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APPLICATION FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT a BUILDING DIVISION <br />32DO CEDAR STREET a EVERETT, WA 98201 • (425) 257-8810 OL <br />❑ DEMOLITION ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: ?nf��- lAI-C'F unaO!-e { yet FUrK-bL L-i ZJ/ <br />/:1.. ... f.Lr J-c tT- ioD7_ Wti,..rs.t �j�..� e?172c1 <br />—.If <br />Ue�r F+zn,ar t'JG lassose4s fro SA/f•^c SC 5-VL4 1400 6ff6!!swN <br />rtCr pEYCNtn MM. PPESS CA, M' r'NONE <br />Z., 1n111 STIITt laI <br />MUYamaG CONIp.c1011 4.N ADE ESS CGI 7d MN F SIMFICENSE. <br />N SU. o on <br />CONIAACI mcE a wvu <br />HEATING SYSTEM: ❑GAS ❑ ELECThIC ❑ <br />oESrnleE wale ANn .M EGGI.G(Ir.vwvto <br />.,.t 4 lt(a SAHt. '� ✓ <br />coNI.clMnsal.NO P40Nf No <br />jA., SG..,n �C6-S/0-438Q <br />JlA I1 roof r— � + <br />I HEREBY CERTIFY THAT 1 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 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 LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION 15 MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 2962�V00 WRAC <br />y h ! <br />X ?i���=`if��� Y/� 4% <br />w ro USE a wnwNO <br />GGAL DEScaPINM GF maEAIY ISNGIAK afL(PICI .GN Two COA[51 <br />IGI 61 as p <br />L) — -7r7 <br />M El uFIo NweEn <br />CONSIpIKraNIfHN1ENOFp .00ntss. rzltlMONT; w.wra <br />Sara <br />GIY 9UYNf SS ICFNSE HG <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AA:—A4INDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />—� — <br />LAVATORY (WASH BASIN) <br />I HEAT PUMP <br />_ <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A 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 (WOOD BURNING) <br />DRINKING FOUNTAIN <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 />_ <br />EXHAUSTFAN <br />SUBTOTAL f <br />SUBTOTAL f <br />PERMIT f <br />PERMIT f <br />TOTALFEE f <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />.npNl Vlp.Q <br />aLn5F15dC11 <br />Riff 5EFa44 <br />IY.NGIECRNIINRR <br />FEE <br />I'mr-Mw <br />USE ZONE y <br />I'111A <br />N.OANI SUE <br />FEES <br />VALUATION <br />FEE <br />6UIfMNn <br />_ <br />� 1^ i <br />DYES NV <br />NEIGNI II41rA4pN <br />WIIO PwElll� <br />SV[ GF SIGGRI <br />/.A'l <br />4/ <br />PIII4pw0 <br />C '.NCS <br />WCASIro6S <br />CCCUn.NI WAL) <br />lAA51A{NI <br />On5 ONO <br />41CI�.MIC.1 <br />.Gol"At 1T.NCIHC. <br />I1Nf 5PAINKUP PEO'0 <br />WASH <br />OIMA <br />PARE AUNM AEG <br />WAS" <br />O <br />Suit&ALONG 51MGUME <br />—. <br />�� <br />nrt(K C'ON51 <br />MANS Aj Oav <br />CITVOFEVERETT <br />LOCAL SALES <br />nlM m. wops <br />TOTAL <br />TAX CODE 153105 <br />