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APPLICATIGN FOR CONSTRUC"ON :PERMIT <br />CITY OF EVERETT A BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 •257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ,B-§ICN <br />PROJECTADDRESS <br />1/06 St �vuo(�' Marc w1y s ./� d loz <br />OWNER MNLAWPESS' I CITY 'LV e,vwc <br />PLUMBINGC IMoTOR MAXADDNESS CITY 7P RIONE STATE UCENSE0 <br />CONTMCT PRCECP WOIU( <br />HEATING SYSTEM: ❑ GAS O ELECTRIC ❑ <br />DESCA118E KANDSWAPE FDOTADE BM1'OLYED <br />Cd1TACT PEPSONANO PNONE NO. <br />77 6' 853J- <br />PROPOSED USE DF BURUINO <br />I HEREBY CERTIFY THAT 1 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 AUTH'RIZED 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 LA 18.27 RCW AND 296.200YAA07- <br />LEDN.oeuRIPTION CIFPROPERr ISNOMMeELow OF nnnulTwo conEsl <br />LOT SL= a <br />Sl L ' c / .v <br />72 <br />PARCEL TM I.D. MIMBF.P <br />PANSTIIUCTION LOAN LENDER ADDRESS. TELEPHONE NUMBER <br />-� DATE <br />oz47 $G <br />Cltt BUSWF55 LK:ENSE N0. <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—A/HNOLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY IWASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />j <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />_ <br />URINAL <br />METAL FIREPLACE IWOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />1 <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />i <br />SINK (SERVICE — BAR, ETC.) <br />GAS PIPING <br />I <br />EXHAUSTFAN <br />SUB TOTAL S <br />SUB TOTAL S <br />PERMIT S <br />PERMIT $ <br />I <br />TOTALFEE S <br />TOTALFEE $ <br />1 <br />FOR OFFICE USE ONLY: <br />FRONT SE CK <br />REAP SET / <br />SNE 5EIBECS <br />PLW CHECK MIUBERM <br />FEE <br />RECEIPT W, <br />us oNE <br />- <br />Lor E <br />vADANr MTE <br />DYES <br />FEES <br />VALUATION <br />FEE <br />11EpNT LIMITATION f <br />NO <br />UNItS <br />SUE OOM F BLI <br />PLUMBWO <br />_ <br />i <br />CCUp IXI6 STORES <br />CCCUPAN LOAD <br />BASEMENT <br />OYES D NO <br />uECIWMII, <br />FIPESPAINXLEAREOO <br />iIEASON <br />ADDRIONNPLWWECX <br />_ <br />OMER <br />FWEALARM SECT) <br />REASON <br />6TAIE BUtlDINO6UgCHMOE <br />/SG <br />TrPE OF wNsr. <br />FUNS APagovEo or <br />DATE <br />CITY OF EVERETT <br />LOCAI SALES <br />TAX CODE IS 3105 <br />PUBLX:wamS <br />TOTAL <br />3 <br />— <br />