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APPLICATION FOR CONSTRUCTIL PERMIT <br />CITY OF EVERETT B BUILDING DMSION <br />3200 CEDAR STREET B EVERETT, WA 98201 B (425) 257-8810 <br />❑ DEMOLITION COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: 411Z,9 fed Aff r*asex r <br />•RCNIFGf G1111ES10NEP MMIAIXINEBS <br />MfCRWCAL CONTRCCBJR VAR BOPR55 11.11 •" "^'^ '" ' <br />PI UMBMG CONTRACTOR MYL AC SS 01, ZIP T,.0AF STATE LICENSF• <br />CONFMCI BRICE OF NpU( <br />HEATING SYSTEM: Al GAS ❑ELECTRIC ❑ <br />OESCMBE M.BII AND SOUAPF FOOTAGE lVMVED <br />CONTAC-KRSON ANFI AI NO <br />V�T/ l r CCti35/9d <br />G 3.IS <br />�� <br />EXA <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINEO THIS <br />APPLICATION AND KNOW THE SAME TO BE "RUE 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 />APPLICAT N IS MADE AND 1 COMPLY WITH THE STATE <br />CONT TO L 1e 2] RCW AND 2%.200 WAC. <br />G-Ia-9 <br />vmroew usf rK annMAI <br />LEGAL OESCMPTIGN DF pROPERIY TBNOFMR WILOW P ATIFLH TWO CONESI <br />LOT eLou OF <br />PMLEI TA[ D <br />5 o0D oat <br />CONSTNL01 NI INNER OLRES� EIENE <br />_� <br />UBE DATE <br />C." lq, wEss tceASf NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FDITURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C—AA/NDLO UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <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 />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />E%HAUST FAN <br />1 <br />SUBTOTAL S <br />SUB TOTAL S <br />PERMIT $ <br />PERMIT $ <br />TOTALFEE S <br />TOTALFEE S <br />�rnnr urr n.. AT <br />taONT SFIOACN ` <br />KM S1,18.c. <br />SIDESETWA <br />P,ANCDECF. <br />fflCFIIT NO <br />DsE loNr <br />m1 APFA <br />VACANI SITE <br />❑+fS ❑ND <br />FEE <br />VALWTION <br />FE—��—Tj� <br />ATA ONO <br />NHGN111M11AIION <br />ND O D LUND <br />NNIiC <br />SIZf Ot &IXi'TI <br />OQ2 <br />MNWINO _---- • <br />Y�J <br />��Li—'_ <br />OCCIRAN:.'v <br />YJ cI.NT4S <br />NXIIPANI LOAD <br />Q <br />BASFLiMf <br />FS D NO <br />MFI:NAN1f.M <br />• _ <br />— <br />ADdIKINM MAN CIITLN <br />0111ER <br />n/ ( <br />MESS [�P'100. KQD <br />(✓5 <br />Rf A: (N /y� ,1 (� <br />u8L lo-1.i•�1•l <br />FIRE ALARM PROD <br />r <br />W.ID' I4 <br />o0O `lo�-Q <br />1 <br />STATE IRTLDIND SIMCIMRGE <br />r <br />1TD, DICON11 <br />�^ <br />1KeNstrPaDvrnm <br />AITT, <br />DATE <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />mlaw WDR.S <br />'—'— <br />TOTAL <br />O S <br />