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APPLICATIC :� FOR CONSTRUCZ�aN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />C DEMOUTION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ p�UMBING ❑ SIGN <br />__��Ir.tt��id�I�G 'Z"7� �eexl� �TT" 40Zo1 ZS'�i-4163 <br />ARCHITECTORDESIGNER AILADORE55 CITV ZIF PHONE <br />GENERALCONTA�CTOR MRILADDRESS CITV ZIP PHONE STATELICENSEY <br />�.1�54" 5TI1-i.���S nl� �o Ba�o 9e � s�e,u ,�,�a �zq L/�a1Gsz -3sto r��ur-�_no <br />MECHANICALCINJTRACTOR MAILMDRESS , CIN IIP PHONE STATELICENSEr <br />P UMBINO CONTRACTOR MAIL�DDflESS CITY ZIP pHONE STATE LICENSE � <br />,S�S. 6CJ0. � <br />CONTRACT PRICE OF WORK <br />�or <br />BLOCK <br />LOAN LENDEP, ADDRESS. TELEPHONE NUMBER <br />PLU6IBING <br />� NO. TYPE OF fll(TURE OR Il <br />� � - WATER CLOSET (TOILE� <br />BATHTUB <br />LAVATORY(WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKINO FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK (SERVICE — BAR, ETC.) <br />SUB <br />FEE <br />PERl71T $ <br />TOTALFEE $ <br />FOR OFFICE USE ONLY: <br />FROM SETBACN qEAR SETOACK SIDE SETBACK <br />USEZONE LOTAPEA VACRNTSITE <br />nres n No <br />MEIGHTLIMIT�TION NO.OFOWELIING SiZEOFBIDG/T.I. <br />UNITS . ,. _ _ <br />NO.OFST0111f5 <br />OF GONST. <br />v- <br />❑YES <br />9 <br />�C' �CITY�OF EVERETT <br />� LOCAL SALES <br />��� .�j) TAXCODE133�05 <br />HEATING SYSTEM: �iGAS ❑ ELECTRIC ❑ <br />CONTACT PERSON AND PHONE NO. <br />I HEREBY CEFTIFY 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 PFRMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW AEGULATINO 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 />APP'_ICATION IS MADE AND I COMPLY WITH THE STATE <br />CO!JTRACTORS LAW 1827 RCVr ,^,ND 296200 WAC. <br />s_�- <br />CITV BUSINESS LICENSE NO. <br />MECHANICAL <br />NO. TYPE OF FlXTURE OR ITEM FEE <br />� A/C —AIHN�LG UNITS — H.P. <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />HEAT PUMP <br />UNIT HEATERS — <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />PLAN <br />Bl11LDING <br />PLUMBINO <br />MECHANICAL <br />ADDITION�L PLAN CHECN <br />OTHER <br />STATE BUILUING SURCHAROE <br />PUOLIC WORKS <br />TOTPL <br />PERMIT $ <br />TOTALFEE S <br />FEF RECEIPT NO. <br />VALUATION 1 <br />�'w4�Y� / <br />