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APPLICATIO�. FOR CONSTRUCTI.iN PERMIT <br /> CITY OF EVERETT•BUILOING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259-8610 <br /> ❑ DEMOLiT70N ❑ COAAtlINAT10N 1 ❑,/BUILDING O MECHANICAL � PLUMBING p SIGN <br /> PRWECTAODRESS: �'�� p In� /f✓2 <br /> 5 <br /> 4 b� �' , = 7 c c� ���� �z«��r <� '. �lf � � �`itie- S� � � � <br /> OVIHER ' ,� M fWRE 5 tliY 2�P P110M'. <br />�� ���t-� ti�z�l� r�`t�� ����,f_ <br /> �E/MNT(\ � -7- M AODHESS�,J � q QTY p�Q jIP (� P�' E/ <br /> �l�v�L1,11�1 `JCil1f�>"�.-(lt'� �JI�R�Y'1?f� ���C� ��VU �Cll� l �•7��'l� � <br /> 11RCMtECTp10ESIGNER Ml 55 �^ �r, Gltt 711' PN E <br /> rti�fF1� C ��'��.�>�fUc�te� �j N �`rvl �� ., s�,�y�� s�-�i� <br /> GFI/EPKCONiRA�ipi MAi.•.7CSc55 GiY 21P PIIONE SUTELICENSE� <br /> 1 <br /> M ANIGLCON7R TOR MMI� 55 fATY ZIP P SUTELICENSEI <br /> I�f�lt�� /�c��a��,c�r��1�- �73�-'�',��e ,,,5���� ZDR ��'rl� ��fc� 4�i-t1�lo <br /> PIUMBmGCONTNACiOR MuI�WFE55 LIfY 21P PNONE S7�TEl1LEN5E• <br /> CONTMCT PR10E OF WJIIK <br /> ����li*'�.E�C� NEATING SYSTEM: O GAS ❑ ELECTRIC ❑ <br /> OESLIMlE MAMN�ND SOV�RE FOOT E MVOIY D CONT�CT{'[RSON Afl�PNONE NO <br /> ���p�n �� �-�-. <br /> I HEHEOY CERTIFY THAT I HAVE FEAD AND E%AMINED THIS <br /> APPLICATION AND Y.NOW THE SAME TO BE TRUE AND CORRECT ALL <br /> vnovoseo use or euaar+o PROYISIONS OF UWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK YVILL BE CAMPIIED WITH WHETHER SPECIFIED HEREfN OR <br /> IEWLDESCMPTIONOFPIlOPERTY(SIIOWNBELOWqiATT/�LIITWOCOPIES) �pT. THE ORANTINO OF A PERMIT DOES NOT PRESUME TO GIVE <br />� �oi e�ocK oF AUTHORITY TO VIOLATE OR CANCEL THE PRGVISION OF ANY <br /> i OTHER STATE OR LOCAL lAW FiEGUUTIN�CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.TfiAT 1 AM AUTHORIZED BY THE <br /> -- OWNER OF THIS PROPEHTY TO PERFORM THE WORK FOR W111CH I <br /> APPLICATIO�J MADE A.D I COMPLY WITH THE STATE <br /> v�wce�rexio.rurne¢a CONTRA R�9. 7 A 296.200WAC. <br /> CONSTIMICiN7N LONI LENDER.AD5HE55.tElEP110NE MMEEN x� ./�� � ./� � L U l . I <br /> SIGNA URE � U117 'f <br /> Gtt BUSINESS LICENSE NO � <br /> PLUMSINO MECNANICAL <br /> NO. TYPE OF flXTURE OH ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATEH CLOSET(TOILEn � NC—MiNDLO UNfTS ' <br /> BATHTUB ; FORCED AIH SYSTEMS ; <br /> UVATORY(WASH BASIN) � HEAT PUMP � <br /> SHOWER � UNIT HEATERS ' <br /> KITCHEN SINK d DISP i CLOTHES DRVERS i <br /> DISHWASHER � RANGEHOOD � <br /> LAUNDRY TRAY � WATER HFATER � <br /> CLOTHES WFSHER � WOODSTOVE � i <br /> URINAI ' MEfAL FIREPLACE(WOOD BURNING) ' <br /> DRINKING FOUNTAIN i FIREPIACE INSERT�WOOD BURNING) i 1 <br /> FLOOR DRAIN � GAS FIREPIACE ' <br /> BACKFLOW PREVENTERS � GASRANGE � _ <br /> SINK(SERVICE—BAF,ETC.) � GAS P�PING <br /> � Y C � IXHAU. ��AN ' <br /> � ' <br /> � <br /> i ' <br /> � ' <br /> � ' <br /> � ' <br /> SUB TOTAL S � SUB TOTAL f i <br /> PERMIT S � PERMIT f � <br /> TOTALFEE S ' TOIALFEE f ' <br /> FOR OFFICE USE ONLY: <br /> A1pNi SETBALK RE�R SETBACK SIDE SETB�CB �IAN CIIECN NUMBEP GEF HECEIPT ND <br /> uSEiOqE LOTIIREA VACANtS�TE FEES VALUATION FEE <br /> i <br /> ❑YES ❑NO BUILDMf. � <br /> HEIGHTUMITATION NOOFOWELLING 5�2EOFBLDGRI � <br /> � <br /> UNIiS plUA�01NG i <br /> OC�PANCY NO 0�5�(MLFS OGCUPANf IO�D 9A$EMENT MEGM�NIG�L � <br /> ❑YES ❑NO ' <br /> AOUI110NA�PUN Ctl(.GN i <br /> FlPESPHiNKLERREO'D RE�SON — <br /> i <br /> 01HER <br /> FlREAURMREO'D AE�CON <br /> $TAIE BUIl01NC SIIRCNApOE � <br /> __ � � <br /> TVPEOFCONST �LANSAPPRDVEOBY CITYOFEVERETT PIIBIIf.WO�NS ' <br /> LOCAL SALES —J— <br /> o�TE TAX CODE IS 3105 TOTAI � <br />