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APPLICATICA FOR CQMSTRUC7ITNJ'PERMIT41-TT <br />CITY OF EVERETT • BUILDING DIVISION* <br />3200 CEDAR STREET • EVERETT, WA 98201 •259.8810 <br />❑ DEMOLITION Cl COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />C0NT CTPR!CEGPwoGK <br />HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br />/.V "EBESLRIpE+Yy�GPK MG SQUARE FOOTAGE INVOLVED <br />MIT o 0014 <br />COMACT PERSON AND PHONE NO. <br />If <br />S�4,(S�k►sr�.✓� <br />EXAMINED I HEREBY CERTIFY THAT I HAVE READ AND <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 LAY! REGULATING CONSTRUCTION OR THE <br />PERFORMANCE CONSTRUCTION THAT I AM AUTHORIZED BY THE <br />OWNER OF THI P OPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION I MADE AND I COMPLY WITH THE STATE <br />CONTFIACMWLV%W 18.27 RCW AND 296.200 WAC, n q 1 <br />X [, 16 1 <br />PROPOSED USE OFF ITUILpRG <br />LEGAL DESCRIPTION OF PROPERTY ISHOWN BELOW ORATTACII TING COPIES) <br />LOT BLDCK of <br />PMCELTAK ID. NUMBER <br />CONSIRIICTICN LOAN LENDER. ADDRESS, TELEPHONE NUMBER <br />SIGNATU <br />E DATE <br />0 <br />OTY BU <br />rt55 LKEN N0. <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 />i <br />A/C—AIHNDLG UNITS — H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS—B.T.U. M <br />_ <br />KITCHEN SINK B DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />VENTILATION FAN <br />LAUNDRY TRAY <br />RANGE HOOD <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />WOOD STOVE <br />_ <br />DRINKING FOUNTAIN <br />METAL FIREPLACE (WOOD BURNING) <br />FLOOR DRAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />BACKFLOW PREVENTERS <br />GAB FIREPLACE <br />SINK (SERVICE —BAR, ETC.) <br />GAS RANGE <br />GAS PIPING <br />_ <br />EXHAUSTFAN <br />_ <br />SUBTOTAL S <br />SUBTOTAL S <br />PERMIT S <br />PERMIT 8 <br />_ <br />TOTAL FEE SI <br />TOTAL FEE $ <br />i_ <br />FOR OFFICE USE ONLY: <br />morn W..IDALN <br />REM SETBACK <br />BID: FEiBAFK <br />PIANCIICIU(NUWEJI <br />FEE <br />RECEMNO. <br />5 10 <br />USEDONE <br />LOTMEA <br />LTE <br />FEES <br />VALUATION <br />FEE <br />PLVA�T <br />ES 0 NO <br />BOLDINGOHEIGHTUMJTATION <br />Np.0i 015£WN1 <br />F BLOGITI <br />MUMpWG <br />I <br />--IL.— <br />UNITS <br />G� ROLUPUPAITGr AD GU S1ortlFS <br />--I LOAD <br />pA$EIAENf <br />MECHANI L <br />OYES IT NO <br />Mp110N0kLM1ANCDECK <br />S•C <br />IIRIi ALANMNEOG <br />REASON <br />OTHER 1 j <br />TIRE SPNNKIEfl REOD <br />REASON <br />STATE BOWING SURCIIARGE <br />/TI 5z) <br />"PEOFGGNST. <br />PUNS gRov[o Br <br />CITY OF EVERETT <br />PUBUCWGRKS <br />S <br />SALESLOCAL <br />DATE I j. • 15 L <br />TAX CODE S37 5 <br />TOTAL <br />pL,> <br />