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APPLICAT& FOR CONSTRUCRON PERMIT <br />CRY OF EVERETT •BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • (425) 257-8910 <br />❑ DEMOLITION ❑ COMBINATION BUILDING 0 MECHANICAL 0 PLUMBING ❑ SIGN <br />PROJECT ADDRESS: /20S" £Ue,AN` /j y a14.,y <br />_ F,Ir.Fl4 AFl< Coro igs-if we Aqf` AA//[Mmc TBao-1 2/1s'Gvz,4s77 <br />/�/n /C FA^�t� rn1�T I 2L721 3Y9 f` /}✓c Slew /la✓n...�la �IQOTI JGO "4 <br />21)G /CIn /( fly'�T <br />GEN[nxI CONIMLI OF MAIL ADDnf 55 CI1Y )In n,YME 5111( IIC[rySF • Q-3.[rA5 <br />MECNANICAl CONTIACIOF MAIL ADDRESS CRY Iln PITON[ SIRE t.Cf NS[r <br />PIUMBMG CON1nAr MAIL ADDRESS OR, TIP PWItE SIAtF tKEN4A <br />3Y Ooo <br />CDNrneu _ <br />Ac' a,,. 9 b'LF7'oC HEATING SVSTFM- MGAR rkal cnrdtlN In <br />DE BF WJPN AND Sai FOOTAGE IRMAD <br />Q �pFaby :OA LPTOA Ne, A..// <br />CONTACT MIISDNAN[I PIgNE Ip <br />/)C Flbee EX[Sf I+S Qtf',J <br />1 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 WIT L 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 />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18 27 RCW AND 296 200 WAC <br />/NSIRUCIIW <br />X <br />rRarosfD uSE or arvlLduD / <br />s rtiwA. T <br />LEGAL UESCRIPnIyl of PROPERTYlSFowTI BELOW OR AnACF two cDME6I <br />LOT RLDCK or <br />S P C Q F � / N e <br />"It w 10 NUTAIN. <br />Id,? O«o t <br />GOlOAxl[xOfR,ADIIRE55.1ErfPFKNENVMBFR <br />EIONRunE DATE <br />CITY BUSINESS LICENSE NO <br />PLUMBING <br />MECHANICAL <br />YPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />LOSET (TOILET) <br />AUC—A(HNDLG UNITS <br />FORCED AIR SYSTEMS <br />Y (WASH BASIN) <br />HEAT PUMP <br />NUN <br />UNITHEATERS <br />SINK B DISP <br />CLOTHES DRYERS <br />HER <br />RANGE HOOD <br />TRAY <br />WATER HEATER <br />WASHER <br />WOOD STOVE <br />URINA'- <br />METAL FIREPLACE (WOOD BURNING) <br />DR'Y.:.ING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR GRAIN <br />GA$ FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE —BAR. ETC.) <br />GAS PIPING <br />E%HAUST FAN <br />SUBTOTAL f <br />SUBTOTAL $ <br />PERMIT S <br />PERMIT f41 <br />—�— <br />TOTAL FEE S <br />TOTAL FEE $ <br />rvn VrrIL:E USE ONLY: <br />TRONI SFTRACK <br />FEAR SETBACK <br />SIDE SFIBACA <br />MANCRECN NUMBB <br />FEE <br />RFCFIPI NO <br />USE Z?j <br />toy AREA <br />Y.C.AW SITE <br />OYES ❑ ND <br />FEES <br />_ VALUATION <br />FEE <br />RI>IMNf. <br />i OO <br />IIEIONI IIMITAFKJN <br />I1 OR, NCv NJ ry 51Mis <br />r SOUP / <br />I - <br />NO dOWEIIIMO SIZE OF BIWRI <br />UYRR Z 5 <br />OCCUPANT LOAD BASEMENT <br />I S OFFS <br />PI114RIN0 <br />4iCNANICAI <br />FIRE-FFINAIFRREO'O <br />REASON <br />AOMIBINAI. IYANCIKCK <br />OFFER <br />�J!��_ <br />IWE AIA'A1 R�ETO'0 <br />,IV " <br />REASON <br />STATE BINILNR SIINCFARC{ <br />I� <br />FYtt nr r,ONSF <br />V/�� <br />r • <br />I,IANS AIrf)(+yFR Br <br />RAF[ . <br />CRY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />MIIUKxvaA.' <br />-- <br />TOTAL <br />I <br />