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APPLICATII .� FOR CONSTRUCZ_�N P�RMIT <br /> CITY OF EVEHETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVEREIT,WA 98201 •259-8810 <br /> ❑ UEIiAOUTION ❑ COMBINATION D BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJE1CT AAD�DIRESS: ��3�/ �If r,I�u Rve, ��x <br /> S�IA�Ir N4/G�7 �wu°i`l�ow�e35`.D�tlU AoC ETM�/'P�'r qQO�v� rq�C�'�uW� <br /> .� <br /> M�h;� l�� 87LL,�� <br /> 7�q{ YNI/�Wt1E55 GI`/ l�P PIIONE <br /> 11RLMtCCTOROE516NER M I 5 f Cltt 7�� ��fONF <br /> Akra�uesf �ea�;,a 3�iE`�yti"�``�``� Se_ , .. R�l44 ��1-y�n /S,�rG�,��v��Pa <br /> OENEHKCONT—� R�G70A�_ MIUI�WRE55 GIl ���' 71P ���ONE SI�TELIC[NSE• <br /> MECIUlpCeILpNBUCTqi MiVI�WNE55 LIiV Di' P��ONE ATeTEUCENSE� <br /> PLUAeNG CONTAACTOR Y0�•.t.ODRE55 Cltt 21P PHONE SiAiE LICENSE• <br /> cor�rrucraocEawaec HEATING SYSTEM: AS ❑ ELECTRIC ❑ <br /> •rtwrz�r�osou��coo*roewva covr�crrrAsar��rror et+o <br /> 0 QI ' 0� <br /> 4s�. /Ua�. Gli5 <br /> I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> P , � _ APPlIC11TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> o���d10 PROVISIONS OF LAW:AND OHDINANCES GOVERNING THIS TYPE OF <br />�Q �, e)T'44.f4Nf WORK WILL BE COMPLIED WITH WHETHER SPEGFIED HEREIN OR <br /> �{pµpQ$�rypTlpMpFqqPEpry(5lqWNEELOWORATTACH1WOtOflES� NOT. THE 6RANTIN6 OF A PERMIT DOES NOi PRESUME TO GIVE <br /> i�`,': <br />,,,�.; �oT �K a AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />�7��' OTHER STATE OR LOCl1l UW REGUUTIN6 CONSTRUCTION OR THE <br /> PEHFORM�NCE OF CONSTRUCTION.TNAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPEHTV TO PERFORM TNE WORK FOR WHICH <br /> `'�,�'x,`.. APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> i� CONTRACTO 5 AW 18.27 RCW AND 296.2W WAC. <br /> ' r��i�i o.r��a <br /> � ^ 44 -b �-G1�1 -DoC�3 ���� <br /> „`. <br />;..,.�,{ CpN$11111GTION LONI lENOEP.ADqiE55.TElER10NE MMBER x / �01'L(/�A <br /> 51GN�TURE O�IE <br />° i: <br /> pTY BUSiNE55lICFNSC NO <br /> k-' <br />�. , p�,p��p MECHANICAL <br /> Np, TYPE OF flXTURE OR lTEM FEE NO. TYPE OF EWIPMENT FEE <br /> k±�� �. WATER CLOSET(TOILEn � A/C—NHNOLG UNITS ' <br /> 4��� ' BATHTUB ; FORCED AIR SYSTEMS ; <br /> f;i' > • <br /> . UVATORV(WASH BASIN) � HEAT P�MP � <br /> gfpyyep i UNITMEATERS ' <br /> KITCHEN SINK 8 OISP ; CLOTHES DRVERS �_ <br />}�� DISHWASHER � RANGE HOOD ' <br />' LAUNDiiV TRI1Y ; WATER HEATER � <br />�. CLOTNF.S WASHER 1 WOOD STOVE ' <br /> URIN�L � METAL FIREPLACE(WOOD BURNING) ' <br />�},� DRINKINCiFOUNTAIN , FIREPLACEINSEFiT(WOODBURNING) � <br /> h, FLOOR DRAIN � GAS FIREPL4CE ' <br />'� BACKROW PREVENTERS � CaAS RANGE i <br /> SINK(SERVICE—BAR,ETC.) O GAS PIPING ' _ <br /> EXHAUSTFAN <br /> � � <br /> � <br /> � <br /> � <br /> i <br /> � � <br /> � T <br /> 1 ' <br /> r <br /> SUB TOTAL S ; SUB T01AL f i <br /> PERMIT S � PERMIT S � <br />� TOTALFEE f ' TOTALFEE S ' <br />(� FOR OFFICE�.ISE ONLY: <br />�' fRONT SETBACK AE�R SETBIICN SIDE SFiB�Ck PUN CII[Ck NtIM fll �FP �Ef.fIPT NO <br /> uSEia+e iOT�nE� VIIGANTSITE FEES VALUATION FEE�_ <br /> i <br /> ❑YES o no ounown � <br /> NE�GNT LIMIT�TION NO OF DWElUNO 512E OF BLD6R1 � <br /> UNIfS � <br /> PlOM01NG <br /> T <br /> OCCUPONCY NO 0�5�0''�IS OCCUPAN�t0�0 BASEMENT ' <br /> MECIIRNICM � <br /> OROIIP <br /> ❑YES �NO <br /> AOUI fIONAL 1`1�N C��(.GN � <br /> fiRESPRINKLERP'_PC' RE�SON � — <br /> � <br /> p111ER i <br /> FlHENMMREO'0 AE�SON i <br /> S1�TE OWIUINR SIIRCH�IIGE � <br /> __ �. <br /> tvveorr,ovsr rinNserrnrncoor CITYOFEVERETT ruaucvmnKc ' <br /> LOCAL SALES —�;— <br /> o�TE TAX CODE IS 3105 TOTAL <br />