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APPLICATION FOR CONSTRUCTIN PERMIT <br />CITY OF EVERETT F BUILDING DIVISION <br />3200 CEDAR STREET R EVERETT. WA 98201 R (425) 257.8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL L-1. PLUMBING `'SIGN <br />PROJECT ADDRESS: 95a:, 1c71h AaE. NEE <br />pjii T,4151:/T7' 9SD6 (9m Am SE Ft2�R�rT /✓s+ <br />O FR YUI AODPE35 CIM1 PP VNON[ <br />i EXXOL�I _-_ _ <br />1ENAN1 YYI YIOIIf ]S 111Y Flr nll(Yli <br />_. <br />ArICNIT(CI OP nELC1l[P YYI MPRE35 CITY lip rN(WI <br />AN,52/rV) HELM RJ &,Y43) 771CDAZA LaA 0 -253 627-7VY& AmffjNnpLBB <br />GFNUULCO111ACIM .Al1 AM1E55 Pir )Ir '..Al SIML IICEN51• <br />YELPAWCAI CLINIRAf.IOP Y4l AUORE55 Clry )Ir nMF'( cTAIi UCf MSf• <br />NIT;CDNIRAr.IO{I 4AIl AIXK1E55 Cliv III, PNONi SFAIE IK,[A:f I <br />S <br />CON{nAC I PRICE O{ WO{Il( <br />— <br />HEATING SYSTEM: ❑GAS DIELECTRIC ❑ <br />DESCRIBE Wj ANn$WAPF Ep;7 NVMWD <br />�c�nDvE �x�ST/.t/G /'iy2 <br />IUALL, <br />CGNIACI VIn_CNAW PH(MI{ NO <br />LfsA c�R�.L3`/ <br />.SIGNS <br />CY&W253- <br />627 1Yh�� <br />(lam/f q{x/p �i �ld <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 Wit L 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 />CONTRACTOR LAW 1R 21 RCW AND 296200 WAC. <br />I <br />x <br />SIGNAI y DAR //-- <br />1' <br />P sEo/ vl JTO� <br />(J _ <br />IEGALDESC��LIPllMI PR RrrlSlaral KLm W Ar1ACNTro CME51 <br />IOI 8LMK_—(if <br />-- <br />��G,•�I��) A �� <br />/7 <br />T'�uILfUAR ID RNIMR <br />i 2805_ O/7 GYJ <br />CNSTPICTI MAN HNI%R. ADIIREs5. TC1EPNOI1E 111YRfll <br />CIIY MIyNEs) I If[NSI NO <br />PLUMBING <br />MECHANICAL --_ <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUNFMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AI1C—NHNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (MASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />N ISHEN SINK f DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />_ <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 />EXHAUSTFAN <br />SUBTOTAL f <br />PERMIT S <br />TOTALFEE f <br />—1— <br />SUBTOTAL f <br />PERMIT f <br />TOTAL FEE f <br />FOR OFFICE USE. ONLY: <br />I WINT VMW..K <br />nr V15ETBACK <br />9M SFIRACv <br />PIAMWECK I)RMrn <br />rrF <br />malt, ND <br />^_ <br />Osl loNr <br />101 AREA <br />vALANT We <br />FEES <br />VALUATION�FE- <br />E _r— <br />Mq Dwf. <br />B•L <br />�-F$ ❑ W <br />IIFIf41I 11411A1ION <br />NO CF DWfIIING <br />SIZE Df MCNH <br />IlNll[ <br />ry114nN <br />OIIOUPA IICY <br />Y1 fM CIM1" <br />aCIIP .OAD <br />SASEWN'. <br />4FI;NANICAI <br />❑YES D MI <br />I <br />ADMIHW11 rl AN CIKLKr1AN C1Mi.11 <br />lln SV IIINIEIIAMD <br />nFASCnFA <br />mNfn <br />- <br />IMEdWIVIAE D <br />WASDY <br />�.• <br />SIAII R1xlIHNl: 511PC10%1 <br />lmr m1p sl <br />PILN$APNDNfl) RY <br />CRY OF EVERETT_- <br />7/ <br />LOCAL SALES <br />TOTAL <br />/ <br />TAX CODE IS 310S <br />DAZE <br />