3 M r <br />eRaros{o usE [Y sYlPwa <br />I HEREBY CERTIFY THAT 1 HAVE READ AND ENAWNED THIS <br />ICATION AND KNOW THE SAME TO E TRUE AND OURRECT ALL <br />SIGNS OF LAWS AND OFAMANICES GOVERNING T14S TYPE OF <br />WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE DRAWING OF APERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCK LAW REGULATRKS CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR MKCH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRAC LAW IS 27 AND M200 WAC. <br />e 1 <br />Ill, O 17 i <br />L[aAL o[scRlRrpRP PRPYRn IswRN eELawaAnACR TssOCOFK <br />Lol 1— 1 (i km ar C l H A (. d CO <br />I { <br />7 <br />G O/ <br />CdiiRIFIICM l6W IFMIER. NIIIRESR. R1[RIPL RI.VpFII <br />Slbl[r1�1E1 0 IL OAT[ <br />aTroownirEi AsluNu wo <br />►LUIBUIG <br />MECHANICAL <br />NO, <br />TYPE OF FIXTURE OR REM <br />FEE <br />ND. <br />TYFE OF MBUREfma <br />FEE <br />WATER CLOSET (TOAET) <br />AID —AIM OLO VETS <br />BATHTUB <br />FORCED AR SYSTEMS <br />_ <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER NEATER <br />CLOTHES W SHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOL) BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC) <br />GAS PIPING <br />_ <br />EXHAUST FAN <br />SUB TOTAL f <br />SUB TOTAL S <br />PERMIT $ <br />HE <br />PERMIT S <br />_ <br />TOTAL FEE $1 <br />TOTAL FED f <br />FOR OFFICE USE ONLY: <br />I P(NII KiP.LN <br />M.P SF1pACl <br />$IpF NIp/.C4 <br />PIAN [ll[CP�MF7 <br />IFF <br />Mf.{R'f Np <br />.IF rowF <br />101 IWA <br />v.clm wE <br />FEES <br />VALUATION <br />FEE <br />_ <br />D r,A ❑ AK)_ <br />_ <br />RIq IMM: <br />IrFIO�II I Ivil.11Ow <br />W P nM111N0 <br />SITE P ROPII <br />IMa[ <br />MIIMMry <br />CCLIWANC♦ <br />WIWI <br />W N ITM15 <br />QCUIUNI IO.n <br />I.Sf M[Ml <br />YFfN.M1:4 <br />❑r[R Own <br />1ppll(1wliAWfll4 <br />- <br />— <br />OFF,S PIKILPPLO➢ <br />MASON <br />on ER <br />E <br />{iauuuY n[oo <br />nLPOv <br />f IYF pUIOMO SIRK\YpOi <br />T FY or ro T <br />mAwS• mpr <br />CITY OF EVERETT <br />nm r. r.olws <br />TOTAL <br />5 <br />�'! J <br />TAX CODE S 71OS <br />nnE / <br />