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APPLICATIGA FOR CONSTRUCTmON PERMIT <br />rvrrMt <br />CITY OF .een <br />CITY <br />everett <br />WILDING DEPARTMENT <br />259-8810 TO BE COMPLETED IN INK —PLEASE PRINT <br />ID DEMOLITION iJ COMBINATION BUILDING ::'MECHANICAL ❑PLUMBING SIGN <br />OR, 7P Noe <br />OExtiIEL CONnuOt011 MALAOOIIEY CITY a Noe MEW, <br />IeCINNICY.OPRRACTOR MALAGOREBE CRY 1 a INDNE LICENSE. <br />PLIEeFq CanmACTOR WIL AOORE69 CRY TV Not LICENSE. <br />.ALL... n ... n AT TCDAnnu OFPAIIa nPIUMI ITION 1-1 WOODSTOVEIFRPL INSERT ❑ <br />TENANT WPI.OYEYFM OII NTFRICR REK'OELdAY <br />5!!Eu CT PRICE OF YADIIIf: <br />� <br />CONTACT KR80N AMDPMONE ND. <br />DESCReENpNANOEOUAAEFDOTAOE 'l <br />l� I�/ems <br />PROnoscD UBEa <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO SE TRUE AVO CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORM WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. TIT URANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHUR!TY TO VIOLATE OR CANCEL THE PROVISIONS 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 />CONTRACTORS LAW 18.27 ROW AND 295.200 WAC, <br />6NM1Ue OFCp1TRAC/TO/R OII AI/1E//M//IJNIEO AIAlR DATE <br />A�ECRYBUSEEBSIICENEE IS).ANp BViNE6ENAYC <br />MECHANICAL <br />IEDAL DEscwmwdPloERry IeIEYEm BEIOW OR ATTATHfDUI COPIES) <br />LOT aOCK a <br />'— <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE OR DENT <br />FEE <br />NO. <br />I TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />RCED AIR SYSTEMS--B.T.U. M EA <br />UVATCRY ASH BASIN) <br />NRHEATERS—B.LU. MSHOWER <br />LOTHES DRYERSKITCHEN <br />SINK& DISP <br />IhC—A/HNOLGUNITS—HP.BATHTUB <br />ENTILATION FAN <br />DISHWASHER <br />ANGE HOOD <br />LAUNDRY TRAY <br />ATER HEATER <br />CLOTHES WASHER <br />OODSTOVE <br />URINAL <br />ETAL FIREPL.CE&CHIMNEV <br />DRINKING FOUNTAIN <br />I <br />FREPLACE INSERT <br />FLOOR DRAIN <br />I <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DETAINS—NAINLEADERS <br />I <br />EXHAUST FAN <br />SINK (BERVICE—BAR, <br />I <br />I <br />_ <br />SUBTOTAL <br />S <br />SUBTOTAL $ <br />PERMIT <br />i <br />PEHIAIT S <br />— <br />TOTAL FEE <br />S <br />' <br />TOTAL FEE S <br />iRDIR SETBACK <br />HEAR WTBALK <br />EOf EERACK <br />FLANCMLCLAARAYR <br />I[[ <br />RECEtPTN0 <br />USE ZONE <br />LOTMEA <br />VACANT ERE <br />❑ YES ❑ NO <br />FEES <br />VALUATION <br />FEE <br />BUILWNG <br />TYPEOICOOT.AUU W <br />TYNOCENST MTWI <br />BTOINIA. <br />Em <br />MOAENntu." <br />—_ —__ <br />PLUH91NG <br />_—_ <br />--^— <br />SHE. IIUDIL <br />NO.OFSTORIES <br />BASEMENT <br />CI YES O NO <br />MECHANICAL <br />--____ <br />OTTER <br />— I <br />OGLIINIA:YLOAD FNEEPB URSRE00 <br />❑ YES Ci NO <br />REASON FOR SPAwAEN <br />HEIOHTLWITATEYI <br />STATE BUILDING SURCHARGE <br />—� <br />STATE ENERGY CURCHARGE <br />APn CATONMX RY <br />R%Ii APPROWDBY <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />PUBLIC WORKS <br />— <br />TOUT <br />