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I <br />APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREE I A EVERETT, WA 98201 A 257.8810 <br />❑ DEMOLITION Cl COMBINATION X OIIILDm ❑ MECHANICAL ❑ PLUMISMq ❑ SIGN <br />IPROJECT ADDRESS Z$:G Oiai4i/WD lwc,E/j s rr, Likcigzol I <br />T�� 4 L() <br />RUMBMG LpITRALTOTI WR I.DORE GTY IP "N E STATE LICENBEE <br />CONT CT FRCE a W K <br />HEATINGSYSTEM; XGAS ❑ ELECTRIC ❑ <br />ESKABE Md x SW E FOOTAGE wvMvED <br />L• Cw -Ifsa Z.,srb V asts / <br />C TACT KRS, AND NI NO <br />sE usE o<BUAwEn <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISION. 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 RED' RATING 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 VO I COMPLY WITH THE STATE <br />CONTRACT UW I8.27 fY AND 298 200 WAD. <br />X 3_27_00 <br />[Eor�tssccnrt x� pRO "ISN DEL���D ATTACH Tw�u�c'oF[SI <br />LOT BLax LSS�—N>.+.q..wEI E <br />b1Y PKJ `L <br />OF <br />PARCEL TAX I D. MARER <br />1 <br />CONSTAMIMLOANLENRR. ADpTE55 [PIIpE wmSfA <br />SI AIATWM SM DAM <br />02, s } OAM <br />GTYWSNESSLCENSETq <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 />NC — NHNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />i <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A OISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />_ <br />LAUNDRY TRAY <br />WATER HEATER <br />_ <br />CLOTHES WASHER <br />! <br />WOOD STOVE <br />_ <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTA:9 <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR, ETC) <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL E <br />SUBTOTAL f <br />PERMIT $1 <br />PERMIT $ <br />TOTAL FEE $1 <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: I I -) - OO9 D 09. 7S1 <br />FRONT SETBACK <br />a <br />REARSLIOACK <br />SIDE SEEBACx <br />� <br />IN CNECB NJMBLR � <br />Doti 3-035 <br />I <br />ioo .rIv <br />RECEPTW <br />USE ION <br />LOr APEA <br />VACANT gnE ./ <br />ons <br />FEES <br />VALUATION <br />FEE. <br />NEIDNt LIMIIAi[[pXX111 <br />(_S <br />rq Ci ONCLLM] <br />DNIIs N/q. <br />SRE Of Rml, <br />�_. <br />KIIRBINc <br />bqc Y <br />WVSTOAIS <br />CCCUPkNr LOAD <br />n.15CuN <br />❑Y[S <br />WCHANCAL <br />ADUTN PW CI'ECK <br />F s wxl[nnroo <br />nEA <br />OIt n <br />OTNER <br />f IREALAR4 REOD <br />I <br />REASON) <br />STATE BDILDAq SUR1:HARDE <br />TYPE OF ConST <br />- / <br />�' IV <br />DAIKAN <br />KILO BY <br />11� <br />1 . 1 -DO <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 5105 <br />rvBLx:w s <br />TOTAL <br />O-,: <br />