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APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT P BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT WA 96201 •257-8810 <br />G DEMOLITION k COMBINATION n BUILDING ❑ MECHANICAL F7 PLUMBING C SIGN <br />L <br />CONTRACT PRCE OF WORA <br />lSA'7 <br />HEATING SYSTEM: l GAS ❑ELECTRIC <br />DC PiB[w0 KANDOT BWE FOEINV0.VED <br />Ike-va� Hwr-l��nai cstJ�, <br />�t /tkar <br />Ct PBON AN P NC Iq <br />PE,- <br />t <br />yz� zio- <br />AT <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 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 THE <br />PERFORMANCE OF CONSTRUCTION <br />ON THAT II AATING CONSTRUCTION AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MP i( AND I COMPLY WITH THE STATE <br />CONTRA ORS LAW 9. PCW AI D296.200WAC. <br />x <br />s[o sE OF BanrnFq <br />LEGALceslcRII OFPPooEPn lsw u BELOW ON A"ACH TWO COMES, <br />LOT/4// t�eLOCnr�jan <br />CQ - <br />ELIAxm NuvoER <br />�i 3 S / o/ S=o 6n 9 <br />CONSI.XT.1 LOAN LENMP-W.ESS. TELEPHONE NVU.EP <br />ON OAIE <br />71IBDSu SS LI111E1. <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />FEE <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT FEE <br />WATER CLOSET )TOILET) <br />A.C—AHNOLG UNITS <br />BATHTUO <br />I <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />) <br />SHOWER <br />UN EHEATERS <br />KITCHEN SINK X DISP <br />CLOTHES DRYERS <br />_ <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />i <br />WATER HEATER <br />CLOTHES WASHER <br />{ <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />I <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />I <br />GAS RANGE <br />SINK (SERVICE —BAR. ETC) <br />GAS PIPING <br />IT <br />EXHAUST FAN <br />1 <br />SUBTOTAL <br />$ <br />j <br />SUBTOTAL $ <br />PERMIT <br />$ <br />PERMIT $ <br />TOTALFEE <br />Sl <br />I <br />I <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />FRONT SEIBACK <br />REARSEIBACA <br />SIDESEIBACK <br />PIANCHECKNUAIBER <br />FEE <br />RECEIPTNO <br />D -Ola <br />USE ZONE <br />LOTAPEA <br />VACANTSITE <br />FEES <br />VALUATION <br />FEE <br />❑YEs ❑ND <br />BLnaru <br />T <br />HEIGHT LMrtATp <br />FIG Oi gy[LLING <br />BHE OF BLCJiI <br />PLUU9iNG <br />LMTS <br />Y WVBIGRES <br />OCCUPANI LOAD <br />BASEMENT <br />OOP <br />NECH/.wAL <br />DYER ❑NO <br />FIRE 6PP114KLER REGD <br />PEASON <br />ADOLIKA1µ PLN161ECK <br />OMEN <br />FIREALARMPEOD <br />REASON <br />StA1E BUM1DRq SUIICHMGE <br />TYPE a CONST <br />PLANS AP%K OBY <br />CITY OF EVERETT <br />N$LC HgRKs <br />LOCAL SALES <br />TOTAL <br />DAIS <br />TAX CODE IS 3105 <br />