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APPLICATIA FOR CONSTRUCTAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET F EVERETT, WA 98201 •257-8810 <br />❑ DEMOLITION I-1 COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING 71: SIGN <br />ARCNITEDt ORDESGNER MAILADpu6S C" ZIP Pl"E <br />mums OCONTRACTOR MAKADDRESS CRY ZIP PI"E STATE LICENSE <br />CONTMLt PRCE OF WDRK <br />O4 <br />HEATING SYSTEM: q}GAS ❑ ELECTRIC ❑ <br />DESCRIBE YIORK AND SWNE FOOTAGE LNN' WD <br />_ <br />CONTACT PERSON AICNE Np.I <br />_ <br />sEDuuL BUKwND <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 PROJISION 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 296.200 WAC. /) <br />X(/fy)/M,Y <br />LEGAL MWAPMNa PROPERTY ISNONN BELOW DO ATTACH TWO COPIES) <br />LOT BLOCK Of <br />PAREnTAA I D. NUMBER <br />CONSTRUCT" LOAN LENDER. ADDRESS, TELEPIg ENUMBER <br />Sq.AUFM DATE <br />CITYBUSw SSLICENSEND. <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />T'JPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C —AHNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SI.JWER <br />UNIT HEATERS <br />KITCHEN SINK X DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />I <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 />_ <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE —BAR. ETC.) <br />GAS PIPING <br />EXHAUSTFAN <br />i <br />I <br />SUB TOTAL S <br />SUB TOTAL S <br />PERMIT S <br />PERMIT 5 <br />TOTALFEE S <br />TOTALFEE S <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK MIMBER <br />FEE <br />RECEPT NO <br />USE ZONE <br />lot AREA <br />VACANT SITE <br />OYES 0 NEI <br />FEES <br />VALUATION <br />FEE <br />wRLDIW <br />HCbNr L1GRAlgN <br />O S OW[LLPIG <br />OATS <br />SIZED UM71. <br />PLUMBING. <br />GAC ANCY NO CF SNRES <br />ME <br />CLCUPANi LOAD <br />BASEMEN} <br />OYES ❑ND <br />MECNANICIL <br />ADDITIONAL PLW CHECK <br />FOE SPOWER MOD <br />REASON <br />O ER <br />FPEAURMPEOD <br />REASON <br />STATE D.1111A GSURCHARGE <br />TYPE OT CONST. <br />PLANS APPIpvEB BY <br />DArE <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />RIBLIc AoRKs <br />TOTAL <br />