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APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT A BUILDING DIVISION <br />32DO CEDAR STREET A EVERETT. WA 98201 P259-BB10 <br />ML <br />❑ DEMOLITION ❑ COMBINATION BUILDING ❑ MEC ANICAL ❑ PLUMBING ❑ SIGN <br />PROJECTADDRESS: <br />Olin 2 6Aro� i����+J�,e,;, �a/I / GV-vsGs✓�P 7 C[ ZSF <br />CRY <br />s / ntt 7i.- <br />'f�7s <br />A. _•. nYINE SrME1KfNEEt <br />�e <br />S tan 1P _ nKNE STATE LICENSEa <br />f - nb -- lln --- <br />MRINE SINE LKENSfr <br />coNlwcr PnAcf a <br />��i�C7 <br />-- <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />DDNIAI'I rrlr[dl AM1 pllp( rp <br />OEECRIIIE Yg1111 Nq EOIYAE 10011bE HVgvED <br />-- <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 <br />Rnaauo usE a bnLdrq // <br />F5 Esc `k <br />ia- A, <br />LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />LEWLOE IDN or rntK2ntt 1SIA�1AYF MIOW DFI AnACN Trq cDPRsI <br />LOT <br />NOT. UIE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />eLoa _ Or <br />r� i• <br />`�P_ <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCH- LAW REGULATING CONSTRUCTION OR THE <br />_ N� L+� <br />PERFORMANCE OF CONSTRUCTION, THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WNICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW IS.27 RCW AND 20f.2W WAC. <br />PNKEL TAX 10. KlArfn <br />- / r-1 <br />CDNSIHIIDTXn IOANIENrAn. AODnf55. rFlFPIKNf NUMD[p LG�-��.� <br />SMNAIInY <br />— <br />CITY PIISAIFSS IKrNSE AT, <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOIMAlNT <br />FEE <br />WATER CLOSET (TOILET) <br />�/C-MTNpLG UNITS <br />BATHTUB <br />_—' <br />__ <br />fOfiCEO AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />_ <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />__ <br />DRYERS <br />DISHWASHER <br />'--- <br />_CLOTHES <br />RANGE H000 <br />LAUNDRY TRAY <br />_ <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />ME TAT. FIREPLACE(WOOD BURNING) <br />DRINKING FOUNTAIN <br />_ <br />FIRCPUCE INSERT (WOOD BURNING) <br />FLOOR GRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />— <br />SINK (SERVICE — BAR, ETC.) <br />GAS PIPING <br />T-- <br />- <br />EXHAUSTFAN <br />SUB TOTAL f <br />SUB TOTAL f <br />PERMIT f <br />PERMIT f <br />TOTAL FEE. f <br />_ TOTALFEE f <br />VAt <br />E ""SETBACK` <br />An Sr IAYk <br />SLIDE SFIE+CN <br />MANCRT, uRRynID _ <br />V LaE� <br />USE lWE <br />IOF AREA <br />VACANT snE <br />- <br />FEES <br />0 YEs ❑ NO <br />AV�MAN! -- <br />rlEiclnulAwlox <br />NO OF DYrtuIND <br />9IE Or KEW��C <br />— <br />M1S U <br />I2749 � T•1. <br />XN{ MINII <br />OCCUPANCY <br />.nCUP <br />rA)ry SrLWLf <br />OCCWANI IDAD <br />!A$EMENI <br />___________ <br />I <br />Ib <br />4rct"FAC.A1 <br />T.l. <br />DYES IS NO <br />---- <br />FIRE SPNNKIInPLO D <br />nFASON <br />-- <br />ADdINH1AI MANCIry ER <br />OR ' 11 <br />FIPF A}AR4 pE0��'D <br />nE+FMI <br />//�� <br />4r� <br />J'j <br />r ((JT <br />_ <br />[ All 1uAIPAI, SIRINAM, <br />TYPE OF CDNsI <br />rIANSArnr vLADYY <br />J <br />CITY OF EVERETT <br />nrd N: wr XINR <br />LOCALSALES <br />-------- <br />I <br />3� <br />TAx CODE IS 7105 <br />TOTAL <br />