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APPLICATA FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT A BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT,1 91 A i4,75) 257-8810 <br />] DEMOLITION ❑ COMBINATION ❑ BUILDING *I,-CHANICAL ❑ PLUMBING ElSIGN <br />PROJECT ADDRESS: I,/OP- SC [,'7 AJ <br />GENERA CONTRACTOR uen ADDRESS all ]IP "NONE cM1OL LICENSE <br />IM F <br />CW TPACf PMCE OF <br />HEATING SYSTEM: ❑ GAS OELECTRIC C <br />GESCNK W�J[RNIAQNG/ SCfI FOOTAGE NVIXVED <br />CONTACT PLRSON AM PADRE NO <br />— <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO DE 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. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />01 HER 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 -OR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18 27 RRCCCWW AND 296.200 WAC / ^f <br />IAGrrosFG USE OF RAIDING <br />LEGAL DESCRIPTION OF PACPEWT ISHOWN BELOW OR ATTACH TWO COAESI <br />LOT BLOCK GE <br />PARCnI TAX IQ NuNBEn <br />CONSTRIICIIOH LOAN I(Mfn. ADMESS. MAEDgNExWBfn <br />9GNAN1iE OAT[ <br />CITY BUSINESS MENX NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C—AMNDLG UNRS <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 />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />I FIREPLACE INSERT (WOOD BURNING) <br />_ <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR, ETC.) <br />GAS PIPING <br />EXHAUST FAN <br />SUBTOTAL $ <br />SUBTOTAL S <br />PERMIT S <br />PERMIT S <br />TOTAL FEE S1 <br />TOTALFEE $ <br />FOR OFFICE USE ONLY: <br />FRONTSFIMCM <br />AFAR SFIOACN <br />SICE SFIMCK <br />PlANC11E[R/MIURER OI\ <br />/IMF <br />FEE <br />F IPI NO <br />VL ,t <br />IISE Z04F <br />101 AREA <br />VACANT WE <br />FEES <br />VALUATION <br />gORDM <br />_FEE <br />T <br />G VFS ❑ M <br />11EIG11111MI1A1gN <br />MdOWERIM <br />SIZE OF BLOOM <br />-- <br />I <br />IIN115 <br />g114RIM <br />OCI:LNANCY <br />nWP <br />NO N SNWEF <br />IX:CWANI III <br />WMANIC.AI <br />_ <br />G YFS ❑NO <br />- <br />ADDIRWN. FTANCNFCK <br />— -- <br />I <br />i <br />FWESIRINKLERREOM <br />NP%W <br />O1NER <br />FIRE ALARM RAO0 <br />TEAS" <br />S41F BUILDING s,m.AnGl <br />I roFFx l:wlfl <br />PLANSANHAI Br <br />CITY OF EVERETT <br />IrlRl r. woRK< <br />-- <br />LOCALSALES <br />— <br />TAX CODE IS 3106 <br />TOTAL <br />DAIE <br />