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APPLICATIVr�! FOfFE COI�STRUCTrON PERMIT <br />CITY OF EVE'lt_ i T• BUILDINC� DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />fl DEMOLITION f l COMBINATION f-1 BUILDING `-� MECHANICAL � 1 PLUMBING f 1 SIGN <br />MAIL <br />..n <br />CONlRPCTPRICE OF WORN <br />�r� <br />OESCRI[fE WORK RND SOUA9E FOOTnGE INVOLVEO <br />OF <br />LEGAL DESCRIPTIDN OF PROPERtt (SHOWN BELOW OB RTTAGN TWO COPIES� <br />LOT BIOCR OF <br />PARGEI TAX ID. NIIMBER <br />��91' � -�='.: <br />, <br />CONSTRUCTIONLOFNLENOEF.ADDRGSS.TF.IEPHON NUMBER <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />SHON'ER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />DRINKING FOUNTA�N <br />FLOOR ORAIN <br />BACKFLOW PREVENTEflS <br />SINK (SERVICE — BAR, ET <br />SUBTOTAL $ <br />PERMIT 5 <br />TOTALFEE 5 <br />FOR OFFICE USE ONLY: <br />fRONTSFTAACK REAq SFT9ALK SIDE SETBnLN <br />USE ZOIi[ <br />HEIGIIT LIMITATION <br />FIRE ALAti�A �l[O � <br />CIiY <br />C11V <br />FEE <br />GiAi[ I�CENSE � <br />HEATING SYSTEM: f/GAS �l ELECTRIC fl <br />I HEREBV CERTIFV 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 WHETHF.R SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERIIIT DOES NOT P.7ESUME TO GIVE <br />AUTHORITv TO VICLATE OR rANCEL THE PROVISION OF ANY <br />OTHER STATE OR IOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTY TO PE OR THE WORK FOR WHICH <br />APPLICATION IS M9D M V WITH THE STATE <br />CONTqACTORS L W 18. C A 296 C WAC. <br />X �z �d�, �/ � <br />SIGNRTUPE OA1� <br />CITv BUSINE55 LICENSL NO <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT FEE <br />A/C — AMNDLG UNITS — H.P. <br />FORCED AIR SYSTEMS —� B.T.U. M E.A. <br />—i—' <br />HEAT PUMP <br />UNIT HEATEFiS — B.I.U. M , <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE (WOOD BURNING) <br />FIREPLACE INSERT (WOOD BURNING) <br />GAS FIREPLACE <br />GAS RANGE <br />EXHAUSTFAN <br />SUBTOTAL $ /� ' � <br />PERMIT 5 � � " <br />TOTAL FEE S t.? ! — <br />riar�criecKr+uMnrn _ � rEr � nFcemrNo <br />IOL AREA V�C�NL SItF YtGS <br />f I YES 1� NO OUILOMG <br />NO OF DWELLING SIIE 0� O1IX;41 — <br />����T� PLUMPING <br />OCCUP�Ni!OAD BASEMENT M[CHnNICAL <br />IIVFS �I NO <br />RFA50Y RO��IIONAL PI AN CH[CN <br />pi11ER <br />tiFnFON <br />SiNE I1111�DMG SURCHPRGE <br />ninNSarrnovEDer CITYOFEVERETT rnnncwonres <br />LOCAL SALES <br />„�,E TAX CODE IS 3105 TOia� ___ <br />- :— <br />