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APPLICATA FOR CONSTRUC&N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT. WA 98201 • (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION R BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />l;N1N1 Mµ ADDRESS rjlY )V PHONE <br />.M.IrCt OR DESIGNER MYI ADDRESS ciY RP 11 )11 <br />PIUMBING CONTR.ftp1 Mµ ANAPESS OtV ZIP PHONE STATE IICENSFI <br />coumACT PRICE or ylORK S7 <br />HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br />DESCRIBE -ZABs5C 2MVIXVTa I <br />lTll U <br />CON fl$ONAV SrY-o�Y� <br />p�,a (A sl <br />E TX-- <br />I HEREBY CERTIFY THAT i HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 HCW AND 296.200 WAC. '//� <br />X�..,.. ) I -, �o /T/79 <br />rJ--Y� <br />PIgIDSEO D$oF BIIILpN(1 <br />LEGAL DESCRIPTION OF PROPERTY ISHOAR MLOW OR AUADN*WD CONESI <br />LOT- 13 BLMA 1Ord! LPT OF I4AME N-M <br />YTCCu2DvN6 '1.R1i' �WEREOL�iCOR-IDQO (�1 (O <br />c I <br />OF �7RCE SL} SCIOhDM1ENCp. a�. a111 <br />pnncEt uxlo mluB[n 1 1—�— <br />4iCSr_n �4EEENoFMAINE" 01 <br />conslnucTlON LOAN I ruofn .omcss. TELErNa+E NuuBrn <br />Nto... os" <br />f�- <br />S:GNA (�&y�4Z DAIE '-7— <br />arr WJvNF SS LICENSE 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—A/HNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />_ <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK 8 DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />W&INSEAT <br />URINAL <br />MECE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIRERT (WOOD BURNING) <br />FLOOR DRAIN <br />GABACKFLOW <br />PREVENTERS <br />GASINK <br />(SERVICE — BAR, ETC.) <br />GAEX <br />SUBTOTAL $ <br />SUBTOTAL S <br />PERMIT $ <br />PERMIT S <br />TOTALFEE S <br />ItOTAL <br />FEE S <br />FOR OFFICE USE ONLY: <br />FRONT WTMCN E <br />TO <br />READ SFTBACN / <br />20 <br />SIDE SF IB;5K <br />/� <br />AANCHECANIA.M. <br />IFF i= <br />G <br />MCFIP1 NO <br />I'm ZONE <br />�I <br />IGUREe <br />VW - <br />vADANI y1E <br />DYES TID <br />FEES <br />VALUATION <br />FEE <br />BUIMNf. <br />•—_ <br />_ <br />3E7�yT9 <br />'.✓ <br />MKINTIPARA.TIIONN^ / <br />S 51"C A""�-- <br />NO OIO Lt1NG <br />SIZE OF BLDUTI <br />L••JRAJBFA.FNI <br />OPCCQIWMANCY NJ MSIryOES <br />Cu..( I <br />COMPANI LOAD <br />DYFS <br />MFCNANN:AI <br />AMIGA.. RµCIgCK <br />i <br />FIRESNPIR(URREOD <br />MASON <br />OUNCE, <br />FIRE HARM RED <br />MAFM <br />SUIT FR RDING SIIRCNARGE <br />trTK Or I:GNcr <br />"ANSAPPPOVED BY <br />GAZE -7 <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />nmur. NoPH, <br />TOTAL <br />----- <br />