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APPLICAT& FOR CONSTRUCAON PERMIT <br />CITY OF EVERETT A BUILDING DIVISION <br />3200 CEDAR STREET F EVERETT, VVA 98201 • (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: I L'ID 9, .5t L7% --L 1.. >�11 I ,I <br />owNfn — <br />uui;oDilEs's .-'"` <br />[,,, <br />.mA�•wnr <br />cuL�ef-T1-L�e <br />u�_355 544�_ <br />- <br />U brl7'QF 7}letr <br />W�RLP �1�=��I�S <br />+ <br />I <br />nxoNl <br />,[NANI <br />STD <br />I 11(MIi55 <br />310 <br />fJIY <br />/Ip <br />PIMNf <br />/��1.'J�1 <br />ANCI4r(CI OD Df51GI1fN <br />Y111 .fDDnFSi <br />LILY <br />/Ip <br />IYIfYIF <br />__ <br />NAF CONIpACfpl <br />M411gINf SS <br />Clry <br />LA <br />\n �Nr[ <br />)Ir <br />IYgVf <br />541F IIC[NSi <br />pI11YSoNG-0-1 +C1011 MpIA.E55 CITY m PN04F SIIIf (IC[NSF <br />coNrn+cl nnlcfwwanx b <br />HEATING SYSTEM: WIGAS ❑ ELECTRIC ❑ L /ST/ <br />DF 50U+n[[DGIAGEN VFn <br />DD Nt-=+NO <br />�D Nb1nJ OI!'F1ASr3eS -M L-WS77AX, <br />CONr+Cr`1 ESON ANG rIHINF NO <br />'4j-- 5 -� <br />S�}YyS/p/c 1 R�s7oCr}73r' 7u6 <br />2S-,9B3.5?.7,q <br />�Iq <br />�-L "�52—�lEiL^L'E:aAl•_�11 48 SF <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />n1101'osf ousf Or eunnNn <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />(� O <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />IJOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />I FGAI nC SLPIP11060E-11E nn VINCANN OH Ow CIA An4R CCp is <br />Im ela:x w <br />TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PRO% ISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE <br />PERFORMANCE OF CONSTRUCTION THAT i AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK <br />FOR WHICH <br />APPLICATION IS MADE AND p COMPLY WITH THE STATE <br />C <br />uxl <br />29p+ncn <br />y-6.200 WAC <br />�,•7p _Qa <br />SIGH <br />OUF <br />Cd15,nIKfIpI LOAN I FNI¢R, ESSTEIIMENOAEl1 <br />. <br />PLUMBING <br />cnYAOSINESSHCENSI NO <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT <br />- _ FEE <br />— <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />BATHTUB <br />_ <br />A2—A/HNOLG UNITS d '-- <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWERUNIT <br />KITCHEN SINK A DISP <br />HEATERS <br />CLOTHES DRYERS <br />RANGE HOOD <br />_ <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHESWASHER <br />{4ATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE (WOOD BURNING) <br />FIREPLACE INSERT (WOOD BURNING) <br />GAS FIREPLACE <br />GASRANGE <br />GAS PIPING <br />URINAL <br />_ <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />SACKFLOW PREVENTERS <br />SINK(SERVICE — BAR, ETCJ <br />EXHAUST FAN <br />SUB TOTAL S <br />SUB TOTAL f <br />PERMIT f <br />PERMIT f <br />1 5 <br />FfIO neelne <br />TOTAL FEE S <br />A <br />TOTAL FEE S <br />IRDNI SEfp6x <br />vnEAnsrimR <br />SICC S([BACK <br />PI AN OIECK NU r. <br />Ef <br />Ptf <br />DlfnPl xO <br />USE IONF <br />_ <br />ICHARfA <br />vACAn15n[ <br />❑YES ❑ NO <br />FEES <br />VALUATION <br />FEE <br />Rlp Mrx: <br />IIFIfi11111NIxIpN <br />NO Ol pwfluNG <br />IIN115 <br />SIZE DI R1OGn1 <br />rI uMAwn <br />MFIIIANICAI <br />.- <br />.. --- <br />--�-�_ -�- <br />f POGP+HCY YINI r'EIKIS <br />I'W SF11VIA En PETG <br />OCCUTANI LOAD <br />RASIMENI <br />Dns OND <br />MASON <br />ACCHMNAI RWCIYCx <br />0.Nln <br />PPE AIARMnEPO <br />pF ASOV <br />51AIf flu11W1i A*!G.w:r <br />--- -- <br />rvwlrc wDl.xA <br />—. __._ <br />:. <br />IIPI"OICpIGI <br />PIxNS ArMIDVIDGY <br />CITY OF EYERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />—------_ <br />TOTAL <br />