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APPLICATIA FOR CONSTRUCTON PERMIT <br />CITY OF EVERETT A BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 A257.8810 <br />N nEMOLITION G COMBINATION ❑ BUILDING ❑ MECHANICAL i PLUMBING ❑ SIGN <br />s< <br />x(Ayt16o[E D2upIT 9 tA1,A 84'� $ ClIt-q <br />/gfb <br />N95-// <br />8 <br />77S <br />8�S-7oo8 <br />TENAM <br />MNLACOPESS <br />CITY <br />IW <br />PHONE <br />MCHITECT OR DESIGNER <br />MAILADOREBS <br />CITY <br />ZIP <br />PHONE <br />r.-JCEL %�KFGlFY[ <br />Cia.AE1-Y 3a3 n6 &G Wof RCu1w <br />98 A[G <br />3Lo 73Y-zB71 <br />X GENERAL CONTRACTOR <br />MAILACOPE55 <br />CITT <br />ZIP <br />PHONE <br />STATE )SENSE• <br />MECHANICAL CONTPAtioR <br />MAR -ADDRESS <br />CITY <br />0P <br />PHONE <br />STATE LICENSE <br />PLUMBING COWBACTOR <br />WILA DRESS <br />CITY <br />ZIP <br />PHONE <br />STATE LCENEE• <br />A <br />CONTRACT PRICE OF WCNF <br />HEATINGSYSTEM: ❑GAS ❑ELECTRIC ❑ <br />DESCRIBE WORK AND SCALARS FOOTAGE BNttVEO <br />E aT.c!/vW AF IIA'6Cf /�Mnr-y /Li 6CENGNS <br />CONTACT PERSON ARE PUME NO. <br />Sr` <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 WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO DID' ATE 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 18.27 RCW AND 296.200 WAD. <br />^y 3L7 �O <br />%7%Zz45. <br />PBovosEo use a uIUNNO <br />LEG&DESCRA"NON OF PROPERTY IS ROAD BELOW CO ATTACNTVO COPIES) <br />LOT BLOCK of <br />-- <br />.PARCEL TAK Io. NDMGER <br />_ bo86 -coo - oob- 000 8 <br />Cg1SMIJCTION LOAN -ENDER ACCRESS. TELEPHONE NUMBER <br />SIGNATURE DAM <br />CITY BUSINESS LICENSE No <br />PLUMDING <br />MEChANICAL <br />NO. <br />TiPE OF FIXTURE OR ITEM <br />FEE <br />NO. I <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET )TOILET) <br />NC—AMNDLG UNITS <br />_ <br />BATHTUE <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />i <br />SHOWER <br />UNIT HEATERS <br />I <br />KITCHEN SINK 8 DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />I <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />i <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />_ <br />SINK (SERVICE— BAR, ETC.) <br />GAS PIPING <br />i <br />EXHAUST FAN <br />SUBTOTAL S <br />SUBTOTAL S <br />PERMIT S <br />PERMIT S <br />TOTAL FEE S <br />TOTAL FEE S <br />uT v. <br />FPONZBETBACK <br />BEAR SETBACK <br />SIM SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />USE ZONE <br />LOTAREA <br />VACAIASITE <br />O rEs ❑ No <br />FEES <br />VALUATION <br />FEE <br />Buuo"NG <br />HEIGHT LIMITATION <br />WDF OWELLM] <br />SNEOF BL t <br />FLUBBING <br />GROCoAREY NO Ci STORES <br />WP <br />OLCUP.WiLDAD <br />BABEYENi <br />❑YES ❑ NO <br />MECHANICAL <br />AGDITIONYPLMNCHECK <br />FOE SPRINKLER FOOD <br />REASON <br />OMER <br />FWEALARM REOD <br />REASON <br />STATE WILDING SUPERPOSE <br />TYPE DF CAxsT <br />PLMISAPPPovEoer <br />w.n <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX COOS IS 3105 <br />PueLlc worms <br />TOTAL <br />