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APPLICAT& FOR CONSTRUCA00N PERMIT ���✓��d��q��7T <br />CITY OF ET A EVE • BUILDING DIVISION �/ <br />3200 CEDAR STREET • EVERETT, WA 98201,• (425) 257-8010 <br />❑ DEMOLITION Q/COMBINATION ❑ BBUILDDIIN�G� MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS:1,7O� l� Sli oico 1f N({,L*4-V,e,6�A' <br />VML <br />PI UABAG CON1RACfM .-IL AWaF SS CIL, nP PNWE STATE LICENSE• <br />cafrnAcr vnrc[Or X <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />CESCWBF WWTX Ab SWAN[ rQDEADE NVDWFB <br />CONTACT PfnSCN AN[1PMOIIE Np <br />ati� <br />�s 3�a 1a99� - <br />I HEREBY aRTIFY 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 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 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18 27 RCW AND 296 200 WIC <br />X /_/:5-22 <br />PaggSFD USE D<Bulldur. <br />LEGAL DESCRIPTION OF P EPn!SHOWN BELOW aR ATTACH TWD COMES, <br />LOT CLOCK Or <br />vAnCEL <br />o�czroS <br />cov5taucnONLDAN IF'.Y)fn. Anon[ss.iR[%IGNE NIwBEn <br />51GNAIURE EAU <br />CnY BUSNC55l6EN5[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 />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 A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />LAUNDRY TRAY <br />RANGE HOOD <br />WATER NEATER ' 11 <br />CLOTHES WASHER <br />WOOD STOVE- -I <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <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 />_ <br />GAS PIPING <br />�— <br />EXHAUST FAN <br />SUB TOTAL f <br />SUB TOTAL f <br />/ <br />P'-RMIT f <br />PERMIT f <br />TOTALFEE f <br />TOTALFEE f <br />FOR OFFICE USE ONLY: <br />FRONT VTRACX <br />AFAR SETBACK <br />&DE SE1BFj[X <br />MAN CIILCr. NUMRPR� <br />ff F/ OD <br />RECEIPT NO <br />O <br />/ O <br />//1 <br />/ EJ// <br />/03 <br />usE+oNF <br />IOf AREA <br />vgAN151 <br />FEES <br />VALUATION <br />_ <br />FFEAEE�� <br />C <br />DYES N. NU <br />BUIMNF. <br />_ <br />141GNI IIMIOIMION <br />NO OF DWELLING <br />SIZE W BLWRI <br />%IIAN�NG <br />A <br />UNOB <br />OGAR'ANCY <br />C Up <br />b0151rvu1S <br />IX:CVDANI(,I{ppppry/AAAAD <br />BASEMENT `, <br />MFCNAW.AI <br />O lOO <br />/ / � <br />DYES x <br />AOdfKWAI%A cla..CX <br />FIRESPNINaLERRE+]D <br />REASON <br />�yV) Q <br />— <br />OTHER <br />fIREIUNM FCO <br />RFABON <br />0 <br />STAIE RINL GAG 51IMN.GGE <br />.�IIVV <br />"PEW C.ONST <br />PLANS AP r <br />CITYOFEVERETT <br />PDa1r.v2+�-z <br />__ <br />✓N <br />a <br />LOCAL SALES <br />TOTAL <br />- <br />--'— <br />7 <br />DATE - �- 1 <br />TAX CODE IS 3105 <br />