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APPLICATII�I FOR CONSTRUC7°�'�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT, WA 98201 •259-8810 <br /> ❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PR ECoT i DDRESS: 3 � N F <br /> � a � �,l, P_�/,- �� ,.�t.� V✓A �'�aor 3ss�7o� <br /> p MNL [17y IP i PNpNE <br /> C) ��j S � ,j" -. v <br /> TE MNl SS GTY qp p�qryE <br /> �RCIkfCGTOi1pE51GNER MMI�OpiE55 GITY )IP PNONE <br /> ENER/�l TR�CIOR MAILAODpE55 S/eCiY(` � �p^ P�ION[ SUTEUC[NSE• <br /> 7 i7l� �rt Q.1+� <br /> 3 Y•�7c6 � � j/ � <br /> MECN�MCNCONTRALTOR MAILADDNE55 CITY ' I PHONC STAtEUCENSE� <br /> PIUMBMIGCON7R�CTOR M�IL/�DORE55 CIiY 21P PHONE STAfELICENSE� <br /> ca+rw�cr arece ov won�6 <br /> d /, � '7 � .— � HEATING SYSTEM: ❑GAS ❑ ELECTRIC O <br /> OESC�MlE 1yO11R�NO SOU�RF.FDOT VOIVED � CONTACT F[q$ON�NO P110NE Np <br /> � �»b <br /> I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> moroseo�se oF e�ntarxi APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS OF UWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIEO NEREIN OR <br /> IECJLL0E5CPoPTIp/0iM1O?ERTY�$FqWNBELOWORAR/�CNTNqCOP1E5) NOT. THE GRANTiNG OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �or ei.oac � AUTHORITY TO VIOLATE OR CANCEL THE PROVISION Of ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORI2ED BV?HE <br /> OWNER OF THIS PROPFRTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> T/JI I. .1AIA1B R � CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> � _ <br /> TR11C lOM!IENDER.110piE55.TELERIONE NIN,IBER �� I � �p� <br /> N�iURE D�TE <br /> CITY BUSINE55 LIC[NSE NO <br /> PLUA�INO MECHANICAL <br /> � NO. TYPE OF Fl%TURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILE� � NC—AMNDLG UNfTS � <br /> BATHTUB ; FORCEDAIRSYSTEMS ' <br /> LAVATORV(WASH BASIN) � HEAT PUMP �— <br /> SHOWER � UN�T HEATEPS <br /> KITCHEN SINK 6 DISP i CLOTHES DRVERS L— <br /> DISHWASHER � RANGE HOOD � <br /> UUNDRV THAY ; WATER HFATER ; <br /> CLOTHES WASMER � WOODSTOVE � <br /> URINAL � METAL FIREPLACE(WOOD BURNING) � <br /> _ DRINKING FOUNTAIN ; FIREPLACE INSERT(WO00 BURNING) � <br /> FLOOR DHAIN � GAS FIREPLACE � <br /> BACKROW PREVENTERS ; GAS RANGE ; <br /> SINK(SERVICE—BAR,ETC.) � GAS PIFiNG <br /> IXHAUSTFAN ' <br /> � ' <br /> i � <br /> � � <br /> � � <br /> � � <br /> SUB TOTAL S � SUB TOTAL S ; . <br /> PERMIT S � PERMIT E i <br /> TOTALFEE E ' TOTALFEE E <br /> FOR OFFICE USE ONLY: <br /> fRONT5ET8�CN PE�RSFTBALI( $I�ESETB�CN PL�NCnF.CNNUM fR t'EF R(f.FlPTNO <br /> /� <br /> USE ZONE lOi�REA VAC�NT SIiE FEES VALUATION FEE <br /> ❑YES ❑ � BUII�MC. <br /> i <br /> NEIGNT LIMIT�TION NO OF OwELUNG 92E Of BIOGrtI <br /> UNqS PLUMBING i <br /> � <br /> OCCUP�NCY Iq IX 5�C%bE5 OLCUPANI LO�U B�SEMENT MFCH�NILRI � <br /> GRd1P <br /> OYES ❑NO � — <br /> fIPESPRINKLERREO'� �FASON ADd110N�L1'LANCNfCN � <br /> -_�— <br /> OTHEf1 � <br /> FIAEAIARMREO'0 AE�SpN <br /> ST�IE BUIl01NG SI/RCN�fICE � <br /> _' �_ <br /> tvr�ar.ovsr rinNsenrnoveoev CITYOFEVERETT runi�r,vmnKs <br /> LOCAL SALES — —�— <br /> o�TE TAX CODE IS 3105 TOTAL ', <br />