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�� x ��c <br />APPLICATII.rI FOR COI�STRUCI ONI PERMIT <br />CITY OF EVERETi • BUILDING DIVISIOfJ � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />❑ DEAfiOLITION ❑ COMBINATION C7 BUILDING �MECHANICAL ❑ PLUMBING fl SIGN <br />PROJECT ADDRESS ,---, l, ,, � _, I I n_O <br />L.LllI <br />P W MBIN3 <br />CC1:5RACT PRICE OF WCRK <br />�311 � � 1 <br />DESCRIBE WORN AND SOUARE FWTAGE IN1'OLVEO <br />LOT <br />euaoiNG( � <br />! OF PflOPEHTY <br />— BLOCK _ <br />PARCELTAXI.D.NUMBER����_����� GI� <br />CONSRiUCT10NlOANLENO[N.RO�RESS,iELEPMONE NUMBEfl <br />PLUMBING <br />ryp. TYI <br />WATER CU <br />BATHTUB <br />LAV:�TORY <br />FIXTURE OR ITEM <br />SINK & DISP <br />TRAY <br />FLOOR ORAIN <br />BACKFLOW PREVI <br />SINK (SERVICE — <br />�' <br />Tvro coaiEs� <br />SUBTOTAL 5 <br />PERM1IIT S <br />TOTAIFEE 5 <br />cirv <br />IIP <br />ZIP PHONE STATE IICENSE x <br />ZIP PHOIJE STATELICENSEN /� / <br />fA��n�,�md ��037NE����%�TEL�ESE�/�T71�i�L, <br />HEATING SYSTEM: �GAS ❑ ELECTRIC ❑ <br />CONT�CTpER50NPNDP/CEn'�" ^��' �� ,/ <br />'S 1' ( � l <br />I H�REBY CERTIFY THAT I HAVE RFAD AND EXAMINED THIS <br />APPLICATION AND KNOW TIiE SAME TO BE TFUE AND CORRECT. ALL <br />PROVISIONS OF L.4W5 AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COtv1PLtED WIT.i WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOI.ATE OR CANCEL Ti'e 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 />CONTR C ORS LAW 1027 RC/W AND 296.200 WAC. <br />�.=�X�l�V��.��'t ��L�iC��%� <br />SIGNAiDFE OATE/ � _�� , �� <br />G<� �9� i � <br />CITY BUSINE55 LICENSE NO. <br />FEE NO. I TYPE OF 1'IXTURE OR <br />--i— A/C—AMNDLGUNII'S—H.P. <br />� FORCED AIR SYSTEMS — B.T <br />i HEAT PUMP <br />� UNITHEATERS—B.T.U. M <br />, CLOTHES DRYERS <br />FOR OFFICE USE ONLY: <br />FROM1TSETBFCK FEAB SETORCK SIOE SEipqCN <br />USE ZONE <br />HEIGMT LIMITATION <br />FIPE SPRINKLER <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE � <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />�N:Fy <br />SUB TOTAL 3 <br />PEHMIT S <br />TOTALFEE S <br />PLANCHECKM1U'AOER, I FEE I RECEIpTNO. <br />LOTAREA �ACANTSITE rcw <br />flVES ❑ NO gUi�DING <br />N0. OF DLYELLING SRE OF BLOG/TI. <br />UNITS PLUM9ING <br />STORIES OCCUPANTLOAD BASEMENT MECM�WCAL <br />❑YES ❑ NO <br />REASON ADDITIONAI PLAN CHECK <br />OTMER <br />1'� REASON <br />STATE DUILDING SURGNARGE <br />PIANSAPPROVEDBY CITY OF EVERETT °UBLIC WORNS <br />LOCAL SALES <br />,,,r� TAX CODE IS 3105 TOTAL <br />