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APPLICATIA FOR CONSTRUCAN PERMI*$6E7r <br />CITY OF EVERET7 • BUILDING DIVISIO14 <br />3200 CEDAR STREET • EVERETT, WA 98201 •257-8810 <br />DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL .? PLUMBING SIGN <br />�luldeD A _9QLLE2. +�2 EfIG`26tY A.1M1L Wk4 49tp➢ EVFrE1F <br />LN [ ru <br />TAME <br />ARCHIrECTOR DESIGNER <br />MA4AOCR[BB <br />CITY <br />ZIP 'NONE <br />IflN/i7EStIoN <br />t1ST15 OL:'P-c <br />E'duF02ANA <br />9-- Q,55 A WA 4D1DT <br />CYa') 3S29z00 <br />GENEPALCd1iRADl^? <br />MAA-ADOREES <br />CIIY <br />Zi PHONE <br />STATE LCENSEn <br />uNeAcl Yfiie <br />EoM%A:U 45-1-0 <br />(PO 8.7C <br />edJGc <br />0077- Q//A' 6HOD44Kp <br />MECHANIULWNIRACTCA <br />MA4AWRESS <br />GTY <br />ZIP PHONE <br />STATE LICENSE <br />NUMBING CONTRACTOR A4EADWIESS CITY ZP PHONE STATE LIOENSEA <br />CONTMLT PRICE WD^F-YNTIF <br />J <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC <br />OEBC�Re4 YYOR ANO$OUAREFOOTAOEINVDLVW <br />�1 !S►b✓,eL' <br />CONTACT PERSON AND NIONE NC. <br />&f4 ,.1 Auz Ii^L) 423 P"— <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDWANCES GOVERNING THIS TYPE OF <br />WORK WILL 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 1927 RCW AND 296.200 WAG. <br />X <br />PRO�PDS/c�n �U.�E1�1emLarcxi <br />� <br />LEG4MW6 PTICNa PRDPERr (51ro NBEIMOBATrACHTWOCOPES) <br />LOT BLOCK DF <br />PARCEL TAX 10. NUMBER <br />CONSTRUCTKXI LOAN UNDER. ACTRESS, TELEPHONE N)ESEH <br />' <br />ShiNATURE DAYS <br />CITY UU"E55 LICENSE Ara <br />PLUMBING <br />MECHANICAL _ <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPL OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />NC—AMNOL3 UNITS <br />_ <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />I <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />! <br />WATER HEATER <br />_ <br />CLOTHES WASHER <br />i <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />j <br />DRINKING FOUNTAIN <br />j <br />FIREPLACE INSERT (WOOD BURNING) <br />_ <br />FLOOR DRAIN <br />GAS FIREPLACE <br />Y _ <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />i <br />SINK (SERVICE— BAR. ETC.) <br />GAS PIPING <br />—r— <br />j <br />EXHAUSTFAN <br />1 <br />_1- <br />1 <br />! <br />SUBTOTAL S <br />j <br />SUBTOTAL 5 <br />_ <br />PERMIT S <br />j <br />PERMIT S <br />j <br />TOTALFEE S <br />TOTAL FEE $ <br />i <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLANCNECKNUMBER <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOTAREA <br />VACANT SITE <br />❑YE <br />FEES <br />VALUATION <br />FEE <br />W6dN0 <br />HEIGHT LIMITATION <br />NO OF DWEUUNG <br />UNITS <br />Z.�O� <br />SIZE OF BE 1. OiYI~, <br />Z <br />NEEDING <br />mpANCY WOi STORES <br />--NT LOAD <br />BA ENT `J(' <br />DYES yw <br />MECXANIOAL <br />ACCITI NILPUNCHECK <br />FIAESPRINKLERREOD <br />RFABO <br />J"{1A,'✓ <br />OTHER <br />FOE A MREDD <br />7 <br />REASON <br />$TALE BUILDING SURCHARGE <br />TYPE OF CON <br />U <br />PLNIS A,TPPROVED BY <br />Q <br />DATE <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />PUBLIC ORKS <br />W <br />TOTAL <br />