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APPLICATA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • (425) 257-8810 <br />❑ DEMOLITION ❑'/COMBINATION ❑ BUILDING XMECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: I70.;l, Ar. Pjwee tf AA WI ,-II <br />LU, I <br />A <br />MAIL <br />CONInACTPNICCOFM q ea Il�OV V <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC W�.+yl ' p <br />OEWOIOE N NUS ARE fOpTAOEM VEO <br />TN ,IA_c nL �1 <br />CpRA TVFnSONAM�y�Ne NO <br />kr I L7YZDMiN Psa 9aa1� <br />PROroeED USE OF np{DINO <br />' % L <br />1 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 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 />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />T aaa 3 .e_y 7�7 <br />LEGAL DESCRIPTION Or PROPERTY SHOWN BELOW OR AnACN Tyro COPIES) <br />LOT BLOCK Or <br />PATTLEL uK I o%�IMnfn ^ <br />/ eL <br />LONSTn11C1)piIOANLCNnEn. MIMIE58, TI'RiO ..BE. <br />SIGNAi MEL OSIGNATIMIE O/���^ OAtCRnrE <br />``�� <br />G7619NCSSUCENSENO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C—A/HNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />_ <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 />DACKFLOW PREVENTERS <br />GASRANGE <br />_ <br />SINK (SERVICE — BAR, ETC.) <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL S 1 <br />SUB TOTAL S <br />_ <br />PERMIT 5 <br />PERMIT 5 <br />TOTALFEE S <br />TOTALFEE S <br />FOR OFFICE USE ONLY: <br />I RnN1 Sr TRACK <br />REAR SETBACK <br />SIDE SETBACK <br />PIANCII[CIt NOMnfP <br />I/il_l//^ l^ <br />FEE <br />RECEIP[NO <br />USE ZONP <br />_ <br />101 AREA <br />KANT SITE <br />Oves O NO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />�— <br />'It CUT II."ANON <br />NO p pW[IIINO <br />IINI15 <br />SIZE W BL0001 <br />PUMPING <br />O:CIIIAIGI <br />F.Oul <br />I NO '".w.1f <br />U'.CIIRANT IOAD <br />BASFMENI <br />❑vE4 ONO <br />MfLNANICAI <br />ADOUIONAI NANCHECK <br />- <br />FIRESMINKLEDREPO <br />REASON <br />OT11fR <br />i-- <br />FIRE AUIiM REOD <br />Rf AiOV <br />54T[ RUN VINO iUFCNAnGf <br />Tarn Or CONST <br />PLM4qAPMovfon7 <br />MATE 4 �) <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS BIOS <br />mmaim, <br />7oTAL <br />