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APPLICAT& FOR CONSTRUCRON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 IS (025) 257•8610 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL X PLUMBING ❑ SIGN <br />PROJECT ADDRESS;_3llol FIUYT fFL/E. 6✓EnrE� R 1621'I <br />UWW ul •DDIIFPS OM1 tl' MdR <br />7Nrcv--kETiWtJ1c, 59e1 norr APW -lM9P6;rr 48;o/ uz5•as*!-o9r<• <br />r'. VN W ss 1..I1, 7A, PrxJ4f <br />ARCwRIE Cn DEV]wl� <br />RRyNDJE¢K< <br />—Al Mit$I <br />Iiy35NE,So: / <br />OTv <br />kl&,tzAAIO <br />nr <br />9803f <br />r'[r'M <br />y15.823•22/S� <br />DFHEn4 CONTn•' i(YI <br />k%A?rAt=7-t;ME <br />uul •MrM )S <br />lOt7`Z /0�57.' <br />CV♦ <br />SA.'C:VOlPF/Sr/ <br />Im <br />9�i2`k9 <br />I"xhl 11.11 I CENG • <br />NCO-5C'N-�i'75 <br />VEEN•M1IC•1 CMiZIrTD V•4 AtV SS Crl rm n'CAr zTuI lICF4TE• <br />47,5,etr ms1 H %?c /5540AI1-5N,s. 4r9,w&-'0 YP73 425 883 -922'f flAZA rl". /63CM <br />M V•lI4GCMrRACt�YI .V1 AWMf5 Clb l.1 ,I,A PTuf llCl45l. <br />49mc AS /77CC1I C/O.Vi•%'.-A[;TZ��' <br />ca.rKACt I+.a Dr veKw <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />pK1AA5, oy_LlUA)AD/A.IL%. /N L'O�L.Gr or <br />cM1.cI MDSM Agrwrn Na <br />�JiLO: A''� //✓ CA'P/i/JY.Y-O AICER <br />I HEREBY CERTIFY THAT I HAVE READ 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 "IL 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 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 />CON( TORS LAW IB 27 RCW AND 296200 WACCj <br />x �� /_1 /•/_O� <br />I4gIp5F0 VF DE nun Mw: <br />A7CZWCAL CLJ/lJt Ei <br />IFwl Mscmvucwp r•Iglcnn rsrAELaw dIAnACN lwa coM[si <br />Im Kloca d <br />— <br />wRcn unD wAMln <br />cwtIMFINW INN I Ewin yNxrl zs nl 1'—wNPHr <br />'rNuwl n•n! r <br />Cn. wINT ss 1 W,l It NO <br />PLMIIBING <br />MECNANICAL <br />RO, <br />TYPE OF MATURE OR FEEM <br />FEE <br />NO. <br />TYPE OF EOUMME/IT <br />FEE <br />WATER CLOSET (TOILET) <br />AC - MINDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />NEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK S DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY -� <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE MOOD BURNING) <br />DRINhING FOUNTAIN <br />FIREPLACE INSERT MOOD BURNING) <br />_ <br />Q <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />- <br />SINK SERVICE BAR. ETC) <br />--- -- -- <br />GAS PIPING <br />EXHAUST FAN <br />_ <br />SUBTOTAL S <br />SUBTOTAL S <br />PERMIT S <br />-- <br />PERMIT S <br />TOTALFEE Sl <br />TOTALFEE S <br />FOR OFFICE USE ONLY: <br />I PONI viP•r• <br />nnnSFIPK• <br />LCF Sr IPAQ <br />M CuIt+4VlwlP <br />00 <br />(I <br />IKrtmI ND <br />usE tD4r <br />ICIA. <br />vKANI v11 <br />DYED D 4W <br />FEES <br />VALVATION <br />PAIN TAN'. <br />1rtNiNIHN1•IUY <br />Mi1 ImYlllb <br />51I1IX NDDnI <br />AVgIM <br />i <br />-_••___—j— <br />() 4[Y gw)I At, <br />MIIL PrNPNUE K 70 <br />(FCVr•4110•V P•[IM41 <br />❑v15 ❑wl <br />M.NIDN <br />n{1PDY <br />Vfl'M•M'4 <br />ADDIKWu n W Gerd <br />OLRn <br />(RE AIMMKIOD <br />PIAIt PUIDhIi SIACN•ME <br />nwlr vmlws <br />tm Dr r:pNtct <br />MANSAV NFTI0v <br />DATE <br />CRY OF EVERETT <br />LOCAL SALES <br />TAX CODE 15 3105 <br />TOTAL <br />