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APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT •BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • (425) 257-8870 <br />Cl DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MpCHANICAL ❑ PLUMBING ❑ SIGN <br />AIICI•Trucli E4V1EP 441•DCPf SS CITY Sm PK f <br />PIIMBMG CONIWIT MAIL ADDRESS CITY ZI. P1gNF STATE IICENSF� <br />CONTAACI PIPCE OT INOPK <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />!IESCPoBF WJPK KNOSWAPF iGOTAOE NVIXVFD <br />/ASCXARF �i< .t Teo Zd I� ,44i /T�xRS <br />CM1lALr of SM1 10 %qNT <br />j W W: ZO(o • 71.G, • 0 9�iD <br />alarosrD USE OE RIRLMNO <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 WIIL 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 CONSTRUCTIO:A OR THE <br />PERFORMANCE OF CONSTRUCTION THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />QCATION I5 MADE AND 1 COMPLY WITH THE STATE <br />RACTORS LAW g 2T W AN O 296.200 WAG. <br />O p <br />M J <br />LEGAL DESCRIPTION a PPOPERTY ISIID.•RI RELDN OR AnKH IVK) CD%ESI <br />LOT LUCCA a <br />P /,3 OS Od Ooos <br />COIISTRIICTIONIMNIFNTIFR. ADInES5.1CIFM'F HIMBEP <br />$Ic <br />OArt <br />E <br />CIT VStWSSL ENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE ON RCM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C—A/HNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK 8 DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />_ <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR, ETC.) <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL S <br />SUBTOTAL S <br />PERMIT S <br />PERMIT S <br />TOTAL FEE S <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />FRONT VFTPACK <br />AT. SFTBACK <br />SIDESEMACK <br />PIAN DUCK NNUUWR <br />`•// <br />FFF <br />� <br />orcr.rr NO <br />USE ZONF <br />IOIAPEA <br />YKANT SITE <br />FEES <br />VALUATION <br />FEE <br />_ <br />OYES ONO <br />BUIMN <br />_ <br />�— <br />IIEION111411ANOM <br />NO Or ONELIINb <br />$TIE OF &DYII <br />IMI$ <br />%114Pv1O <br />CCCU1'ANCY <br />cno m <br />VIMAIMi1S <br />OCCUPANT LOAD <br />BASFMFMI <br />4FCNANICAt <br />--- — <br />OYES— <br />AOMII .]I't"C14.CK <br />FNES%aNK1EnRE0'D <br />PEAS" <br />OlUEP <br />UZ 1 00 <br />FIPEKWMPEOL <br />PEAS" <br />:.ARE RUILDwP 4NCwIK.f <br />TYPE, Or 1o11 <br />rLANSArPP"EDDr <br />pAlrf` <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS 3105 <br />roM lr. xauKS <br />_ <br />TOTAL <br />— <br />FYI <br />