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APPLICATIA FOR CONSTRUC*ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201-257-B810 <br />❑ DEMOLITION Cl COMBINATION ) BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />(PROJECT ADDRESS IOo� 1 t.I�a �I✓C C_.�r�,1 WA Zo,2 I <br />Cp T1 TMC aE 14C(U <br />- <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />I�SLPBI KANp EAEtOTAGE <br />LL ltl� - <br />Iit�1G(n <br />C ACT PEPSp1 AlID <br />r�� <br />Nv%,,- SlQ1r7Ll <br />_ 4 _ <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 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 OMPLY WITH THE STATE <br />XONTRAO ,RS 18. RCWA D 6.2DO WAC. <br />(//� 1 <br />PPDPos¢o EOF BuuuuAT <br />�- <br />LEGAL DESCBPi aPROPERTY J9 BUM ORATTAOX IDABOORESI <br />LOT BLOCK OF <br />�,�I.� <br />Q <br />rARc fAK 10.FuuBEP <br />_I <br />110N IANFLEME0.AIDRESB.IELEPIKN2 MILBER <br />SgNANRE V DATE <br />CITY BULNESS 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 A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />i <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />I <br />GAS RANGE <br />SINK (SERVICE - BAR. ETC.) <br />GAS PIPING <br />EXHAUSTFAN <br />( <br />I <br />1 <br />SUBTOTAL <br />S <br />SUBTOTAL S <br />PERMIT <br />$ <br />PERMIT S <br />TOTAL FEE <br />5 <br />TOTALFEE $ <br />i <br />FOR OFFICE USE ONLY: <br />FRONT SEWCK <br />ZC� <br />PEAR SETBACK <br />2 O <br />SIDE BETD.F <br />S <br />PL.W CHECK—BEA <br />Ff.E `7 <br />`I- <br />RECEIPT NO. <br />USEION <br />LOT MIA <br />Y (SITE / <br />D YfB f1F10 <br />FEES <br />VALUATION <br />FEE <br />BUILOW. <br />NEGHT LWIiAi <br />wcfDV/Cu1N] <br />= UNITSPLUMBING <br />suEaNpDrtL <br />i <br />OLCUpANCY KG OF 61O S <br />3 <br />OCCUPAMLOAO <br />BASEMEN <br />DYES NO <br />MEGAN <br />ILMTdNLPLAK CHELK <br />FKiE SPRHALLEfl PEOD <br />REASON <br />OTHER <br />FREAI MREOO <br />fluA <br />STATE BUApNO SUPCNMIOE <br />TYPE OF COMST <br />— F / <br />/V <br />PLANSAPPI DBY <br />OATe <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />IVBLK NGPKS <br />TOTAL <br />