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APPLICATIVrV FOR CONSTRUCTrON PERMIT <br />CITY OF EVERETT • BUILDING DI`JISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />f-I DEMOLITION f 1 COMBINATION I� BUILOING I 1 MECHANICAL �' PLUMBING I I SIGN <br />PROJECT ADDRESS � � � � i � � <br />� �7 i'� �.k �/s/�--i r �> <br />uwrven Mni�eOoness cm zm rno�+[ <br />11Y.1 { y. i l,l �l q <br />y':ck i5i115 i�ev�rlv l���rj (,u�fCi�l- 9b.�UZ �G� c.-c IiJ �'l�l.� <br />ic�uN* u�u �nonrss rnr rir r��oNF <br />qA�NITf.GTORpE51GNEP MRiIRflpf1E55 <br />atv nr r��o�r[ <br />GFNEHA4f0Njf��jp11 Mnll�pPItC55 (.ilY iiP 1'�IONf SiAI[IIL[NSF� <br />3us �- Kl I(� <br />�,.nSir,;clio� ��mt cti �-LovP <br />MFCIIANICAI GONTPACTOP Matl RD�PFSS f.IIY ]iP PIIOilG STAt[ IICFNSE � <br />PIl1MBINGf,ONiRACiUR MAILRDDREa' CIt1' IIP i9�O11E SIAiEIICFNSF• <br />CONIfUCT PRICF. Of WORK <br />O[SCNOE YIORR RNp SOUARF FOOUGE INVOIVEfI <br />Tr) �t�n`_1�i1 u �itcG�c� �cr�� <br />n�i4 � <br />PPOPOSEO USE OF PUIl01NG <br />�'_ �1 �? �ec T <br />�ecu oescmrnon oF raor[ <br />LOT BLIX:N <br />f <br />PARLEL TAX I D Nl1MBER <br />oa attnc�� ivro cories� <br />1 OAN LENDER. ADDPE55. TEIEI'HOIlE NUMpER <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORV(WASH BASIN) <br />LAUNDPYTRAY <br />CLOTHE$ WASHER <br />FIOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK ISERVICE — BAR, El <br />SUB TOTAL 5 <br />PERMIT 5 <br />FOR OFFICC USE ONLY: <br />fftONTSFTAA,^.8 �f.An SFLpACK <br />.� i 7 �l.wS � <br />USE20Nfr: f iorenu <br />_i"' � / <br />IIEIGII1lIMIT�iION �, J NO (8 LWELIMG <br />�7fJl IINII$ <br />�iv <br />occuv�r+cr Ho nr smn�Es cecuraNt io.0 <br />cnour <br />� ^�/� <br />nae�unMnEon nFn�ov <br />SPRINKI f fi <br />' f,oNcr rl nN5 arrn0yf D 0� <br />\JN <br />�' '� un�t /L/Lr%�%J <br />3/ - <br />HEATING SYSTEM: f I GAS f I ELECTRIC f 1 <br />Lt `�1�Ct 1'FRSC � �Nf) PIIONF NO <br />I HEREBY CEFTIFV THAT I HAVE �EAD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE ANO 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 />AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE Ofi LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PEf1FORMANCE OF CONSTFiUCTION. THAT I AM AUTHORIZED AV THE <br />OWNER OF THIS PROPERTY TO PERFOFM THE WORK FOR WHICH <br />APPLICATION S MADE AND I COMPLV WITH THE STATE <br />CONT CTO L 1827 RCW AND 296200 WAC. <br />/ <br />/ -� /�-��S <br />KN� E DAI[ <br />CItY pU5MF.5511C[HSC NU <br />FEE NO. TYPE OF EOUIPMENT <br />A/C—A/HNDLGUNITS-� H.P. <br />; FORCED AIR SVSTEMS — �.T.U. <br />�— HEAT PUMP <br />UNIT HEATERS — �.T.U. M <br />. CLOTHES DRYEFS <br />SIp[ AEtBAC� <br />VPCAN�1� <br />;�res �-�r,rr <br />��� <br />;izr orniurni <br />I I�FS NJ�I <br />CITY OF EVERETT <br />LOCAL SAitS <br />TAX COD[ iS 3105 <br />RANGEHOOD <br />WATER FiEATER <br />WOODSTOVE <br />METAL FIREPLACE I <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />r�nv rnccn r,u�+nrn <br />�L ��> <br />FEES <br />OIIItfllN6 <br />P111N01N � _— _ <br />MCf11�NIGl — <br />nnoniomni ri nN u�roK <br />on�rn <br />�IDiC nunnrtlr, sunniulr,5 <br />r� ioi �. �. �vorks <br />TOTAL <br />BURNING) <br />E.A. <br />FEE <br />SUB?OTAL 5 � <br />PERMIT S � <br />TOTALFEE S ' <br />rrr nFr.FirrHo <br />VALUATION FEE <br />- �__" <br />�%�•. I r- <br />�' i <br />i <br />____ __—__—_--�—_ <br />— , <br />�j`-�� <br />� <br />- 1— <br />- - ---�-�:-��� <br />