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APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT f BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT• WA 98201 f (425) 257.8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING A- MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: <br />•R ncl CAN" FR MAN AnnRSSI arY "I hp{ <br />MIWP4 COIDPNIaI Y•A ACANE SS C." jM n r SI•Ir IK[NmA <br />CONIP•Lr 1 Or NORI( <br />+I� <br />HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br />W"fF MAN ANo5 ANr AODIAWN Af) <br />LTiAT enfnM <br />coRrAcr AMl Np <br />c• 6 — s — �7 <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 Wit 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 />1827 IICW AND 296200 WAD. <br />% /0—/L <br />RRPOfIo IRE Dr PAlaMfi <br />IfDAL OExARf"aP Aln fIItKNN MIOPOR•A•CM MO L'OA[fl <br />LOT sou or <br />IWICtt a <br />CONfIRICMM IOMI I TANNIN M)INIfSS. RI[RIaA MVMKP <br />fcM.IDIE (MIF 33S <br />art susPKxf IK[MY MD <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIC—AMNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <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 />_ <br />URINAL <br />METAL FIREPLACE (MOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT MOOD BURNING) <br />FLOOR DRAIN <br />OAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC.I <br />GAS PIPING <br />EKNAUSTFAN <br />SUBTOTAL f <br />SUBTOTAL f <br />PERMIT f <br />PERMIT t <br />TOTAL FEE f 1 <br />1 <br />1 <br />TOTAL <br />FOR OFFICE USE ONLY: <br />FAfINI vlo'C• <br />PIN) N1fACS <br />SIDE SFffACR <br />A CD_C P <br />D-U0A <br />rFf <br />PFfrfN Aq <br />Im mAF <br />IGI KA <br />VAC•Nf MIT <br />FEES <br />VALUATION <br />FE�— <br />fulnNr. <br />_ <br />DIES O MD <br />RFgNr lK111•IgY <br />MOOR DMTIIIMD <br />IsufffftPwrl <br />'— <br />UMIS <br />AIINIMI <br />• <br />NCI •U IV f11o15 <br />OLCINAMI WAD <br />f•Y1RM1 <br />NM•MN.AI <br />1 <br />pqf pM <br />AD imm m"clocII <br />-- <br />—_ <br />FMf SPRRnI[P P['J'0 <br />PFARd <br />OIN[R <br />/Wf •IMMRIDD <br />M•H)Y <br />ll•1( PIMIDMISIPKN•Rf{ <br />—_ <br />— — <br />flffm.DNar <br />MA%AP,movrnar <br />CITY OF EVERETT <br />nnucwnnc <br />7--'— <br />TOTAL <br />7 �— <br />DOE �CI <br />TA%CODE IS 0105 <br />