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APPLICAT1096FOR CONS(",UCTI41 PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 A257-8810 <br />❑ DEMOLITION ❑ COMBINATION O BUILDING ❑ MECHANICAL 17 PLUMBING ❑ SIGN <br />PROJECT ADDRESS <br />4 <br />TNhR WLADDIIESS CITY 20 <br />IIIIIIIIEWN�7M <br />ARCIIRECT OR RESCIFIEF Al ADDRESS CITY 1P PIYJIIE <br />RUMBING CONIRACIOR MALADURESS CITY ze ryKM1E STATE LICENSE• <br />t Jw I HEATING SYSTEM: GAS ❑ELECTRIC ❑ <br />EBCRIBE TWORK AM SWAREC (AGE IN VTD 1 Cg11ALi PEp$p1A1N..N0 <br />7.0 <br />14gnGSED USE OF Bunpmp <br />5FR <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AIJD 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 CON15 RUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPE TY TB PERFORM THE WORK FOR WHICH <br />APP ATION IS MA AND I COMPLY WITH THE STATE <br />CO SL 1I. nCWAND276.200WAC. <br />NA^l�l BAIL <br />CI1 V L`t``ISIMSS l .ENSC Iq. <br />LEGAL DESCpInTgN OF PpOP(giY 15N0W11 BELOW ORA1tAG111N9 COnIE51 <br />LOT ELOCK Or <br />PARCEUAZIB. MIMBER <br />CIXiCO STRUCIgN ROAN LENMR. AfXMES5.1ElElYpNE M)MBCR <br />PLUMBING <br />MECHANICAL I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />FEE <br />NO. <br />_ <br />TYPE OF EQUIPMENT <br />NC — ARINDLG UNITS <br />FEE <br />BATHTUB <br />! <br />FORCED AIR SYS'EMS <br />LAVATORY (WASH BASIN( <br />HEAT PUMP <br />�— <br />SHOWER <br />_ <br />i <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />i <br />CLOTHES DRYERS <br />_ <br />DISHWASHER <br />LAUNDRY TRAY <br />i_ <br />RANGE HOOD <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />�-_ <br />URINALI <br />IETAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING)_ <br />_ <br />FLOOR DRAIN <br />I <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />�— <br />EXTIAUST FAN <br />i <br />i— <br />i <br />SUB TOTAL $ <br />PERMIT S <br />! <br />$UB TOTAL S <br />PERAIIT S <br />_ <br />TOTAL FEE <br />S <br />TOTALFEE S <br />FOR OFFICE USE ONLY: <br />ryw .-O3c) <br />Wg11I SETBACK <br />REAR SETBACK <br />sVIE SETBACK <br />"LAN CI1EC6 W.Etq <br />FEE <br />"tcr"IFAD <br />USE BONE <br />NEKSUL1111TAT" <br />tOTAREA <br />VACANISRC <br />DYES G NO <br />FEES <br />pUM1DIMI <br />_ VALUATION <br />FEE <br />III OF OWEGIhV <br />STIRS <br />SUE (K BtO l <br />M 1MSIM <br />OCCUnANCv <br />GgDV" <br />IAUSiDgfS <br />OCCUPANT LOAD <br />BASEMENT <br />LIVES ❑NO <br />Mf1:11ANILAL <br />FIRE EnRINKIER RE00 <br />FIVE ALARM RCOO <br />REASpI <br />ApgiMMUL RAH CHECK <br />DRIER <br />STATE BULUWD SURCHARGE <br />pEA5p1 <br />TVKOFCONST, <br />PPRDVEDBY <br />j..FE <br />CITY OF EVERETT <br />LOCALSALES <br />TAXCODE IS 0106 <br />wBLA WIXMS <br />TOTAL <br />