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APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT A BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT. WA 98201 A (425) 257-8810 4m <br />f-I DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />17:TPdTX+i1 <br />nP <br />�� FSCOVII L..0N5'/Y-E.)f'F)OFJ 1"/t+ tlll'Yf�KT W" .> 4i1jL(,G _fT)IIT F w—IGZ`r <br />A`ILGnMFG�I OR F%L�_Nrn uul lIXMr ss CITY !m rQY r <br />s-11•ED3C—�iAl%CIJLTIO/,% �020 a'EAiDGr (,�1,r1�-�*�c� 118/g Ll zG1eL-%7-Fi-,S'LD� <br />O(NERU CONN ICIOn M41 AOfME SS CITY hr r, <br />MECHANICAL CONFFACIOR MAIL MITI CRY IIr MIONIF STAFF LICENSE <br />PInMRINGCONTNFClp1 MAIL MITI an 9P PNONr STAFF nCENSF• <br />CONING, rInCF R <br />HEATING SYSTEM: O GAS ❑ ELECTRIC ❑ <br />MK WRF Wlnx Ann SOILAPi'COME NVOIVtO <br />Q ¢r11F11_riVR Xl i�f7L 1 NT'fJtl <br />OlL i/p <br />"C"On , "'Y"On Ann ". NO <br />fit AS,#r ZF 11 <br />Fr10MV OUSE OF RIPLDINIO <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 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 I COMPLY WITH THE STATE <br />CONTRACTORP LAW 182 AND 296200 WOAC <br />(' ZK g8 <br />LEGAL GESCnIPTIGN OF PROPEPTY ISNOA,N BELOW On ANACH TSAO COMES) <br />LOT SLOCK a <br />PARCEL TAAI O KATITI <br />cd.isnCTAI 10AN 1EM1Fn. AGTA,rss TELEPHONE NNMRFF <br />. ,NAIMF OAT <br />CITY ROyKSS L,CFNSF 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 />VC-ATHNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />I <br />UNIT HEATERS <br />_ <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 />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GASRANGE <br />SINK (SERVICE - BAT, ETC.) <br />GAS PIPING <br />EXHAUSTFAN_ <br />SUBTOTAL S <br />SUBTOTAL 5 <br />' <br />PERMIT $ <br />PERMIT 5� <br />TOTAL FEE $ <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />FRONT VTRACK <br />PrAn BEFNCM <br />POESETRACT, <br />IYAN CIIECP NUMRfR <br />tfi <br />RECEIPT NO <br />ME PONT <br />LGUFTFA <br />VACANT SOL <br />FEES <br />VALUATION <br />FEE <br />�— <br />OyEs O No <br />Dn Mf• eN <br />I,FIONI IIMIATNIH <br />OF OWEELINO <br />NOMCA <br />SITE OF NOGN, <br />MIIMX� <br />UCCIMINCY <br />Pn r <br />Ip fn YllV.fS <br />OCCINANI LOAD <br />RASIFMEN, <br />MiCNANFJI <br />OFFS ❑ M <br />AGOLIGNAI MAN CHf CK <br />' <br />i-- <br />FINE SFRINAIFP ngl) <br />nr ASON <br />OOKP <br />FINE AIA1MA Rk0'0 <br />IFAFDV <br />STATE RIFIGMI: RIInCIIAKM <br />—_ <br />q <br />TYPE OF r.ON<T <br />rLAN in Dr <br />CRY OF EVERETT <br />nrnnr. NO. <br />LOCAL SALES <br />GATE <br />TAX CODE IS 3105 <br />TOTAL <br />`JLJ <br />