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APPLICATIA FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT A BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT. WA 88201 A (425) 257-8810 <br />❑ DEMOLRION ❑ COMBINATION p BUILDING ❑ MECHANICAL C PLUMBING O SIGN <br />PROJECT ADDRESS: <br />4J-A6L %s 305 au'En .•/ // G,Av <br />erw 2E <br />l <br />94 `r<S 353 <br />- 7/3ir <br />IEMANr AA ADpq[ss <br />uTY <br />rn• <br />rIgNE <br />II // <br />AgCwi[Cr Oq pESlp//gEq M4L Aplp[s5 <br />clly <br />rlr <br />rwJNF <br />GENERAL CONTRACTOR 44l ApOi1E55 <br />CITY <br />:.1' <br />FIe)If <br />tlMlllC[NXr <br />�2t.+ `M c ✓� ri u/S - 6 -A SF, <br />iili�ln/ <br />of h <br />�C7Ts ;; <br />gS�?./2CAs <br />SZGNFi• czo/ /3 <br />A4. CAI II YII YCALCWAAig''ACIpY MAIL ADDRESS <br />TAFT <br />rn' <br />FRONT <br />STATE LICENSE• <br />PlU1RWG C0NIRA:1(Yi MAIL ADDRESS <br />CITY <br />ZIP <br />BONE <br />STATE LICENSEI <br />$ /600 2.Q- <br />C W IMCT PRICE OF NbV: <br />�✓ //nEr e1(, <br />HEATING SYSTEM: ❑/GAS ❑ ELECTRIC D <br />DESCfYPF WJ111(CDSW FIE fOOTpE NV0114D �I <br />CONinCrT / /MTD� /�Y/e�.i l�) OLZ�/LW <br />z <br />rgoros[O of Slmmla <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 />WORT( 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 1 COMPLY WITH THE STATE <br />CONTRACTORS LAWIS 27 FEW AND 296200 WAC. <br />A• �J � <br />LEGAL DESCRIPTION OF POPENry ISEMN ULM OR ATTACN1wDCOPTESI <br />101 KOCII a <br />17ZWS-3-2-13-0006 <br />PARCEL 4A 10. NIRAEEN <br />CONSTRICTOR LOAN LENDER, ADDRESS, RUIPONE MI4ER <br />SOMA— 111iE DATE <br />LI1Y MISnE55lCFN5C NIP <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR OEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />MC—AAMOLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK f DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />LAUNDRY TRAY <br />RAN3E HOOD <br />WATER HUTER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GASRANGE <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL f <br />SUBTOTAL S <br />PERMIT $1 <br />PERMIT f <br />TOTA,FEE SiTOTAL <br />FEE f <br />FOR OFFICE USE ONLY: <br />FRONT SFloACN <br />RFARSFIRACf <br />SIDE SET AAFe <br />PlANCRECNNU/MEP <br />FFF�� s� <br />OJT <br />RFF.FIPrW <br />O <br />Q <br />E/y. J?V/ <br />I fN1r <br />IOIARFA <br />vACANI SITE <br />FEES <br />VALUATION <br />FEE <br />DUld4C. <br />% ✓i� <br />�% <br />' <br />OFES NU <br />NEIGNIP4RARON <br />NO OFU IIIC <br />SIRE nlWlll <br />r11NRIVG <br />/ <br />IlNl li <br />OLCIIPANCY <br />PROOF, <br />rw IN S--ts <br />LC.CLRANI LOAD <br />SASFNf NI <br />MFCNAMCAI <br />DYES ❑NO <br />AOp11DNA1 RAN CUECN <br />-- <br />FIRE STAM PER PLOD <br />FIFASON <br />OTHER <br />FIRE AVAM PLO <br />RFASOV <br />541E IRPRONO 511nC`MRC.F <br />I YFE OF CONSI <br />RuxsA�DVEG er <br />CRYOFEVERETT <br />— <br />7_ <br />LOCALSALES <br />7o7ALNo <br />- <br />LATE <br />TAX CODE IS 3105 <br />