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APPLICATI�..�1 FOR CONSTRUC7.ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />f-1 DEMOLITION I 1 COMBINATION I-I BUILDING Xl MECHANICAL f l PLUMBING f-I SIGN <br />PROJECT ADDRESS <br />� - �/ � �/ �r,:%�Tl 9�P�/ <br />OESIGNER <br />CONTRACT PRICE OF <br />OESCRIBE WORK AND <br />OF <br />LEGR� <br />�or _ <br />coNsrnucnoN <br />MAII. ADPRLSS <br />MAIL AU�fiL55 <br />M�IL ADORFSS <br />� <br />' PROPERTV (SHOWN BELOW Ofi <br />BLOCI( OF_ <br />TELEPHONE NUAIBEfl <br />PLUMBIN6 <br />NO. TYPE OF FlXTURE OR ITEM <br />WATER CLOSET ITOILETI <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK (SERVICE — BAR. ET <br />SUB TOTAL 3 <br />PERMIT S <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />FRONTSETBACN REr1R SETBACN <br />USEIONE LOTAREA <br />HEIGHTLIMITFTION NO.OFDWEWNG <br />UNI7S <br />OCWP�NCY WJOPSiqiIES OCGUPANTLO/0 <br />R[ASON <br />C17V <br />u�r <br />LITY <br />l'IIpNE <br />HEATING SYSTEM: �GAS ❑ ELECTRIC CI <br />CONTACiPER50N/�NDP110 ENO !Y <br />� . :�1 /-'/ ��il//. .�i 2� �i � r ��/ � <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 LAb'd5 AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE CUMFLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRAN11Pi3 OF A PERMIT DOES NOT PRESUME TO OIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROV�SION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF C RUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PER Y TO P ORM THE WORK FOF WHICH <br />APPLICATIO S MAD�AN�OMPLY WITH THE STATE <br />CITV BUSINE55 LICENSE N0. <br />MECHANICAL <br />FEE NO. TYPE OF FlXTURE OR ITEM <br />� A/C—A/HNDLGUNITS—H.P. <br />; FORCED AIR SYSTEM �T.U_I <br />� HEAT PUMP <br />' UNITHEATERS—B.T.U. M <br />� CLOTHES DRYERS <br />� VENTILATION FAN <br />; RANGEHOOD <br />� WATER HEATER <br />' WOODSTOVE <br />� METAL FIREPLACE (WOOD BURNIN� <br />� FIREPLACE INSERT (WOOD BURNI� <br />; / GAS FIREPLACE <br />� GAS RANGE <br />' GASPIPING (pa� <br />i E%HAUSTFAN <br />SIDE SETBACK <br />V�CAM SITE <br />IlVES fl NO <br />PLAN CNECK <br />OUILDING <br />SIZE OF BLOGRI. <br />PLUMOING <br />BASEMENI MECH�NICAL <br />f7YE5 f7 NO <br />ADOITIONRL PLAN CMECK <br />OTHEP <br />STRTE OUILDING SURCHARCE <br />CITY OF EVEREIT �ueucwonKs <br />LOCAL SALES <br />TAX CODE IS 3105 ioiA� <br />FEE <br />SUBTOTAL 5 ,�Q ; <br />PERMIT S /S � <br />TOTAIFEE $ � <br />FEE RECEIPTNO. r <br />\ <br />