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APPLICATION FOR CONSTRUC*ON PERMI4:7r <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 •257-8810 <br />DEMOLITION ;- COMBINATION I:l BUILDING P MECHANICAL PLUMBING SIGN <br />PROJECT ADDRESS <br />Ov^I. . Y,0.ABGQEES go, IR PHONE <br />SeG <br />Ta <br />nv TH,Rk STATE <br />CONTRACT PReE of waRK / <br />SvD� <br />HEATINGSYSTEM: ❑GAS ,ELECTRIC h_ <br />- <br />OESd'IBE SWARF t00tAGE PrvIX O <br />r, BAI <br />L o <br />— <br />CONf41 [n IAI PHONE NO <br />_� ar, AxSF7 flAe <br />I HEREBY CERTIFY THAT 1 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 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 1 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 />CONTRACTORSJAW 18.27 FEW AND 296 200 WAC. <br />�. <br />PnonosEo USE a BmlomG '�11LL <br />CCiLL< sA f1l In1 <br />LEc4 BEscRoigNa PRGP[arrlsHowN eEl An4HTwo calE9 <br />Lot at= a <br />PARCELTAX io NUMBER <br />CURiRUCTION LOAN LENDER. ADBRESS..ELEPNGNEMmul <br />6gNAi DATE <br />CITY SBESSLILLNSCFO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET(TOILET) <br />i <br />AC—ATINDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />_ <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK S DISP <br />CLOTHES DRYERS <br />DISHN HER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />i <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />_ <br />DRINKING FOUNTAIN <br />i <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK(SERVICE — BAR. ETC.I <br />I <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL S <br />SUBTOTAL S <br />PERMIT $ <br />PER S <br />TOTAL FEE S I <br />i <br />i <br />I TOTAL FEE S <br />FOR OFFICE USE ONLV: <br />PPONT SETBACK <br />REAR SETBACK <br />SCE SE184R <br />PLAM CHECK NUMBER <br />NLc¢ i-ms <br />tEE <br />RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />Ong ❑NO <br />FEES <br />VALUATION <br />FEE <br />BULCHNO <br />HEIGHT EMITATION <br />CWEUNN <br />UNITS <br />M S <br />sRE OEDOTI <br />& <br />RUMBKq <br />OCCUPANCY <br />GROUPOng <br />W Cr STOPES <br />OCCUPAMt LOAD <br />BASEMENT <br />❑NO <br />NEGMANC4 <br />A00111044 PLANCHECK <br />FHESPRINKLERRE00 <br />REASON <br />OTHER <br />FIREALMVAKOU <br />REASON <br />STATE BUBOH G SURCHARGE <br />TYPE OF CONST <br />HANSAPPIIOYEDBr <br />DATE <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />PUBLCVYI <br />TOTAL <br />