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APPLICATIgr FOR CONSTRUCLISON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3260 CEDAR STREET • EVERETT, WA 998201 •259-8810 <br />❑ DEMOLITION nCOMBINATION n BUILDING IFT MECHANICAL n PLUMBING n SIGN <br />PROJECTADDRESS 14OZ � EVT. t�k/AV <br />GCNEMCONIMCIM MNLADDnE55 Dry ZIP PRONE STATEtICENSEL <br />CONI IyC(OF nit <br />G C <br />HEATING SYSTEM: n GAS n ELECTRIC Fl <br />DESCRIBE IAnKANO SQUARE FOOTAGE INVOLVED <br />CONTACT PEASW AND PHONE HD. <br />i�l/-1KLEs �e mov <br />W �j cEiL S laco <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVIS'ONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />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 />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />C CTOLAW IO.CW AND 290.ZOO WAC. <br />X RS ZT R <br />SIGNATURE DATE <br />rnOlro OSE ff BUILDING <br />LEGAL GEscnlPupla PROPER" IStB1VII BELOW CO ATTAcn Two COPIES) <br />LOT' BLOCK OF <br />PMCELm LD. Nuaosn <br />CONSTRUG NOR LOAN LENOEn. ADDRESS. TELEPHONE NUMBEn <br />ESS LICENSE NO Q I <br />PLUMBINGICAL <br />—ITEMTYPE <br />NO. <br />FIXTUREOW <br />TYPE OI(TOILET) <br />OF EQUIPMENT <br />FEE <br />WATER CLOSET/C—NHNDLG <br />UNITS—H.P.BATHTUBORCED <br />AIR SYSTEMS—B.T.U. ME.A. <br />LAVATORY (WASEAT <br />PUMPSHOWERNIT <br />HEATERS —B.TU. M <br />KITCHEN SINK ALOTHES <br />DRYERSDISHWASHERENTILATION <br />FAN <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />RANGE HOOD <br />WATER HEATER <br />URINAL <br />WOOD STOVE <br />DRINKING FOUNTAIN <br />METAL FIREPLACE (WOOD BURNING) <br />FLOOR DRAIN <br />FIREPLACE INSERT (N. ]OD BURNING) <br />BACKFLOW PREVENTERS <br />GAS FIREPLACE <br />SINK (SERVICE —BAR, ETC.) <br />GAS RANGE <br />GAS PIPING <br />A <br />EXHAUST FAN <br />wKLE� <br />SUBTOTAL S <br />SUBTOTAL S <br />PERMIT S <br />PERMIT $ <br />TOTAL FEE S <br />TOTAL FEE $ <br />FOR OFFICE USE ONLY: <br />r MTSETMCK <br />SEAR SETR%CK <br />SBIE SETBACK <br />PLAN cuL KMI n <br />FEE <br />RECEn9 NO <br />USEiOHc <br />IOTAnCA <br />VACNIf SRE <br />FEES <br />VALUATION <br />FEE <br />_ <br />r1YE5 TI NO <br />BNl0V10 <br />�r— <br />IIEIG111 tIAulAT10N <br />NO Of DWELLING <br />UNITS <br />SREOf OIUNTI <br />rIUMBVKI <br />OCCUPANGr IAld51(Mu6 <br />OCCUPANT LOAD <br />BASEMENT <br />GBWP <br />HErmAACAL <br />DYES D NO <br />FIRE ALARM uILOD <br />nEABpI <br />ADDITIMALMAHCHECK <br />OTHER <br />�T <br />FIDE SMIn:KICn OEOD <br />REASON <br />SIME BUILDING SUOCHABGE <br />TYPE OF CONS <br />FLA "A'PRONEo Br <br />CITY OF EVERETT <br />PUBLIC WOnas <br />LOCAL SALES <br />TOTAL <br />BAIE <br />TAX CODE 15 3105 <br />