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APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT - BUILDING DIVISION <br />3200 CEDAR STREET - EVERETT, WA 98201 - (425) 257-0010 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING SIGN <br />PROJECTADDRESS: -'(cot EVCO�j1"�1^ WA <br />CONIRAC I PRICE OF WORM <br />HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br />0E74,O.E V.ORM ANO SOVARE FOOTAGE WVOLYEq <br />tU rF}I SVA Z Bde > v% 1NS)PU. <br />CONTACT PERSON AND ENGINE NO <br />wo vIeLJ (>-e 5 17(&Ao - otl <br />��� .[•1'(.Lf�i�i'.%,j�C <br />( <br />I HEREBY CERTIFY THAT I 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 />CONTRACTORS LAW I0.27 RCW AND 296.2DO WAC. <br />_Z a -I-3 c 1 <br />PROrosEO USE OFBUILONG <br />LEGAL DESCNIPTON OF PROPERTY ISHENYIN BELOW OR ATTACH MD CORES) <br />LOT BLOL-K OF <br />072$0l�-3.04-1-coon cnu-055-cXS•naD9 <br />PARCEL 1M I D NEUTER I <br />CONSTRUCTION LOAN FENDER. ADDRESS. IELEMONE NUMBED <br />S.GIAf •T/3 eOS DAT[ <br />CITY BUSINESS LI:ENSC NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />110. <br />TYPEOFEGUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AID —AMNOLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />' <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />�— <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK d 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 BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC.) <br />i <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL $ <br />SUBTOTAL S <br />PERMIT S <br />PERMIT S <br />TOTALFEE 51 <br />TOTAL FEE $ <br />FOR OFFICE USE ONLY: <br />TPCIR SFiBACM' <br />AFAR SETBACK <br />SIM SF)BALM <br />PIANCIIEC NUMRFBI r <br />FEE <br />PFCFIRT NO <br />USE TO <br />IDI AREA <br />VACANT SAE <br />FEES <br />VALUATION <br />FEE <br />BUIOIHf <br />T— <br />CIES 0NO <br />HHWrt IIMRAEON <br />NO OTMEL <br />SUE OF BLOGRI <br />/ <br />W, <br />PluwwG <br />OCLWAN l <br />GRMR <br />I 19NSI 15 <br />MCUPANTICA6 <br />BASEMENT <br />yFFNyaCAI <br />- <br />GIES 0NO <br />ADUIIONAI.RA4C14CK <br />FPE SRR.EfR AEG <br />REASON <br />011411 S1(VL <br />(A9u0- <br />FIRE ALARMAEG D <br />RFAIOV <br />Sort BIu1bINC. smnynRI <br />TYPE BI I•.ONa <br />PI <br />rinN Gvm OY <br />CRY OF EVERETT <br />Twnur. woos <br />-- <br />i <br />LOCAL SALES <br />TOTAL <br />- — <br />.IE / Z • 1,/-5 <br />TAX CODE IS 3105 <br />