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APPLICATIN FOR CONSTRUCMN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3201) CEDAR STREET P EVERETT. WA 98201 • (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ SUILDING MECHANICAL ❑ PLUMS84O Cl SON <br />PROJECT ADDRESS: .31�'7 R L)( - I' A4 - <br />"f (Luht "901 FIBYT ACE E6ltf? 182D) 425-75°I-096b <br />EIIMRMI 4M YIYIF[S flt. I %RIM{ <br />•W..'nCT CP MLC.f P YAn APPMSt Cn'!'v <br />D{N[P4 CpIMC1llR <br />Y41 .DIIM tt <br />C111 <br />Iif <br />M1YYR t1.111KFM5{I <br />fECMIMCAICpIP.C1UP <br />Mfn1'( ME(f1Af,\)(RI- <br />%IIvINC CpIPAC1CP <br />4Yl A(!lIPF 55 <br />463� 15�AD AUL <br />Y{n AdYH55 <br />d1Y <br />M6 RE <br />Cln <br />)if <br />MML. 052 <br />!iv <br />M041 tl{I{IKFM[[1 <br />475__ __891-?ZZI/ FJ2)iM1163�� <br />fN F 11.111K[45fA <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />r G6. <br />m PF NJIIIIAW15011API IODI.GF NVdV[D <br />fpIAClNntp.M VM}R 4p <br />I/JC4ALt /3 VAV BoYA5 MIN D 1fi_TPlosr- <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />8 / Z <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />PPOIRTNDIxt w naxdM: <br />WORK WA L BE COMPLIED WITH MIETHLR SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />1[DAI DEscPmllp or PnDr[P%a1oPTf MIOh w.n.cP lN9 cons <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />mT NocR M <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OB THE <br />PERFORMANCE OF CONSTRUCTION THAT IAA AUTHORIZED BY THE <br />SAC A\ <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18 2' RCW AND 296 200 WAC <br />,\ _ 7I31Iz000 <br />—�\� <br />Xx.ln'wF <br />Nwcn 'AR 10 IPNN n <br />"F6 All <br />Cp[ETKfKN 1 N41 fYMP NXN[55 Rl{Npvf MNRFII <br />n41 <br />-- oI73 B9 <br />C11F 11144E [S lx'f Mtl t(1 <br />MECHANICAL <br />PWMSINO - <br />Fp, TYPE OF RXTURE OR ITEM FEE <br />NO. TYPE OF EOUEKMEM _ FEE <br />WATER CLOSET ITOILET) <br />AFC—MINDLQ UNITS _ <br />FORCED AIRSYSTEMS <br />BATHTUB <br />— <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEOERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />RANGE HOOD <br />DISHWASHER <br />LAUNDRY TRAY <br />WATER HEATER <br />—_ <br />CLOTHES WASHER <br />WOOD STOVE <br />METAL FIREPLACE (WOOD BURNING) <br />URINAL <br />FIREPLACE INSERT (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />GA$ FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC) <br />OAS PIPING <br />— ---'- <br />EXHAUSTFAN_ <br />SUBTOTAL S <br />$UB TOTAL f <br />- <br />PERMIT f <br />PERMIT f <br />TOTAL FEE f <br />TOTAL FEE f <br />FOR UFFIUL Ux LAnla: <br />f pllnl ViPRf. <br />Pr An 5r1P.C. <br />SID[SEIPACx <br />M1AMCIK�FPMD P {FF <br />VV <br />Pf Cl u'I NO <br />ulFtpr <br />IDI AM. <br />v4w1yR <br />FEES _ <br />YALUATIdI <br />FEE <br />Drt5 O4D <br />RUIPNK <br />IRIGII IIMMIKI4 <br />MCANM IW <br />RR Of MCGPI <br />nINPhM1 <br />4F1'N.vKAI <br />.__ <br />_ <br />DCI;IA.vC. <br />'411v .11w1) <br />CCCIIVAN11DR0 <br />P.NY[tl <br />r.PDYP <br />Ov[s O M <br />ADd1Xh4 nAM ova <br />_- <br />{WESM1IrvnIEPPEDD <br />M.[p <br />Pf F.[p <br />M.A. <br />SIAII RIFIDMD S111CII.Pr{ <br />{IDEA AWPLD9 <br />Ivrf LK rptl <br />nAxP.vDPi CITY OF EVERETT <br />/ `-- LOCAL SALES <br />D.it TAX CODE IS 010E <br />TOTAL <br />