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APPLICa.'1'1�1 FOR CONSTRUC�N <br />CITY OF EVERE'fT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />�l DEMOLITION (-1 COMBINATION Cl BUILDING f9'IG�CHANICAL <br />PERMIT <br />�l PLUMBING �l SIGN <br />. . CITV � ZIP PIIONE <br />P�NITF.CTOR�51 E'1 MAII.AppP[55 CITV <br />71P PHONE <br />GENEf14LCONiRpG+pq MnILqDDRE55 CIIY <br />2iP PIION[ $iATG LICGNSE � <br />i �w� i/4Atio�c.�' L <br />'LUA'BIM1 CpNTiAf,TOR �,^jp <br />ONTRRC f PRICE Of WORK <br />$60D • J � <br />ESCFlfiE WORN Ak0 SOUARE FOOTA( <br />��lS'l'r!/ �— !'u�%{� <br />��c�sf��c dw✓Fw,.� <br />_i-� ne.✓ 'rPn�.,. <br />ROi'OSED USE OF BUILDING <br />D/� �O <br />LOT BLOCK <br />Z�P PIIONE STATEUCENSG+ <br />d.�qL7�s„�y�lo[,�`1nn•u+a�+ 9k03L G7L-/✓4Y /GQSyA/JGopd'/JC. <br />—r. <br />��� z�P PIIONE ST/iE UCENSE • <br />HEATING SYSTEM: IiGAS fIELECTRIC f1 <br />INVO�VED CON ACTP RSONANpPNONFNO. <br />a k„ n. �2c�u �J r� KaS ur G?L-loFv <br />Oq ATTACN TN'0 <br />PAfiGEL TA%I.D. NUMBER <br />CONSTRUCTION LO/N LENDER, AD�RE55, TEIEPMONE IJUMBER <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />WATER CLOSET (TOILEn <br />BATHTUB <br />LAVPTORY (WASH BASIN) <br />SHGWER <br />KITCHEN SINK & DISP <br />DI3HWASHER <br />LAUNDRYTRqV <br />:.LOTHES WASHER <br />URINAL <br />DRItJKING FOUNTAIN <br />FLOOR DRAIN <br />SUB TOTAL 5 <br />PERMIT S <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />iRONTSETAACN PEM SFTBACK <br />USE ZONE <br />IIEIGIiT LIMITATION <br />OCGUPANCY NO 0[ <br />GROUP <br />IOTRREA <br />NO. OF oWELLING <br />llNlii <br />BV <br />I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br />APPIICATION AND KNOW THE SAME TO BE TRUE AND CORRF.CT 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 TFiE STATE <br />CONTR CTORS LAW 7827 RCW AND 296200 WqC. <br />X � Ctn.. l— 0 — �/ (i <br />SIC iURE DATE <br />oz� <br />CITY BUSINESS LIGENSE NO <br />NO. TYPE OF EOUIPMENT FEE <br />A/C — A/HN�LG UNITS — H.P. <br />FORCEDAIRSYSTEMS—B.T.U. M E.A. <br />UNIT HEATERS — B.T.U. <br />CLOTHES DRYERS <br />RANGEHOOD � <br />WATERIIEATER , <br />METAL FIREPLACE ( <br />�IREPLACE INSERT <br />GAS FIREPLACE <br />GASRANGE <br />GAS P�PING <br />EXHAUSTFAN � <br />SIDESETBACK IPLANCIIECHNUhIpER <br />vncaNr sire - FEES <br />IIYES ft NO <br />ouuoinc <br />SIZE OF 9LOf"i — <br />PLUM1!31NG <br />BASEMENT �,�ECH�NICAL <br />fIYES fINO <br />NIJD1710NOL PLAf! p1ECK <br />on�en <br />STn1E pUILDIYG SUi1G11nRGE <br />CITYOFEVERET7 ru�tiir,wor+Ks <br />LOCAL SALES <br />TAX CODE IS 3105 TOTAL <br />SUB TOTAL S <br />PERMIT g <br />TOTAL FEE S <br />FEE � RECEIPTNO <br />