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APPLICATIA FOR CONSTRUCT&N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 •257-8810 <br />DEMOLITION COMBINATION ❑ BUILDING I 1 MECHANICAL PLUMBING SIGN <br />PROJECT ADDRESS .-I �, <br />OMER MAk ACOPL IS CRY IN' IVO14 <br />MCNIIECT iM /M OESGWR AILACCRESS lUT ai. II-1- <br />GENF/PAL CONIRACLpI MAEACORESS CITY TP VNONE STATE LICENSE• <br />MECN•NICn C ^ MAEAGCRE55 CITY :P FIGNE STATE LICENSE• <br />PLU NO TPACTORMA4..EAS CITY IF PNOIE STATE LICL NSEF <br />7�� .: 644ti OAA ollGn/.k.,? 6 A n„PLnTnvc I,)X- gjra7:;L- <br />EGNT.IACT C N9111( - - <br />HEATING SYSTEM: ❑GAS Cl ELECTRIC h <br />OESCPREANO/IPR IJID SOUAAE FOOTAGE P VEO <br />CONTACT PERSON ANO RIWE NO <br />/V <br />I 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 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 18.27 RCW AND 296.200 WAC. <br />X-`�- <br />PROPOSED USE OF BUEDFIG <br />LEorL OESCRPTpNOPPtGPEnn ISNOWN BELOW DR AnAul Two cOREsI <br />Lot a<aK OP <br />vAPc¢uAa ID M140ER <br />CWSMUCTGN LOAN LETOER ADDRESS. TELEPHONE mmm <br />SGt1ATURE DATE <br />GTVOUEFESSUCENS W <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AC—ATINDLG UNITS <br />BATHTUB <br />! <br />FORCED AIR SYSTEMS <br />! <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />I <br />UNIT HEATERS <br />j <br />KITCHEN SINK A DISP <br />j <br />CLOTHES DRYERS <br />DISHWASHER <br />i <br />RANGE HOOD <br />LAUNDRY TRAY <br />I <br />WATER HEATER <br />E <br />CLOTHES WASHER <br />i <br />WOOD STOVE <br />URINAL <br />j <br />METAL FIREPLACE (WOOD BURNING) <br />I <br />DRINKING FOUNTAIN <br />j <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />I <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />! <br />GAS RANGE <br />! <br />SINK (SERVICE — BAR. ETC.) <br />! <br />GAS PIPING <br />I <br />! <br />EXHAUSTFAN <br />I <br />i <br />I <br />SUBTOTAL S <br />! <br />SUBTOTAL S <br />PERMIT S <br />i <br />PERMIT S <br />j <br />TOTALFEE S <br />TOTALFEE $ <br />cno ncnrc I le= nmi v. V4 nrngF- imlE <br />FRWT SETBACK <br />PEARSEMACK <br />SIDE SETBACK <br />PLANCIECKNUMBER <br />FEE <br />RECEIPT <br />USE TONE <br />LOTAPEA <br />VACANT SITE <br />❑YES nNO <br />FEES <br />VALUATION <br />FEE <br />WEOMO <br />HEIGNTLIMITAIGN <br />Tw0lywa D <br />SIIEOFBLDOTI <br />P MBWO <br />DCCDPANCY ILO CF SItOES <br />GPgM <br />OCCUPANt LOAD <br />BASEMENT <br />n rEs nTKI <br />MECHANICAL <br />ADDIIXJWLPWI WEEK <br />FOE SPRIWILER REDO <br />REASON <br />OMER <br />FITEAIARM PLOT <br />PEASON <br />STALE BVRDIN O SUPC WAGE <br />TYPE OF CWst <br />PLANSAPPPTSDBY <br />DATE <br />CITY OF EVERETT <br />LOCAL SALES <br />TA%CODE IS 3105 <br />PUBLIC IhOPKS <br />TOTAL <br />