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APPLICATIA FOR CONSTRUCTtN PERMIT <br />' CITY OF EVERETT A BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT, WA 90201 •259•8810 <br />❑ DEMOLITION ❑ COMBINATION Ti-UILDING Cl MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECTADDRESS: -7/c'Nl EVPrIreeo �iN --- Eumg,�- <br />Cott Ilr RgNE <br />J�t+%'ro.D�tuA 1y335Ne?-�F�'^`-?oz f3r_Ilr�uue) 98cn7 <br />S1AIE LICENSE A <br />.Alt ADDRESS OIY ZIP PIKINE STATE LKENSE• <br />rll rL <br />CONK �Zg 0<MpIR �, �, [) O <br />HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br />ItFvnIBE HpLX ANQ SpUAnE COJIWE PIVCLY p I <br />�JI•G• C t P /7 coHi4 - <br />CONTACT PERSON AM PIgNF NO <br />C RCl (msln l lA�han 1-61-3 <br />`J-LI Sy'jj / <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />LOWs711 <br />CJ <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVI SIGNS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />P�pp�r�ps OE eIALpNo <br />`C� <br />L.V IIII/L) ((A L 1 � I 1 I U12 <br />ff <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />LEQ RESCPIOF rTarERrr TSIKI'MInaOW-;�A I N1.IDPESI <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />LOT TuaK Or <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />�� J^ <br />C <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />l/ <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS D I COMPLY WITH THE STATE <br />�E <br />CONTRACTOR$.LAW 27 WAND 296.2ODW <br />PMICEL TAX 10.N KR <br />r,rlz-3'G67-Goac� <br />12 G �l�_ 9 1 <br />CONSIINCI" LOAN tENOR ALI SS, IELEPM*fE M Dlfl <br />J <br />CITY BUy11E55lICCN$C 1q <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 />A/C —AMNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />BEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNINS) <br />. <br />DRINKING FOU14TAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PF.EVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />EXHAUST FAN <br />#i <br />Ir..-.awe <br />111K� <br />_ <br />SUBTOTAL S <br />SUBTOTAL S <br />PERMIT S <br />PERMIT S <br />TOTAL FEE $ <br />TOTAL FEE S <br />rnCNr ScIeAO! <br />USEION( <br />nGn Vlln C- <br />LOT AREA <br />VMS(I p4l( <br />VACAIR VIC <br />PkA)J CMCK INMRCn rrr <br />CO/J3 <br />FEES <br />VALUATION <br />nc[.Lrr NO <br />FEE <br />ELI <br />T— <br />❑YES ❑ MO <br />IYIOIr LnnunOl <br />NO OrO LING <br />UNITS <br />SIZE CA 1A, VTI <br />rt,,.P,w <br />J <br />I <br />CCCUr41CY WOSIMrS <br />M, <br />OCCUPANI LOAD BASEMENT <br />❑YLS ❑M <br />_ <br />4rcIIA`PCAI <br />rm''SPNN14Ln PEQO <br />nFA$pl <br />lw IIONAL AAN CIIECM <br />OTHER <br />rn1E AlAl11A nE0'0 <br />nE A.OY <br />SME BtALCINO S"MDAME <br />1rPE or ralsr <br />rtlgSAMPMEDBY <br />CITY OF EVERETT <br />r11RIICYIOPM9 <br />LOCAL SALES <br />DATE <br />TA%CODE IS BIBS <br />TOTAL <br />