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APPLICATION FOR CONSTRUCT" PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 I257-NIO <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING Of MECHANICAL ❑ PLUMBING ❑ SIGN <br />AgGSTECT OR MS q MWADONESS CRY a g1D1! <br />r M� O�t�G►'son� arm eol9y, ze Z-!r- fL StjS3 <br />OVER IXll1T ldl LWLAOD"Ess ., COY a r N10Ta< _ tMTS llm1E[I <br />COMTMCT PR4E OF YggK <br />QOO <br />NEATINGSYSTEM: UGAS ❑ELECTRIC ❑ <br />DEtcweE wdM AND eouAgE FOOTADE RV0.VE <br />CpRACT FEgfpIAIO FYKIIE ND. K )• o <br />IO <br />POiAl / <br />A. I, <br />usE <br />eFi ca �IfON/�OAAA• <br />I HEREBY CERTIFY THAT 1 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 REOUATNG CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORN( FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 208.2W WAC. <br />LEOK mvE-;DONOFpg m" ISNDWNDELOW OR AUTNO CCPR51 <br />LOT FLOCK a <br />FARCEL TAA i D. NUMSUI <br />CONSTAUCTIDN TOM LENOER, ADOHESS, TETEFHpE MIMES' <br />$ ONAvf OATS <br />CTIY 6S LCETKE Np <br />PLUMBINO <br />MECHANICAL <br />NO. <br />TYPE OF FIIITURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUNWENT <br />FEE <br />WATER CLOSET (TOILET) <br />AA: —A *IDLG UNITS <br />BATHTUB <br />I <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />_ <br />KITCHEN SINK 8 DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />T <br />LAUNDRY TRAY <br />WATER HEATER <br />T <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />I METAL FIREPLACE (1VOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />i <br />GAS RANGE <br />I <br />SINK (SERVICE — BAR, ETC.) <br />i <br />GAS PIPING <br />I <br />EXHAUSTFAN <br />i <br />i <br />SUBTOTAL S <br />SUBTOTAL f <br />PERMIT f <br />PERMIT S <br />I <br />TOTALFEE $1 <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: rm0O4Q33 'Aq ; <br />FRONT SETEACK <br />REMSEIBACKt <br />SIDE SETBACK <br />RAN CKCA <br />FEE <br />RECEMNO. <br />USE ZONE <br />LOT AREA <br />VACANTSITE <br />FEES <br />VALUATION <br />FEE <br />❑ YEs D NO <br />HEIGHT LIMITATION <br />wOF DATUM <br />SOEd KDOT1 <br />P LIMING <br />ANDWTS <br />Y N'I C(SICiES <br />=UI µT TOM <br />IIAM&TENT <br />D <br />OYES 0w <br />AOgiFJNMiT.W CNEOK <br />FRE SMU^ER MOD <br />REASON <br />OTHER <br />FRE ALµM RED <br />REASON <br />STATE 6Ul➢M WRCTNigE <br />TYPE W CDNST. <br />FUNSAFFTpvED sr <br />CITY OF EVERETT <br />FLAKicW <br />/•- ,,, <br />GATE t• ✓ �` <br />LOCAL 9ALE8 <br />TAX CODE IS 0105 <br />TOTAL <br />ft <br />