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APPLICATIC01 FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET IT EVERETT. WA 96201 P257-8810 <br />1-1 DEMOLITION ❑ COMBINATION f7 BUILDING <br />AnrnrtECT en e6sgrren LaluooREss <br />Clry ZIP PLANE <br />4AIL ACOPE55 C"' <br />OENEPK LOx1RACTCR <br />CITY <br />G PLUMBING ❑ SIGN <br />ZIP <br />iP MANE STAiELg —A <br />c n ui( �PRCEo2r won. <br />7 o- <br />HEATINGSYSTEM: F7OAS ❑ELECTRIC Cl <br />S <br />GEURIBE WORK ANO SQUARE rooTACE INVavio <br />corrt.cT PLnsor .Nn rHONE r:o <br />I HEREBY CERTIFY THAT 1 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 />morosW us a Bmm x: <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />RrgLm BELow On AriACN two CERES) <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />¢cAL OESCRIPrgNa PRGttnTV <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />LOT BLOC" <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE. <br />PERFORMANCE OF CONSTRUCTION. THAT 1 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 16.27 RCW AND 296.200 WAC. <br />PARCEL TO 10 NMBCn <br />UB <br />LONSinlgtgN LOAN lEN0E0. Ao0nE65. iCLEPnONC WOOER <br />X <br />SgNAiURE GATE <br />CITY BUSINESS LMICNSC NO <br />MECHANICAL <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />NO <br />! <br />AC—AHNDLG UNITS <br />WATERCLOSET (TOILET) <br />1 <br />FORCED AIR SYSTEMS <br />BATHTUB <br />HEAT PUMP <br />LAVATORY (WASH BASIN) <br />I <br />i <br />UNIT HEATERS <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK 8 DISP <br />j <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />WOOD STOVE <br />1 <br />CLOTHES WASHER <br />! <br />METAL FIREPLACE (WOOD BURNING) <br />URINAL <br />FIREPLACE INSERT (WOOD BURNING) <br />DRINKING FOUNTAIN <br />GAS FIREPLACE <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE —BAR, ETC) <br />GAS PIPING <br />'— <br />I <br />EXHAUST FAN <br />1 <br />1 <br />SUBTOTAL S <br />— <br />SUBTOTAL <br />PERMIT <br />5 <br />S <br />I <br />PERMIT 5 <br />POTALFEE $ <br />TOTAL FEE <br />S <br />FOR OFFICE USE ONLY: <br />FRONT SEIMK <br />USE TONE <br />HENNTLIVITATION <br />PEAR 6ELBACN SIDE SETBACK <br />LOT AREA VACANT SITE <br />DYES ❑ NO <br />NO OF DA£LLM] 61ZE OE SLCOTI <br />ONUS <br />RAN CHCC"NUMOf[C <br />a—O,/ <br />FEES <br />VALUATION <br />RCtEIPT No <br />FEE <br />OUIIMNG <br />PLUMBING <br />MEO-ANgµ <br />.1 <br />O^„CIAANCY <br />GRDUP <br />NO Oi ST,,5 <br />OCCUPANT LOAD <br />BASEMENT <br />DYES C1 NO <br />AOD'igNµ PLAN CHEGII <br />FAE SPPIKKLER REDO <br />REASON <br />OTRR <br />NIMAI.AAMPEOD <br />REASDN <br />STATF BV0.DRIG SURLNAAGF <br />PUBLIC wgR"5 <br />TYPE OFCONST <br />RANAMf9VFD BY <br />oArz <br />CITY OF EVERETT <br />LOE:AL SALES <br />TAX CODE IS 3105 <br />TOTAL <br />