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APPLICATION FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT a BUILDING DrVISION <br />3200 CEDAR STREET t EVERE r. VIA 98201 a (425) 257-0810 <br />❑ DEMOLITION ❑ COMIINATppM i BUILDMW CI MECHANICAL ❑ PLUMIm ❑ SM <br />PROJECT ADDRESS:39 1 .RuKei" r Fve-I--e-tt <br />. <br />i -dN CWPU " "tM ss nn m RION[ Surf LVWt. <br />P11A+M0 LONiMfil01 e A ss on 1R h10r4 ItAIEuIYIR[. <br />cwrn.cr n!a a rroAil <br />NEATNi6 SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />OFSCTetE YKANSW SaWEIOprs rllgKe <br />l' C'_ <br />170.R rR11EalAM1 NIOrl KO <br />/n,r�•, T'A'n" oA_ <br />IIy <br />1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED TINS <br />APPLICAT10 4 AND KNOW THE SAME TO BE TRINE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORD06ANCES GOVERNING THIS TYPE OF <br />WORK WALL BE OOMPLIED 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 LOCK LAW REOIAATING CONSTPUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I MA AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />AI•POCATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND M.200 WAC. <br />M 0 l ^ (�Ai�'a <br />l & Al <br />nrnoNo LISP a euloen —' <br />uwlotx*►rlwia raortKn ra.awI VLawor AnAw rwo mltR <br />LOr wrK51 __ a— <br />^ <br />eM.11 wlo rertn -- <br />Ulu'_. noS 0Dl <br />WISrK1FrlJK IwN lFIQ0..[plM. TElEngst MA+tll <br />TL0 r1 h R F wlt <br />— <br />anR MLMMw <br />PLIImem — <br />MECHANICAL <br />NO. <br />_ <br />TYPE OF FIXTURE OR AEM_ <br />FEE <br />NO. <br />TYPE OF EOUNIAIMT <br />FEE <br />WATER CLOSET (TOILET) <br />AC—A+04XG UWtS <br />BAT14TLID <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BIM INI <br />1 <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK 4 DISP <br />�— <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHF R <br />_ <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUI7TAIN <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 />EKHAUJT FAN <br />---'---itt' <br />SUB TOTAL f <br />PERMIT f <br />SL18 TOTAL f <br />PERMIT f <br />�- <br />TOTAL FEE f <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />.F TVTW. <br />au1 w1w. <br />va ure.c. <br />nuoSc. M/a1F <br />rlr0 <br />nrarrru <br />5 <br />" <br />UA Romr <br />1010t. <br />V.CµI W[ <br />FEES <br />j VALUATION <br />FEE <br />NSI wK: <br />�ST <br />P` <br />d :eLS <br />O rts�A <br />KIUNt IIMII'gN <br />NO alM4llIM6 <br />SUfaN 1 17 (-�/ <br />IMIS <br />.7 __ <br />M1uuKw: <br />OCI:I M/✓.C! r9 r. 51M15 <br />CCCIPe..(I�l0/i0 MFMI <br />Y{I:M/.MCLL <br />) <br />(J OrIS M <br />f{.R}y�1h <br />rIR�E S���.M..ItYP[Pi00 <br />OFA{a1�• <br />e0plelMY.M1WC11rQcyn <br />/ <br />rN4 ALlNM P,00 <br />q.50V <br />����.�• <br />5111r NRDM 511RC1YlYif <br />I�.LG <br />nela rowsl <br />neYS urlKrvro er <br />CITY OF EVERETT <br />n+e: Ma1115 <br />LOCAL SALES <br />floc r' / <br />TAX CODE IS 710S <br />TOTAL <br />