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APPLICATICS FOR CONSTRUCTON PERMIT <br />CITY OF EVERETT F BUILDING DIVISION <br />3200 CEDAR STREET P EVERETT, WA 98201 P257`Wl0 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL PLUMBING ❑ SIGN <br />PROJECT ADDRESS 3�f �� <br />L J � e cr, V P V-\�.� <br />zP inggE /' <br />�`S7EDCLo \(e.., c' < S (so3 Q 1l SyY o 48��1 \ 34.o S68 75tiL� <br />TES MACAOmEas urr sa gNKILE <br />ARDNILECT OR DEBKgIEP YAKApOliEs9 cm Zo R <br />aENEgAL coxrRACTDq MAl A0glEss an Zv <br />PIK)NE STATE LX'ENSF F <br />4 <br />CONTMCT %iK:EMNORM <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />DESGI YNTIM ANp SOOARE FOOrME11NNVpyEO I ` <br />_ <br />CONf-T PEPSON—'NONE NO. <br />LJeicc ���� c <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 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 18.27 RCW AND 296200 WAC. <br />X�i���—� f? _II —Op <br />PRDPosED usE aF evKmND <br />LEGAL $GiPTK1N OF PgOPERttISNOAN BELOW OR ATTACH tNO GIPEs) <br />LOT xocK of <br />PARCEL TAK I D. NUNeER <br />CONSTgIILTX]N LOAN IEIOER.AWRE55.1FLEPIgLE MINDER <br />6XUNNPE MTE <br />GtteOSWESS LICENSE MO. <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO, <br />TYPE OF EOUIPMENT <br />FEE <br />ol <br />WATER CLOSET (TOILET) <br />IVC—AIHNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />I <br />a <br />LAVATORY (WASH -BASIN) <br />I <br />HEAT PUMP <br />i <br />SHOWER <br />i <br />UNIT HEATERS <br />I <br />KITCHEN SINK & DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />I/' <br />WATER HEATER <br />I <br />CLOTHES WASHER <br />i1107, <br />WOOD STOVE <br />URINAL <br />j <br />ft <br />METAL FIREPLACE (WOOD BURNING) <br />j <br />DRINKING FOUNTAIN <br />i <br />— <br />FIREPLACE INSERT (WOOD BURNING) <br />i <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC.) <br />GAS plplNp <br />'---f--- <br />EXHAUSTFAN <br />j <br />I <br />Ik <br />lip <br />SUBTOTAL E <br />SUBTOTAL E <br />I <br />PERMIT E <br />PERMIT E <br />i <br />TOTALFEE E <br />I <br />TOTAL FEE E <br />run urrlc.c uoc u1MLY: <br />FRONT SETBACK <br />REAq SETBACK <br />SKN: SEIBALK <br />v <br />RAN CHECK MAIeEq <br />FEE <br />REDEWi W. <br />USE ZONE <br />LOTMEA <br />vM TSIFE <br />DYES ❑ NO <br />FEES <br />VALUATION <br />FEE <br />BUMRIO <br />NEMiNT LIMITATION <br />NO OF DWELLING <br />UNITS <br />SIZE OF BL�EI. <br />RUM&ND <br />OCuCuIpANGY <br />NB a SRAWS <br />OCCUPu1T LOAD <br />MSEMENT <br />DYES O NO <br />MECKANICK <br />FIRE SPRINKLER PFDO <br />RFASON <br />ADORKXIALRANOIEON <br />!!! <br />OMER <br />FNENLARM REOD <br />gEASpN <br />STATE BUKOWO SURCNAROE <br />TYPE OF CON5T <br />PLANS APPROVED BY <br />DATE <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />PUBLCWOq <br />TOTAL <br />iJ <br />