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APPLICATIA FOR CONSTRUCTION PERMITj/t%/\/I�/7 <br />CITY OF EVE •BUILDING DIVISION A, <br />3200 CEDAR STREET • EVERETT, WA 98201 • (425) 257-8810 <br />L DEMOLITION ❑ COMBINATIION/ ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: �JY3�i .Et/.yf.i M•!!` (.(%i <br />lip <br />ru oN VLypNEn uul AOOPE 55 Cnr br 11l 1 <br />a�.w6w' GowsT. Sv�sS S�7fl�4. ST.- 2o6-2NN-9so� <br />G"cn �I/LONInAflm Val Aonnm CITY Ilr rNu•,r '$All ucn6E. <br />L✓P�Ie.A... ;. r d kcCr -Sv3`224- <br />MFCIUNICAL CONTnACIun ..'L IFYi fm llr rNn.r STAYF LICENSE. <br />rINMPmc CONrnACICiI All AIXlN[ss CITY IIP -- PNO'•r SUIF ICENSF• <br />Cp1InAG1 PnICL Or WOPR <br />�_I/ j�L, Ovt �y �� tlnTr•a <br />I <br />HEATING SYSTEM: L�GAS DIELECTRIC 0- <br />CanACT rl nsOH.Nn ngNr NO <br />�Hry �ILTc �.el� <br />— 2yo0 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW T14E SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WII L 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 Ili <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATIL.. IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW IB C AND 296.200WAC <br />— <br />O —/0 —�J Q <br />P sra use ar elnLLpNG <br />�"'A' �n �'r^5•L <br />LEGALOESCRIPTION w PnO nTY lSIro Puow ON ATIACII RVOCDRE51 <br />LOT mac. or <br />PARCm TA.. D NLAABEN <br />CONSTRVCr"iLOAN 1FMR.AiNRESSTHLAIGENWPEII <br />. <br />V.It <br />Clry BO9 W 55 LICUbf NO <br />MECHANICAL _ <br />NO. TYPE OF EQUIPMENT FEE <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />WATER CLOSET (TOILET( <br />Z <br />A/C—A(HNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />r <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK d DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />_ <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 />_ <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC J <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL $ <br />SUB TOTAL f <br />_ <br />PERMIT S <br />PERMIT $ <br />TOTAL FEE S <br />TOTAL FEE $ <br />—' <br />_ <br />FOR OFFICE USE ONLY: <br />IININTYTPACA <br />ArARMBACl <br />SIMSENACK <br />PLANCIIECAWV 11 <br />/ 1 0 <br />r[f <br />RFrrlll NO <br />usE IOAIF <br />10].RF. <br />r.CAl11 WE <br />OVES ❑ NO <br />FEES <br />VALUATION <br />FEE - <br />Ill"DIW <br />_ <br />11EIOlIf IINITAOON <br />NO Or RwELLING <br />VNITS <br />SIZE Or mOG•rl <br />NI'MPINf. <br />_ <br />�— <br />_ <br />OCf:ITAlY1 <br />GROVP <br />rw PI SI.R.fS <br />IX:LVrANI IO.O <br />ITASCAPEN1 <br />CITES D NO <br />MFf.N.NIC.I <br />ACONION.L%AN CIIEC. <br />.---- <br />RRESMINKLERPEOD <br />Rr.sm <br />OINER <br />F1.EAIAPMPEO'0 <br />REASOr <br />41.II BIIIIDmR <IIRCM.RGI <br />I IFE rK C: A, <br />PLn, r EDer <br />DUL .• (O. U <br />G <br />CITY OF EVERETT <br />LOCAL SALES <br />TA X CODE IS 3105 <br />,mm Al <br />TOTAL, <br />—'— <br />