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APPLICATA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT WA 98201 •257-8810 <br />❑ DEMOLITION ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING 7 SIGN <br />IPROJECT ?QDRESS r 1.�L 6N1�sI/Lc iJ �0__) UP,.JP S�TL�� I <br />MAl <br />PIUMBMOCD1,1Kpi MAIEAWRESS CITY ZP 1YIGNE STATE LICENSEE <br />�PmR.crPRCEawoRK <br />HEATINGSYSTEM: ❑GAS ❑ELECTRIC ❑ <br />I 3 dvJ <br />o[scPl WgiK AND soBARE Foor•cE lNvavFo <br />l/ <br />CONTACT v[nsoN AND wIGnc No <br />� <br />A�3 1 <br />I HEREBY CERTIFY THAT I HAVE PEAD 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 />FEK)ttEE E OP BUILINNO <br />Q } ..`Ce <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />LEGAL. DESCaOTIDN OF WIDPERTY ISNGwN BELOW OR ATTACH mO CCPIESI <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />LOT BLOCK a <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 />CONTRACT S W-PGW'AND 296.200 WAG <br />penCEUAK ID NDUB[o. <br />fE/I <br />ccasr1111CrIGN LOAN LENDER. ABBN[si nLEpNJNE NJ4BER <br />saN.runE oArz <br />S <br />CRY BUSNE SS LICENSE NO <br />PLUMBING <br />MECHANICAL <br />NO TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C — A'HNDLG UNITS <br />BATHTUB <br />! <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />i <br />HEAT PUMP <br />I SHOWER <br />I <br />UNITHEATERS <br />KITCHEN SINK 5 DISP <br />j <br />CLOTHES DRYERS <br />! <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />_ <br />URINAL <br />LACE (WOOD BURNING! <br />DRINKING FOUNTAIN <br />I <br />SERT(WOOD BURNING)FLOOR <br />DRAIN <br />CE <br />BACKFLOW PREVENTERS <br />! <br />MFIREPLACE <br />SINK (SERVICE — BAR. ETC.1 <br />N <br />i <br />I <br />i <br />' <br />SUBTOTAL S <br />SUBTOTAL 5 <br />PERMIT S <br />I <br />PERMIT S <br />TOTAL FEE $ <br />TOTALFEE 5 <br />ran vrrE..v......_ ..�.�.. <br />PEAR SETSKK <br />SIDE SETBACK <br />RNICHECK NUMBER <br />FEE <br />RECEIPT NO <br />ra SETBACK <br />usE ZONE <br />LOT AREA <br />VACANT SITE <br />FEE <br />WADINGNFIGNi <br />DYES D NO <br />IIMIlA1gN <br />NJNSC GWI:LLING <br />SIZE6'BLDOIIP <br />UMBINOOCCUPANCYWOTS'ORES <br />OCCUFANT LOAD <br />BASEMENT <br />MFEEI/VALUAT"ONVALUATION <br />MECNAW&P7 <br />OYES '�IFOE <br />PLhU <br />SM.ER PLOD <br />REASp1��ADDIrIDNLL <br />LSU'VUNFITFIREALARMPEDD <br />PEASONZILVsrAn <br />nuRDIND <br />PUBIC MONKS <br />TYPE'OFCGN,r <br />PIANr'APv oeY <br />CITY OF EVERETT <br />--7 -%tI <br />7 <br />LOCALSALES <br />TAX CODE IS J705 <br />I TOTAL <br />DATE <br />