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APPLICATItR FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT P BUILDING DIVISION <br />3200 CEDAR STREET IF EVERETT, WA 98201 • (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL A PLUMBING ❑ SIGN <br />PROJECTADDRESS: 1%.ev- TIA AA,T11 lPteC 0 9a <br />rENNNt MN AGGI a" )IP mciff <br />KFt lows — <br />AnCMiTCt On DEVGDEA ESS CITY IF 'NONE <br />GfNENA 117 -CSIMcrvic—esM--It IAvWcnE. SS P U. CITY "IIP MgNE STATE UCENSF <br />BAX 73391 PIP " 9&93bMECHANICAL CONTRACTOR VAILAWRFSS clry }IE • <br />STATE LICENSEE <br />PIUMBMGCOIIIRACTGF wit AIDRESS CITY lip PHONE STAFF FICENSFI <br />I..: II.-T, . AA''A.' IN, Ifii,Z6 LlGdA d,Y,IAA Ll.ti Int nei FAMI gWa7 '776-8637 I✓_rL_LrAr /440 <br />CONAACTM OT%NonR <br />3 ],a '• P <br />Dm <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />DESCRIBE ADAK AND FOOTAGE MVOIYEO <br />CONrAcr vfnsON.M PHONE Hp <br />' I AwlePInS-775-457-7 <br />P(wMb; VA-9 <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW TIIE SAME TO BE 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 />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 />CONTRACTORS LAW <br />� IR 27 RCN' A`ND 296.200 WAC. <br />(�$M4PNQ .KC /GT5 G��j''1 <br />MNOPOSFDt Fa aFynvnD' <br />t\0. <br />r <br />LEGAL DESCRIPTION OF MOPEnTY ISTOMN SELON OR ATTACH TING CORES) <br />LOT BLOCK Of <br />E EL EM IG NUAIDER <br />CONSTRUCTION LOAN I ENDED. ADDITESS. TELEPHONE NUMBER <br />51G Ar DE DATE TTT <br />01�JrI <br />OOY BUSINESS LCENSC NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPEOFEOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C —AMNDLO UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />-+ <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK 6 DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />_ <br />URINAL <br />METAL FIREPLACE (WOOD SURNI ) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BU ING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL $ <br />SUB TOTLL S <br />PERMIT S <br />a0 IOD <br />PERMIT $ <br />TOTAL FEE S <br />D <br />TOTAL FEE $ <br />FOR OFFICE USE ONLY: <br />I PONi SFTpACN <br />PEAP FFIBACR <br />$If1E 5f IBACR <br />PLAN C11fCM NUNifP <br />fEf <br />PFCFIPi NO <br />LA rONF <br />IOTAREA <br />NACANTSIIE <br />FEES <br />VALUATION <br />FEE <br />eulPwf: <br />O YES D NO <br />IIIISNIFinnArION <br />NO OF MLUNG <br />SIZE OF BLIXI <br />"NI'S <br />PINMBMO <br />IKCNOPPANCY <br />NOON SIM.IS <br />O:COPANI LOAD <br />BASFNfNI <br />MFCNAMC.AI <br />_ _ <br />O <br />I <br />OYf4 ONO <br />AOp11l1NA1.M1ANCIYCR <br />— <br />I FE SNXNIGER Pi <br />Pf ASpN <br />DINED <br />AE AAPM RED <br />PFASOV <br />SIA! BIAIOMG SI DICNAnOE <br />IYPE OF CONII <br />FIANSAPINIONEDOV <br />CITY OF EVER ETT <br />Mlnl r. wDNRs <br />LOCAL SALES <br />- <br />TAX CODE IS 3105 <br />TOTAL <br />DATE <br />