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APPLICATA FOR CONSTRUC&N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION j(LIUILDIHG ❑ MECHANICAL ❑ PLUMBING ❑ BIGN <br />MFCIUNICAL CDNTRACIOP MAIL Ar10Rf55 Cl, ZIP PONF STArf OCENSE A <br />N II MBNG CONIPAf.1CP MAIL A"ESS Cnv ZIP MONF STATE 11rENSF9 <br />cDNm.cl rmcE OF WDR. <br />HEATING SYSTEM; ❑ GAS ❑ ELECTRIC ❑ <br />MSLRUF WJRN ANTI SQUARE FOOTAGE NVOLVEO <br />Cplr fpFP ON NO n� <br />lL f <br />/'L/rl S�7 9a j Ll rnr 119. (jN: <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 />CONTFU TORS LAW I 7 RCW AN 296.2W WAC. <br />X lr <br />PFgrDSH) USE OF BUILDING <br />IFGAI DE MPTIOi OFPBOPER ISNOWR BELOW OR ArlA 14 c Est <br />l01 BLOCK OF LAW11 <br />y /N 'Q —oO 0-0 <br />PARCEL TAX.D NOMBEN <br />CONSUUKTPONI0AN1FNDfRABRESSFElUNXNYENU%NUN <br />n OAr[ <br />Clry WSNESSUCENSE NO <br />PLUMBING <br />MECHAWCAL <br />NO. <br />TYPE OF FIXTNIE OR REM <br />FEE <br />NO. <br />TYPE OF EOUIPIFINT <br />FEE <br />WATER CLOSET (TOILET) <br />MC—AAINDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS _ <br />LAVATORY IWASH BASIN) <br />HEAT PUMP <br />�— <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK 8 LISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />_ <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 />GASRANGE <br />SINK (SERVICE —BAR. ETC.) <br />_ <br />GAS PIPING <br />_ <br />EXHAUST FAN <br />SUB TOTAL $ <br />SUB TOTAL S <br />_ <br />PERMIT $ <br />PERMIT f <br />_ <br />TOTAL FEE S <br />TOTALFEE S <br />FOR OFFICE USE ONLY: <br />EPONT SETBACK r <br />PFAPSTIMN <br />SICf $F} <br />MAN CIIfCK NU,y�P <br />rFF <br />PFCFIP1 Np <br />USE BOW <br />701 AREA <br />vAcANI v <br />FEES <br />VALUATION <br />FED_ <br />BUIm".. <br />_ <br />25 I2 <br />— r <br />DYES G NO <br />11FIONl11Y1rA1104 ENO <br />OF MEOW <br />SRF DI BLWTI <br />_ <br />IIM11[ <br />P0AAl1N G <br />— F-- <br />OCI:IUAlCv <br />rn.V gMrl <br />ND (lIPAQl <br />JEUPAN110AD <br />BASFMN[I <br />_— <br />N�fA.A1 IM <br />l <br />Or Nn <br />A4EfOf,UNP"AAN CIV <br />FIRESmrvxIEUREO'0 <br />nFASON��s <br />OINn <br />FIRGURM REOD <br />wASDV <br />SNIFF BINIUMO BIIIKIMn6[ <br />TYPE Or r.OIaT <br />MANS APPROVED By I <br />CRY OF EVERETT <br />PIRYGYION.S <br />DJUE- of q -I <br />LOCALSALES <br />TAX CODE IS 3105 <br />TOTAL <br />—- <br />