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APPLICATIA FOR CONSTRUCAN PERMIT//�/����� <br />CITY OF EVERETT • WILDING DIVISION \ J <br />3200 CEDAR STREET • EVERET ,, VIA 98201 R (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL G PLUMBING R SIGN <br />PROJECT ADDRESS: 17,24 W•MAQUIE VIEtAJ DQ. EVQ;MTi- WA QSZOI <br />OWNFn 4YL ApOPE55 CITY Irr rrp'{ <br /><TL40#fUL Wr 2101 cocgV A471.ZoSI 9V0I%FW wf+ gnf"I -- <br />TrNANI YYI A Fss Cnr )N A,DNE <br />M05OU Ov fl Wr 17Y4 kJ- MAAk* VIEW De. <br />.m.,rCI On m s*-I n YPI A"LSS CIM1 )In r1(Y,C <br />GFNInAl CQNMACICAI YAn A.111S L", IlF I—, Imo„ irni, <br />pule Al e*W 5t6WS az3 arty aiE4e7r Id+ 'I U3 OIr1KA1KaLbR�_ <br />r%FOrANrUI C.WRACTOn VVL AMRCF S CITY III rrMA:r VAI[LKENSE• <br />i1nYRMGCON1nAf,1M <br />YMl'C E55 <br />an )IP <br />PNONF <br />SIAIF UEENSfI <br />c ON1nACI C6113 IN 91% <br />'S2l7 <br />/NS fA1L <br />HEATING SYSTEM: <br />❑ GAS <br />❑ ELECTRIC ❑ <br />OEUMRF NOnN ANTI 111ARI I OOIAGE ..V[D <br />IAIA1fAL1- uON -rZ(C4u LVlVZIAJ&- <br />1,p1nCI A nSON AMI f'. NO <br />25 L/'voaA' 5Sy-or <br />iD 7S1CF OF &I /L DMJC-[ <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 SPECIFIFD 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 111 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 IS 27 RCW AND 29S 200 WAC <br />DLJ ��.cEJV(/ <br />rNldloSrD usE rn Rm nx: <br />ALE <br />I EGAL M SCRrPMN Dr AgPEnry ISpD MlCRY OR AHT Ii TVIO COALA <br />IOI ftmN IF <br />1l 5� GPI I / QP,-� • <br />`h '�{-W 6N'e <br />P' un IR7 <br />BZ�OS 3 Ol3 p <br />LONSIRIIGII 1/ypIET._M I[M4n.AIXMIE551E1[NpNEMMIFn <br />(/y DYE <br />CnY RUVNESS ICENSF ND <br />PLUMBING <br />MECHANICAL_ <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPM&T` <br />FEE <br />WATER CLOSET (TOILET) <br />AIC-MMDL3 UNITS <br />_ <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />NEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES OIIYERS <br />DISHWASHER <br />_ <br />RANGE HOOD <br />_ <br />LAUNDRY TRAY <br />WATER HEATER <br />' <br />CLOTHES WASHER <br />\WOOD STOVE <br />_ <br />_ <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />' <br />r— <br />SINK (SERVICE - BAR, ETC.) <br />GAS <br />_ <br />%HusrF <br />EAUSI FAN <br />SUB TOTAL $ <br />SUB TOTAL S <br />PERMIT $ <br />PERMIT f <br />TOTAL FEE $ <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: S(YY,,2 -rn.S <br />I ROW V1PALt <br />RMP SrIftKK <br />SIDE STlff CI <br />AAH CIKC6 Nl MrR F(F <br />PI CPPIW <br />usr)/LWF <br />l `_ <br />IARF• <br />m <br />VACANL SITE <br />DYES ❑ NO <br />FEES <br />VALUATION <br />FEE <br />RUI MNf• _ <br />- 2 <br />IIEIG111 HVIIA110M <br />NO VOWEllIM6 <br />SI)Eb BEDG'II <br />IMRS <br />ry11MIrMD <br />CGI�CII�ANCY <br />VJMSI.Is <br />OI:CnRAN110AO <br />RAS[V[NI <br />NFCnAMCAI , <br />❑YES DNO <br />AWR;z I'ma c <br />I IRE SMNKIER MGM <br />RFASCN <br />, <br />I IHEA WREO'0 <br />MOM <br />(IAIE RIMIE.C. SIRTCIIAK.E <br />IIr Ix CTNISI <br />AANSAR DRY <br />CITYOFEVERETT <br />GATT aCl <br />LOCAL SALES <br />TAX CODE IS 3105 <br />TOTAL <br />