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/D <br />APPLICATICA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 •257-8810 <br />DEMOLITION ❑ COMBINATION n BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECTADDRESS <br />/7 IZ-Zg PUGE7- 097 rC <br />JI:NCn uAt Ap LSS city !ir 14"k <br />GKG Ion1Fs (!I!n/I/-sraRAUE.rtI�.MaRYsv�w� 98]�7liGc)1/nY!-ii�g <br />1ENANt , 4AtADDAWP 55 my hP 1 PIN111E <br />INCilInl+Ls.-r .n. er.7- /FOi+iwful<</9747 <br />C4�g4o I, <br />cormACT PRKc a WORK <br />7------ r <br />HEATING SYSTEM: )(\GAS ❑ ELECTRIC <br />DEISYC(iBE wORK ANO SOUAPE FOOTAGE NIVU\TO <br />l' IACt rERSDIIu Mq'A <br />�y2� 3yS oBG3 <br />NPC✓ �ETI/S . uc ' <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAP IE TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED W'TH .VHETHER 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 CONSTPUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATI N IS MADE AND I COMPLY WITH THE STATE <br />CONEORS LAW 1182277 RCW AND 296.200 WAC <br />reorroSED usE BmLpNo <br />-e- <br />LEGAL OL CPwtq OFPRCPCRr. ISrfOAN BELM aR ATTACH TYIC O SI <br />LOTBLCCK a <br />PATICELTAIUU. TdI'+9Ea <br />cplsauctroRLQQ vLE�$E -,ADCs ss LEv NE En <br />s o+rz —_ <br />CnYOU9 BLS LrCE NSC IA <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE Of FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FIE <br />WATER '1LOSET (TOILET) <br />AC - A HNDLG UNITS <br />BATHTL 3 <br />! <br />FORCED AIR SYSTEMS <br />FORCED AI <br />! <br />LAVATORY (WASH BASINI <br />! <br />SHOWFR <br />{ <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />! <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />i <br />WOOD STOVE <br />i <br />URINAL <br />METAL FIREPLACE IWOOD BURNING) <br />i <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />i <br />_ <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />! <br />GAC RANGE <br />SINK (SERVICE -BAR. ETC) <br />GAS PIPING <br />I <br />EXHAUSTFAN <br />I <br />I <br />SUBTOTAL S <br />SUBTOTAL S <br />PERMIT S <br />PERMIT s <br />TOTALFEE S <br />TOTAL FEE $ <br />FOR ORFICF IISF nNLY. .90017 - etc <br />P"T SETBACK <br />(o se 201 <br />REARSETTYGA <br />O <br />SSE SETBACK <br />S- <br />0 n <br />FEE FEE <br />RCCEIPTrq <br />- <br />uwZ <br />R/ <br />LOT <br />G 0 <br />vACANT SRE <br />=T D IK) <br />FEES <br />VALUATION <br />FEE <br />WEpMT <br />KKIMTl-W-YRAj�j/ <br />P i1 <br />UWIA 5 MEI <br />GUEOFBW ETI <br />4� J <br />RUPJVR <br />T <br />GOCCURPAIILY <br />C-3 <br />wotivoas <br />OOcDFANTLOAO <br />BASEMENT --// <br />OYES �q <br />YCCn4:t4 <br />AODITgNALMANCHECK <br />FRE SFFIR➢RER REOT) <br />REASON <br />OMER <br />FXIEALAT KQY[1 <br />REASOb <br />STATE BV40MA SIAKHARGE <br />1YFEOFCONST <br />Y-Al <br />rvArls AlwmvEo ny <br />DATE 'LJ <br />CITYOFEVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />PUBLC: <br />TOTAL <br />