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APPLICAT140 FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 A257.8810 <br />❑ DEMOLITION COMBINATION fl BUILDING T-1 MECHANICAL 71 PLUMBING SIGN <br />PWMBiNGCCNTRAOTOR MAKADORESS CITY EP PHONE SIAIELICLNSE- <br />CONTRACT PRICE OF WOM <br />OprA <br />HEATING SYSTEM: GAS n ELECTRIC I� <br />DESCRIBE WORK AND6WAREF TALE IINOIA <br />L /J A/ t° • <br />CONTACT PERSON AND pt N NO <br />7 ?i <br />,fe,ao oled On e(/ /./ •/ <br />lJ <br />INwPosEDu Ef BUAD•a <br />�L/yAry <br />I HEREBY CERTIFY THAT I HAVE READ AND AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE A CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVER NG THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SP IFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT RESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE POVISION 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 1 COhI LY WITH THE STATE <br />CONTRAC S 1827 RCW ANI C DWAC. <br />(W �J� <br />% {�i <br />LEGAL OESCRm" OE PROPERTY ISHOAN BELONORATTACH TWO COPES) <br />LOT KOOK a <br />PARCEL rAKm F <br />053 a = OJO r <br />CONSIRUCTKIN LONI LENDER AOdlES; tELEPH0IE NUMBER <br />BgNA DAIS <br />QnwsvaEsaLluNSE No. <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 />A/C —AMND: a UNITS <br />i <br />BATHTUB <br />! <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />i <br />HEAT PUMP <br />SHOWER <br />j <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />! <br />RANGE HOOD <br />I <br />LAUNDRYTRAY <br />I <br />WATER HEATER <br />CLOTHES WASHER <br />I <br />WOOD STOVE <br />gP <br />URINAL <br />! <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />j <br />FIREPLACE INSERT(WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />! <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />E%HAUSTFAN <br />! <br />i <br />SUBTOTAL 5 <br />SUBTOTAL 5 <br />PERMIT $ <br />' <br />PERMIT S <br />! <br />TOTALFEE $ <br />I <br />TOTAL FEE $ <br />FOR OFFICE USE ONLY: <br />IRONTSEIBACK <br />REAR 6ElBACK <br />SIDE SETBAq <br />PIAAI I CK NUMBER <br />Coco -D)I'I <br />1-9Kam <br />r <br />NO <br />usE zoN <br />EL <br />EAI <br />a� <br />VAC NTFI O No <br />nns <br />FEES <br />VALUATION <br />FEE <br />HEM:MT iMHATAk! <br />NO OF DWELLWO <br />UMTS <br />SMEa BIMTI <br />PLUYBBKI <br />OCCVPwLv NO I57K*S <br />OCCUPANTLOAD <br />11. <br />BASEMEN, <br />ons <br />MECHANICAL <br />AODRKINAL PIAN ONE" <br />P WRWHLERREOD <br />MAKIN yI <br />OTHER <br />FNEAWIMPEOD <br />\/LTs <br />REAS l /�'C <br />47 (J�I/ <br />STATE BVEDYIE BWiCHMgE <br />TYPE OF cwIST. <br />V _p <br />awsAaSRovco er <br />i� qq <br />DALE ( I <br />CITY OF EVERETT <br />BALES <br />TA%LOCALCODE IS 3105 <br />"et Wpas <br />TOTAL <br />