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APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT F BUILDING DIVISION <br />320G CEDAR STREET • EVERETT, WA 98201 P257.8810 <br />DEMOLITION ❑ COMBINATION Cl BUILDING I- MECHANICAL PLUMBING SIGN <br />PROJECTADDRESS 70`J` <br />¢ <br />BVJn MAIL`ADDDDRESSCITY <br />aQ KCL zp z Iv,ONE <br />zPOAD� <br />wwuE <br />PLUMBING CONTRACTOR W4ADDNESS CITY IR M NE STATE MENU • <br />CONTRAR P11s:E W' NgYt <br />HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br />DEEGNITE WORK `oD SOUME FOOTAGE M VEO <br />C010ACi PERSON AND PLIOIIE N0. <br />- <br />t1l t 2s�1`I`l33 <br />1 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 HL lE1N 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 />GWNER OF THIS PERTV TO PER. ORM THE WORK FOR WHICH <br />APPLICATIO S OE AHD I COMPLY WITH THE STATE <br />CO CRAG SLA 8.27 RCW AND 296.200 WAC. <br />PIaPDSED USE OF BVKDM <br />LEGAL DESCRRTON OF W RTY IS10Wis BELOW OR ATTACH IYIO CDPASI <br />LOT n= OF <br />P ELTAXID. MINBER <br />CDNSTHUCION LOW LE10ER. ADDRESS TELEPHONE MMBER <br />GATE <br />LILY LKISYFSSIICENSE L0 <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 />I <br />NC—AMNDLG UNITS <br />BATHTUB <br />i <br />FORCED AIR SYSTEMS <br />! <br />LAVATORY (WASH BASIN) <br />! <br />HEAT PUMP <br />_1 <br />SHOWER <br />i <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />! <br />CLOTHES DRYERS <br />DISHWASHER <br />I <br />RANGEHOOD <br />LAUNDRYTRAY <br />I <br />WATER HEATER <br />CLOTHES WASHER <br />I <br />WOOD STOVE <br />URINAL <br />j <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />SACKFLOW PREVENTERS <br />! <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />! <br />EXHAUSTFAN <br />! <br />SUBTOTAL S <br />I <br />SUBTOTAL S <br />PERMIT S <br />! <br />PERMIT S <br />TOTAL FEE S <br />TOTALFEE S <br />FOR OFFICE USE ONLY. ICM0,5-0 CC) <br />FAONTIM1 K <br />REAR SETBACK <br />AN CKECK MAKER <br />r E <br />RECEIPTND. <br />use ZONE <br />LOTAREA <br />FEES <br />VALUATION <br />FEE <br />XDRO <br />El, <br />KIGNTI.W.TATKKI <br />wo'DMIAM <br />id <br />UNITS <br />I <br />UNBRG <br />ON Y AD DF sToals <br />oCCUPAbTLOAD <br />ECHA110AL <br />g1101W.PLANCNECN <br />FRESPRIMGERREDD <br />REASON <br />OMER <br />i11EAWlY REOD <br />REASp1 <br />STATE BU4DRO6URCNMOE <br />—T— <br />TYPEo<coxsT <br />PLANS APPWDBr <br />CITYOFEVERETT <br />nmLK:WORKs <br />I <br />1 <br />LOCAL SALES <br />1 TOTAL <br />_ <br />DAM: <br />TAX CODE IS 3105 <br />