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APPLICATIA FOR CONSTRUCT&N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 9E201 •259-NIO <br />❑ DEMOLROA [IICOM INATION ❑/ BUILDING Wll//ECHANICAL ❑ PLUMBNIGN JG ❑ B <br />PROJECTADDRESS: 392% [ter_Ict AUIfl3&=- — :2�" fimV- <br />Q m YY n arr RR AOt <br />RN MffRALIDA uyLACpifss CO' Tn %Gr( STAM L"W!K& <br />l z f;w — HEATING SYSTEM: ❑ OAS ❑ ELECTRIC Cl <br />IxsLIMF AW v]U.WE 100710E wVf WD <br />Meo1FY Er.•r[Ic, AiELA. 2QP LJtCau- <br />6'sc . <br />cw1 T fSRIOR.VQ IYYyt NO <br />,/ - <br />1 <br />1 HEREBY CERTIFF THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION MN KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS 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 LOCK 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 />CONTRACTORSSLLAJ t82TRCWAND2G6.200//W'AC. <br />�LZ/GGl <br />rAorosEo uff a IIIRIMNO <br />.0 L <br />tfau OffCwRiKllamn[RTY I4101.t1 xta.1 OR 1n..al TAomn[s <br />LOT Hoot a <br />wwlrlEl R. rurEn <br />Cp611111C1gNlOW IfNCfR.1000F5s. i[l[RIS4 M11111[0 <br />7uK C3109 Mot <br />arvIto .nttcfR w <br />RLUYBMO <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYMOFINQUIP ENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIC—AMIOLG L%13 <br />_ <br />BATHTUB <br />FORCED NR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PIMP <br />SHOWER <br />UNIT HEATERS <br />XRd1EN SINK i RASP <br />CLOTHES DRYERS <br />DISHWASHER <br />_ <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATFR HEATER <br />CLOTHES WAS14ER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BUNK" <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT MOOD S RNNO) <br />FLOOR BRAIN <br />GAS FIREPLACE <br />SACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />EXHAUST FAN <br />SUB TOTAL <br />f <br />SUBTOTAL f <br />PERMIT <br />f <br />PERMIT f <br />- <br />TOTAL FEE <br />S:r—�l <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />F Tv. fl <br />W. WTW. <br />ym ull,'M <br />IYWCII".NIVA <br />1IT <br />2G•30 <br />RfflV1 MD <br />OMEONE <br />to, AnEA <br />vAc1NIv6 <br />n Ets nNo <br />FEES <br />VALUATION <br />FEE <br />nnn.In <br />KKIH7 L.TAINM <br />NO btMF[U,G <br />WIC. <br />"O"KNll <br />RIIf11MNli <br />i <br />�— <br />p0.lIV1NLY M11Y flfpf <br />011pI <br />IXC1MANt to. <br />MiEMNI <br />Olt, D NO <br />wFNyy.y <br />A .T".'M1IN cl. C. <br />' <br />t <br />11PE SAbN1lLR RF09 <br />Nt.-O <br />OIIKO <br />rinE yNMREO'v <br />M1AUV <br />(r1i[ MnUNn vn[.fAm[ <br />L-12 �VOC <br />trl4 aroNsr <br />n•N <br />/J <br />WTf � <br />CRY OF EVERETT <br />LOCAL BALES <br />TAX CODE IS J105 <br />I+n. r.wrn.< <br />TOTAL <br />..N. I IC/ /U • I— <br />