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APPLICATII A FOR CONSTRUC'b .v:d PERMIT <br />TO BE COMPLETED IN BLACK INK —PLEASE PRINT <br />BUILDING DEPARTMENT HEATING SYSTEM: GAS ❑ELECTRIC ❑ <br />259.8810 <br />1_1 DEMOLITION <br />I I COMBINATION I I BWL^HMG <br />I IMECHANICAL 0PLUMBING I SIGN <br />DWNcn <br />Housing Authority <br />MALL ADDRESS <br />of the <br />-- <br />city of Everett <br />1,101 Poplar <br />Everett 98201 258-9222 <br />TEIWft <br />MIL AOONESS <br />CT' <br />ZIP <br />p11CME <br />AI1CWtECigr OESIGNEfl <br />The Dykeman 1602 <br />IMLAOME55 <br />Hewitt Ave Everettm <br />�96201 <br />Pr10N <br />2%9-3161 ' <br />6ENEIULCp1iMClg1 <br />IM4ADWIE55 <br />P98108 <br />Yun's Co, Inc. <br />1600 So, <br />Graham St.�ry Seattle <br />7641 01-10 YUNSCI 097CD <br />MECNANICALC I1 TOA <br />.&ADOM <br />CITY <br />N <br />PIgME <br />Same as above <br />V It LICENSE. <br />PLUMBUKICDNTWTOfl <br />uAa ADBntss <br />cm <br />zw <br />PHONE <br />Same as above <br />SATE IaENu. <br />❑ NEW <br />❑ ADDITION I I ALTERATION I I REPAIR I I DEMOLITION I I WOODSTOVE/FRPL INSERT 1.1 BUILDING RELOCATION <br />coNrncT PERSON AND PrKXTE rro. <br />cGNrnncr rnrE OF vmnK <br />BEWRNE MYB( AND SOIIME FOOTAGE N Ka <br />PnoroscDusEVBuanwD <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 <br />LEGN GEscnwTKw DFProrExrvlslwwrmlow an AnncuFwn uX•IEsI <br />LOT BLOCK OF <br />OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS 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 WAC. q <br />ZnW�) <br />TMIECTABDnLSS <br />1421 Larch <br />sK.MIMIe <br />MR.K. sL.rNM M� <br />PLUMBING <br />MECHANICAL <br />ND. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />WATER CLOSET (TOILET) <br />WC—AMNDLG UNITS—H.P. <br />FEE <br />BATHTUB <br />FORCED AIR SYSTEMS—D.T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />UNITHEATERS—B.T.U. M <br />SHOWER <br />CLOTHES DRYERS <br />LF <br />KITCHEN SINK & DISP . <br />2 HOD <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />— —�— <br />TRAY <br />WATER HEATER <br />C <br />CLOTHES <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIr,.PLACE&CHIMNEY <br />--^— <br />DRINKING FOUNTAIN <br />FIREPLACE 114SERT <br />FLOOR DRAIN <br />HEAT PUMP <br />DACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF GRAINS—MINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE —BAR, ETC.) <br />, <br />SUBTOTAL S <br />SUBTOTAL S <br />PERMIT $ <br />Qq I pp <br />PERMIT $ <br />TOTAL FEE $ <br />TOTALFEE $ <br />IA: JA <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK <br />RENT SETOACN <br />SIDE EETBACN <br />PLANCHE"NUMBER FEE <br />TIECEPT NO <br />USE ZONE <br />LOT MEA <br />VAGWTILTS <br />FEES <br />VALUATION <br />FEE <br />IYR MCBNI4 Nl0WABB <br />1YR BF COI45T.NTBI <br />omwn nvMXUNLIMIs <br />LMI <br />BUILDING <br />PLUMBING <br />- <br />SIZE OF BLOG. <br />IA).OF STOVES <br />BASEMENT <br />MECHANICAL <br />OCCUPANCY LOAB FInE SPA -LEAS REGD IIEK ITWITATM <br />ADDITIONAL PUN CHECK <br />NELSON FOB SPBMKuns <br />SPRINKLER <br />STATE BUILDING SURCHARGE <br />—ram <br />INTAKE BY PIANSArPROVED B, CITY OF EVERETT <br />LOCAL SALES <br />PUBLIC WORKS <br />TAX CODE IS 3105 <br />TOTAL <br />