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APPLICATIA FOR CONSTRUC*N PERMIT <br />CITY OF EVERETT P BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 •257.8810 OLT <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑'MECHANICAL JK PLUMBING ❑ SIGN <br />ADDRESS <br />OETERALCdORKCT0IT MAAADDRESS Cttr 1A PHONE STATE LZOOISEA <br />MSCNNRCAL OONTRACTOR YAM1AODRESS GTr' III, P1glQ STATELICENSE• <br />RlMBWO CONTMCTOR WIADORESS GTr IN PI,pTA'. STATE LILENSEA <br />co'NT`144 PRGE OF d <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />ANp SOUAREFDOTAOE K <br />LONTACT PERSON AIq RIDTQ NO <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 I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATJJJJ) N IS MADE AND I COMPLY WITH THE STATE <br />CO RS LAW 18.27 R 0 2992M WAC. <br />X 640 <br />SED USE a <br />lE OESCRP1pNK PROPERTY ISHOwTI BELOW aA ATTACH IW0 COP491 <br />LOT eLOOK a <br />PA{ICEL rAz I D TRRAam <br />C TRUCIKWLOANUNDER ADORESS.TELEW MILKER <br />aw BUSIIE55 LICENSE ND. <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 />MC—AMNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />i <br />LAVATORY (WASH BASIN) <br />i <br />HEAT PUMP <br />SHOWER <br />i <br />UNIT HEATERS <br />I <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />IWATER <br />HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />'; <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />OAS RANGE <br />i <br />SINK (SERVICE — BAR. ETC) <br />GAS PIPING <br />EXHAUSTFAN <br />I <br />SUBTOTAL S <br />SUBTOTAL S <br />I <br />PERMIT S <br />PERMIT S <br />TOTALFEE S <br />TOTAL FEE S <br />I <br />FOM OFFICE IISP ONLY. <br />x Acer , A M 7 <br />FPCI:'x.—GK <br />REAR SETBACK <br />SIDE SEMAO,I <br />PLANbQCKM1YBER fFE <br />PECCIPf W. <br />USE zaNE <br />LOT AREA <br />,K "T sere <br />n rEs o No <br />FEES <br />VALUATION <br />FEE <br />euAOINo <br />HEIGHT LARLATYJN <br />w DWELLR,D <br />SIZE OS BLDDTI <br />AOYBYU <br />m� Y I NO OF STORES <br />OCCUPANT LOAD <br />BASEMENT <br />.] YES O Iq <br />MECHAMCAL <br />AODIlKI1ALPLANCHECR <br />FIRE SPRRE6ER REPO <br />REASON <br />OTNER <br />FIRE ALARM AEC <br />REASON <br />STATE BUEOKIO 6LKipWgE <br />TYPEVDaxsr <br />PLANSKwRovEoer CITY OF EVERETT <br />LOCAL SALES <br />DATE TAX CODE IS G105 <br />ORRS <br />[TOTAL <br />