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APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT. WA 98201 A257.8810 <br />n DEMOLITION ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIG; <br />PROJECT ADDRESS I <br />yrooS LoL.,c..rCac w 4 tv��t—rr I <br />OWNER MAiLAO0PL55 WA E[OLJ-1 <br />C t <br />N tt <br />ARCNITL:T OII CESIGNER 4MAODPC55 CITY 2N A1Cfh <br />n � <br />PPI:Ea WORB i <br />19B4 FT �� P <br />HEATING SYSTEM: ff GAS ❑ ELECTRIC ❑ <br />OESCPiBEYIMet AND SOUME FOOTApE BNOLVFO <br />CONTACT PEASCN NN n101E •.^. <br />LLBI Ci <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />'., <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />PnDPDSED usE DF euEDPID <br />L.OT 2 SQ sk )2u2` �� CC7 <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />LEOALOESOppIpN Ci p1'yEp1V nNOW11eELONDRAR/LN TWOGOPIEBI <br />NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />LOT aLOCB OE <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 296.200 WAC. <br />— <br />PABOEL TtX 10. NUMBER �O <br />CONstpUOipNLOAN U:x0E0.A0IIR[BA TFIEPXONE IMEEIER <br />S4 AwnE DATE <br />CITY BUSWESS LICENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />I NO. I TYPE OF EQUIPMENT FEE <br />WATER CLOSET (TOILET) <br />NC—AMNDLG UNITS <br />i <br />BATHTUB <br />/ <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) till <br />HEATPUMP <br />SHOWER <br />UNITHEATERS <br />NITCMEN SINK S DISP <br />IfCLOTHES <br />DRYERS <br />/ <br />DISHWASHER <br />RANGEHOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />MET ALFIREPLACE(WOOD BURNING) <br />i <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT LW000 BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />OAS RANGE <br />SINK (SERWCE —BAR. ETC.) <br />GAS PIPING <br />EXHAUSTFAN <br />i <br />SUBTOTAL S <br />SUBTOTAL S <br />I <br />PERMIT S <br />PERMIT S <br />TOTAL FEE S <br />TOTAL FEE S <br />run urrw¢ ws: vl.u. <br />FR SETBACK <br />INEARSE,BAEK <br />BUE SETBACK <br />HAN pEDKr�p <br />pECEpt ND. <br />- <br />USE TONE <br />-I <br />LOTAREA <br />S-Z 87. 710 <br />vADANTwTE <br />pets DNO <br />FEES <br />VALUATION <br />FEE <br />NEXNRL At <br />W, ItLEIB <br />c1iE DF BUxiT1. S.F. <br />ttuOePq <br />ocLtpANDr wasiarcs <br />occuvANr LEAD uENr <br />MECIIAIBCAI <br />DYES D <br />Ap01TgNALnANCNECB <br />FPE RPEOD <br />NEASON <br />OTNER <br />FME AL MREOD <br />REABIXI <br />STATE BU4DV10 BURCNMGE <br />nOBtcv Ks <br />TYPE DF Cu ST <br />�. I <br />—N <br />MANSAPPROVEDBY <br />DATE D <br />CITY OF EVER ETT <br />LOCAL SALES <br />TAX CODE IS 91CS <br />TOTAL <br />