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APPLICATIGI FOR CONSTRUCTAN PERMIT <br />CITY OF EVERETT - BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT, WA 98201 A 257-8810 <br />-1 DEMOLITION K COMBINAt:ON fl BUILDING R MECHANICAL Il PLUMBING X SIGN <br />Cn. ZR <br />Vft FoAlt =--1,14AZI <br />5911 <br />57o.MF a/,/ <br />su54', (. <br />za«. [j Y_Z Tee <br />&iCHII ON MSII <br />MAIL ADCnESS <br />CI <br />IY %1l)YE <br />W!l <br />O vu UL_ <br />6ENERALCONRUCTCP <br />IAAKADCRESS <br />CITY <br />ZM rw JHf <br />STATE LCLAiSrA <br />'CAI <br />ANDOUNICALCONTAACTON <br />MAn ADDRESS <br />CITY <br />xw PwONE <br />STATE I a <br />n WOE(L <br />KVIABINOCONINACTCP <br />LIAI IMDBS <br />CITY <br />ZM rI CN[ <br />STATE LICENSE <br />CONTPACT PRCE M Wg1A <br />HEATING SYSTEM: ❑ GAS XELECTRIC ❑ <br />MSCnIeE WOPv, ANDSWAP[rOEIr.cE IY.'Qvm <br />-E N Af lY.- --7 -10-- 1 <br />CONTACTPEPSONAWPIgA1E1rq 1A,6 AV -Zso- <br />Al1L %S-L/U -(F97;p <br />+ • � f — <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 PROVIS.ON OF AN'( <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUC-ION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOR ZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 10.27 RCW AND 296.200 WAC. <br />X�1^"`� -Z-Z t_po <br />rnorouDUSE M BuaONn <br />4++A.�Q C �'gi S.MSMf�K a(ew <br />LEc4 MunvlloNMPRME TYIS.o BELOWORATTACH woC IESI <br />LOT BLOCK Of <br />TAME TAK ID NU ew <br />CONSTRUCTION LOAN LEADER ApmESS. MLEPRONt RUMMA <br />sMw��A DAM <br />CITY BUSINESS WENSE NO <br />PLUMSINO <br />MECHANICAL <br />NOT <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />7i <br />WATER CLOSET (TOILET) <br />A'C-AHNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />Z <br />LAVATORY (WASH BASIN( <br />MEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />I <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />i <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />I <br />WATER HEATER <br />I <br />CLOTHES WASHER <br />! <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />I <br />DRINKING FOUNTAIN <br />I <br />FIREPLACE INSERT (WOOD BURNING) <br />! <br />FLOOR DRAIN <br />GAS FIREPLACE <br />_ <br />BACKFLOW PREVENTERS <br />I <br />GAS RANGE <br />I <br />SINK (SERVICE - BAR. ETC.I <br />! <br />GAS PIPING <br />I <br />L <br />EXHAUSTFAN <br />SUBTOTAL S <br />SUB TOTAL S <br />PERMIT 5 <br />PERMIT S <br />_ <br />TOTALFEE S <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />FPONTSLMAC+ <br />BEAR SETBACK <br />SIDE SETBACK <br />"Al CNECK RUNGEP <br />co2a- oa)- <br />ME <br />PECEPPT NO <br />USE ZON( <br />LOErAU <br />VACANI511E <br />❑YES ❑ NO <br />FEES <br />VALUATION <br />FEE <br />BUKMNB <br />- <br />HEIOHTUNRATION <br />O1ttLLING <br />LIM1B <br />SIC Or UNIT <br />E J <br />J <br />PLUMB", <br />- <br />�OjrC1C�U�PPANCY <br />f/ <br />gS51M(( <br />OCCUPAN1 <br />Y 1lOqAB <br />BA EMENi J <br />.-z jl'Fq <br />MECHANICµ <br />FIRE S-RAINALER MOD <br />N1Q <br />MASON <br />ADOITION4PLANCHECK <br />OTHER <br />FIRE AWM MO0 <br />/` o <br />REASON <br />ON <br />STATE BU E NG SCRfMMGE <br />TYM M CONST <br />r / <br />VAl <br />PUNS• Br <br />D. ( _ _ OD <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 310S <br />PUBLICY KS <br />TOTAL <br />-� 5 <br />