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APPLICATI& FOR CONSTRUAN PERMIT <br />�* <br />CITY EVERETT •T,WA BUILDING8 DIVISION <br />3200 CEDAR STREET • E ERETT, WA 9201 • (428) 257-8810 <br />120,5sE cx��t/ a'a" <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING MECHANICAL ❑ PLUMBING ❑ SIGN <br />7 f7IOI <br />TENANT YYI ARCRFSS 'A, PIgNF <br />71r <br />CRY <br />cm FnAcl PlncE of µVnM1 <br />HEATING SYSTEM: AS ❑ ELECTRIC ❑ <br />DESCRUIRE ACFAN1 ANnSWARE FOOTAGE P1Vo1VEp <br />lePA� P� <br />CON FACT SON ANf10Np4F <br />W , �L�s �Gt1 <br />.---l�-�r< <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 BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. TH'_ 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 />P MAN E OF CONSTRUCTION THAT I AM AUTHORIZED BY THE <br />WNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />COAT FACTORS LAW 1027 RCW AND 296 200 WAC. <br />X `4fLZ!JJCCV �P /`Q/ <br />PTlDlas[D usE RF Bunplw <br />LEGALOESCRIPTIONOF PROPERTY ISNOVM afLaNOR ArtecN Ewa COPIES) <br />LOT BLOCK OF <br />PARCEL T..0 NLAAPFR <br />LONS1RlIcfION 1oAN1[MfMP. AIXMESS. Tf1EMgNENUMBER <br />SIGNATUPL LIFE A <br />CRY BUSHES% LICENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIC—AMNDLG UNITS <br />BATHTUB <br />_ <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />_ <br />UNIT HEATERS <br />KITCHEN SINK 8 DISP <br />CLOTIIES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WAT'. HEATER <br />CLOTHES WASHER <br />T- <br />WOJD STOVE <br />URINAL <br />I METAL FIREPLACE (WOOD BURNING) <br />DRINXING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR, ETC.) <br />GAS PIPING <br />EXHAUSTFAN <br />i <br />SUBTOTAL E <br />SUBTOTAL f <br />PERMIT f <br />PERMIT f <br />TOTALFEE f <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />FPONTVFTPM:K <br />RFAA SFTBACM <br />90175E16F49 <br />MAN CRECK NUMRfR <br />fff <br />RFCFIPT NO <br />USE[ONIF <br />Im AREA <br />YACANI SITE <br />FEES <br />VALUATION <br />FEE <br />PIAIIKNf. <br />_ <br />�— <br />_ <br />❑YES D NO <br />HEIGHT LIMITATION <br />NO O[OWELMNG <br />SIZE O'BLDGNI <br />UHIIS <br />PLIMBMFi <br />-- I <br />OCCITANCY <br />GPW <br />I Wb5Ng15 <br />UCCUPANI LOAD <br />BASFMENI <br />MFCNAMNCP <br />--' <br />Ores Cl ND <br />AD(YTKNTAL Pl ANCNF.CR <br />4-- <br />FIRE SFP:NKLER REOa <br />REASON <br />------------- <br />FIRE ALAFFM PLO 0 <br />REASON <br />f1A1[ BIIIIdNP $INICNAM[ <br />TYPE Or CONCT <br />PLAATAPPROvfDDY <br />CRY OF EVERETT <br />Ih IPI R: wDR.s <br />-- <br />LOCAL SALES <br />I TOTAL <br />TAX CODE IS JT05 <br />DATE <br />