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APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT •BUILDING DIVISION <br />0200 CEDAR STREET • EVERETT, WA 98201 • (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />ADDRESS: <br />CITY <br />nr <br />Im <br />CCAIERAC1 PRIGS V VA)AK I <br />Zsnov - <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />bFBCR:BF D SOWREHIGI Emvd p �� / <br />Zli <br />_ _ <br />CCArTACI soq V/.NRMKINF�N Zo6- 730 - 9228 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRITE 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 OPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICAT IO MADE AND I COMPLY WITH THE STATE <br />CONT O LAW Ip WAND 296200WAC. <br />X C/ /� �- 9 <br />VGNn RE ATL <br />vawrosFo.rsE of BundNo <br />LEGAL ISMIAPTIJ GF PROPERTY ISHGMN BELOW GN AIIACH TWO COPES) <br />LOT BLOCK a <br />-- <br />PARCEL MRID NUMBER <br />G STRUGTIONIOANHE A N%IRESS.IEICPIIdIENUMBER <br />CGY BUSINESS LICb6E NO <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />MC—AMNDLG 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 />_ <br />WATER HEATER <br />_ <br />CLOTHES WASHER A <br />WOOD STOVE <br />URINAL <br />METAL FIR F. QD BURNING) <br />DRINKING FO N <br />FIREPLA ERT QOD BURNING) <br />FLOOR DRAIP <br />GAS FI P OE <br />BACKFLO REVS T S <br />GAS AN <br />SINK (SERVICE —. A .ETC.) <br />GA PIPI !G <br />EXHAUST FAG <br />SUB TOTAL S <br />SUBTOTAL S <br />' <br />--� <br />PERMIT $ <br />PERMIT S <br />TOTAL FEE S <br />TOTAL FEE $ <br />FOR OFFICE USE ONLY: <br />FRONTVTRAfK <br />BFAG VISACK <br />SIRBFISCR <br />MAN CN RNU�FIA <br />L�J // <br />tFF <br />OFCFIPI NO - <br />Ilse ZIH? <br />IOI ANFA <br />vACnrn WE <br />DIES D NO <br />FEES <br />VALUATION <br />FEE <br />Bdldxr. <br />IIEIdJ IIWA110V <br />NO OF MELLING <br />IINIIS <br />SIZE OF BIOGRI <br />/RFV � <br />AVYRmf. <br />-- <br />I <br />.._. ._ <br />GLI:1 nAY.:� <br />ON <br />Yl n .11Rle <br />CVPANI IVAO <br />Q <br />-J <br />BASF4EN1 <br />DYEs NO <br />4FI:NANIf:11 <br />nOd11GNAI FI W OKLn <br />.— <br />FIRE SPR�FN RFOD <br />RFASGY <br />MIT. <br />WE ALAW PLO 0 <br />Aii <br />BFASOV <br />Slml Bun GoI: slmcliAmE <br />TYPE FN calsl <br />,, <br />InANS Ar q¢o Br <br />DAI " ,S - f f <br />CRY OF EVERETT-- <br />LOCAL SALES <br />TAX CODE IS D705 <br />TOUL <br />> : %5 <br />