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APPLICATICS FOR CONSTRUCTON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257-88'0 <br />rI min nimr. ' I MECHANICAL I-� PLUMBING -- SIGN <br />J DEMOLITION a uvrI L-- -- — <br />PROJECT ADDRESS S Ja o 3 <br />75-e9 tfrGHlaaP D? �✓EiP�TT lI/�, <br />CITY <br />ro•u <br />u.n Almlxs <br />MELNANILKCON1RACiOR MA4ApBRE55 <br />LIZY ZIR RME STAEE LCFNSE• <br />RWBINO CONTRACTOR MARAOORESS <br />LRY IV' PNOI£ SLATE LICENSE• <br />coNTluc*"RCE LF wa+N <br />HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br />Ix:scgreE vroRN ANo swME FoorME Brlavco <br />CONTACT FE RSON.WD RgNE W <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 ORORIANCES GOVERNING THIS TYPE OF <br />moFosEn USE OF BunO910 <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />LFOU TxscRalgNa PNOIhRrr lsrlown Bnow OR AnAal two COR[BI <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />LOT WOCN a <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION, THAT I AM AUTHORIZED BY THE <br />C WNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />n <br />d B <br />7PPLICATION IS MADE AND I COMPLY '.PITH THE STATI' <br />A1) DOv <br />:ONTRACTORS LAW I0.27 RCW AND 296 ZOO WAC. <br />ZFkEL T"IOMMBER <br />CONSTP;E NLO LEN A AEOFEn. TELCPNOIff NUMBER <br />X <br />LNRE DAtC <br />CITY BUSINCSS LICENSE NO _ <br />MECHANICAL <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />N0. <br />TYPE OF UIPMENT <br />FEE <br />NO. <br />0.'C—AMNDLG UNITS <br />' <br />�— <br />WATER CLOSET (TOILET) <br />FORCED AIR SYSTEMS <br />BATHTUB <br />HEAT PUMP <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS <br />i <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK A DISP <br />I <br />— <br />DISHWASHER <br />RANGE HOOD <br />i <br />LAUNDRY TRAY <br />L <br />WATER 1/EATER <br />WOOD STOVE <br />CLOTHES WASHER <br />METAL REPLACE (WOOD PURNINW <br />, <br />I <br />URINAL <br />FIREPLACE INSERT (WOOD BURNING) <br />DRINKING FOUNTAIN <br />GAS FIREPLACE <br />FLOOR GRAIN <br />GAS RANGE <br />BACKFLOW PREVENTERS <br />SINK (SERVICE — BAR. ETC.I <br />GAS PIPING <br />� <br />_ <br />EXHAUST FAN <br />1 <br />SUBTOTAL S <br />SUBTOTAL S <br />i <br />PERMIT S <br />PERMIT S <br />I <br />TOTALFEE S <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />iRONT SETBACK <br />USE ZONE <br />REAR SFTBAGt <br />IOTMEA <br />SLJE SEiB.CK <br />VACMrSITF <br />❑YEB lI NO <br />RRI�{LLCN�[CfK1IN�UGC <br />W WLL� <br />FEE$ <br />FCC <br />VALUATION <br />RCCFlT NL <br />FEE <br />WEMN] <br />NEX:NI IIYnATX1N <br />NO OF DWElIM3 <br />UN19 <br />SIZEOFWOO7T <br />BOMBING <br />LCLUPANCY <br />NJ UF51]RES <br />OCCUPANT LOAD <br />mum"IE <br />MECNANKK <br />App11N1NAL IY/N GIFCN <br />ORgIP <br />OYES ONO <br />TYIE SPRI.LlR REOO <br />REASON <br />onrtn <br />STAIEWILIMAiSMCIMRGE <br />RSLYC ORS <br />T <br />1 - <br />FTIEAWIMREOO <br />IIEASON <br />RMSAIO..III CITY OF EVERETT <br />TYItaC ST <br />TOTAL <br />LOCAL SALES <br />DAM TAX CODE IS 3105 <br />