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APPLICATICA FOR CONSTRUCI&N PERMIT <br />CITY OF EVERETT s BUILDING DIVISION <br />32DO CEDAR STREET IT EVERETT, WA 98201 s259-6810 <br />. I DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL n PLUMBING SON <br />PROJECT�AODRESS RjGKe12 D <br />worn uul AVICAl Ory Z,P ngNE <br />►A1E��S 1� 47PI r2vt,VNtvt 6Jes't.�T{�IJA 1 iSSo <br />n,uur ,ter"n "oanFss an IT, I'l . <br />C CI(Y OFFVFrirr+"' <br />AKEITTCT Orr G_E I-7 uul N1OMSS CIE, 21P "TONE - <br />N /A Hubllc Works Dept, <br />GFW"AL—TRACIPI AR"LgIESs CITY III Fr STATE Al <br />fJbE�P+fL'( �.v.i3w� 3'ii33 LIA 15 IFA ?73 11 LIL _2 T:lEt�po1FSI1Gi5 <br />IY UVNIVG C1E1111ALIlAI N•Il 1111 1.1'1 I'll I`TT(W, STATE LICENSEE <br />ii <br />COHIOA PR Ct OF IAOnN <br />HEATING SYSTEM: n GAS ❑ ELECTRIC ❑ <br />CESCmeE W(MRA usOUAPE E00T•GE "VaVEG <br />�JF._LtL �7LUTi�xa SJ$r <br />S .s <br />CCNIACI PEHSO%AW PNOW Ib <br />?-J R�L �� Z�b� 223r IIZZ <br />INY�� Z S Wntl S Gf > o°IE <br />. T— <br />o�F SI ✓1 <br />I HEREBY CERTIFY THAT I 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 WH-•- ER 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 CONSTRUO PION. THAT I AM AUTHORIZED BY THE <br />OWNER NI PROPFRTY TO PERFORM THE WORK FOR WHICH <br />APPUC ION IS MADE AND I COMPLY WITH THE STATE <br />CONTRA T S LAW 1027 RCW AND 286.200 WAC. 1 <br />I e <br />1`� <br />P roseo uSE or emLRiNg <br />K—• <br />I I DAL OESLmnnOry OF RROPFATtt IswwN IKIM w Al TIl CORESI <br />LOT BE= fK <br />PARCEL TAE I D. ALAI <br />1;(INBnrICIIMIOAN IENOEn.AMA1Eee, IEEE"gNEMMEn <br />eq Rllrf �� O DATE 1/1-7 <br />Cltt BBIIGE -AD <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />AC —A NNDLG UNITS —M. P. <br />_ <br />BATHTUB <br />FO^CED AIR SYSTEMS — B T.U. M EA <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />_ <br />SHOWER <br />UNIT HEATERS — BTU. M <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />D'SHWASHER <br />VENTILATION FAN <br />LAUNDRY TRAY <br />RANGE HOOD <br />CLOTHES WASHER <br />WATER HEATER <br />�— <br />URINAL <br />WOOD STOVE <br />DRINKING FOUNTAIN <br />METAL FIREPLACE (WOOD BURNING) <br />FLOOR DRAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />DACNFLOW PREVENTERS <br />GAS FIREPLACE <br />SINK (SERVICE — BAR, E -C.) <br />GAS RANGE <br />GAS PIPING___— <br />_ <br />EXHAUSTFAN <br />SUSTOTAL—Sj <br />I <br />SUB TOTAL f <br />PERMIT t <br />PERMIT t <br />TOTALFEE f <br />TOTAL FEE t <br />FOR OFFICE USE ONLY: <br />m.nR LElmr'tITIR <br />aATn•Plr <br />'<SETB•fc <br />Pl•N CTKCA-57"1 <br />LLE <br />IlECEOR NO <br />�Y <br />��/ <br />use idle <br />for AREA <br />vACAVI sre <br />FEES <br />VALUATION <br />FEE <br />OYES n NO <br />9,AMo <br />W IdIT VIATATIOTI <br />NO OF DW ULM <br />jwmc,,Buxm <br />UMTE <br />"U4BM0 <br />OCCUPANCY M—M"E$ <br />OCCUn•ryT IOAU <br />BASEMENT <br />MECN•MCµ <br />GRdIP <br />n res n Lro <br />IADOILX)N"L RAM ONELX <br />I /J <br />HATE AIARU REDD <br />"ASDN <br />OTWP S N <br />1D ODO.' <br />TM BPn1AATAF, PrOO <br />REASON <br />STATE BIMdMIA EAIIQE <br />TWEOFCONST <br />Purls llAD By <br />CITYOFEVERETT <br />"ral u; wDRPs <br />LOCAL SALES <br />TOTAL <br />r 1 <br />L- ti <br />I S � <br />TAX CODE IS 3105 <br />OrtE <br />W <br />