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APPLICATIIh FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 •257-8810 <br />❑ DEMOLITION C COMBINATION KBUILDING e MECHANICAL PLUMBING C SIGN <br />PROJECT ADDRESS 1% MC&1) FUerc+l. UJ -I O 2-Oy <br />ACT pRCE CF WgiN <br />HEATING SYSTEM: FUGAS ❑ELECTRIC i 1 <br />DEsCR:BE 6mKAW SOUARC FC+:'AC.[ 1.4. alc0 <br />Cp(fALT RERSd1AW PIIDIEW <br />l <br />Z _ <br />• Q %/�+ <br />PIIDPos[o USE DF Buao1W <br />Esau o[scRRrpNaF wpPERrr TSNovm BELOHCP •n•ai wcaREsl <br />_ <br />� LOTBLOLK a <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 REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW I8.27 RCW AND 296.200 W-A7C. <br />% 71—1 O <br />vARcttt NUMBER <br />Cbz 00R/ DO '�ul <br />LTRULTpNO•NIOE <br />ONS <br />ILER Md1E5S lE1FRtlNE M14BER <br />S .TURE DATE �� <br />/ <br />OTTYWSWESsEKENSCW <br />PL MBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />I TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C—A(HNDLG UNITS <br />i <br />BATHTUB <br />FORCED AIR SYSTEMS <br />I <br />LAVATORY (WASH BASINI <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />/ <br />KITCHEN SINK 8 DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />I <br />O <br />LAUNDRY TRAY <br />I <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />—� <br />Q <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />0 <br />1 FIREPLACE INSERT IWOOD BURNING) <br />I <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />I <br />GAS RANGE <br />I <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />EXHAUST FAN <br />� <br />i <br />T <br />t <br />I <br />i <br />SUBTOTAL S <br />SUBTOTAL S <br />i <br />PERMIT S <br />PERMIT S <br />TOTALFEE $ <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: Of ) 8 - 03(p <br />FRWITSETMACK <br />REAR SETBACK <br />SOE SEvB <br />"V ECKW <br />ooE�-�3 <br />FEE <br />RECEIFTW <br />um IDNE <br />LOT AREA <br />VACANT SIM <br />❑ns GND <br />FEES <br />VALUATION <br />FEE <br />lh• <br />9 <br />NEgNT LBArt•iON <br />UWET6 D UM <br />sMEMMIXI'TI <br />S 2 O 5 <br />RLuLmau <br />W-:FVILY <br />OPWP <br />g1 p. <br />WGF stmES <br />2 <br />OCCUPANT LOAD BASEMENT / <br />D Es DN/O <br />MECHANICAL <br />ALOItKM14PWIpIECK <br />FFE P1MµER REDO <br />REASON <br />OTHER <br />ME AURM REOD <br />RUSON <br />STATE BUMNW S 6 AITGE <br />mEaF wNst <br />PLANSAWR ADGY,qjj <br />DATE 'Z O <br />CITYOFEVERETT <br />LOCALSALESIS 3S <br />TAX COOS IS ES <br />NBLICw Mi <br />TOTAL <br />