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APPLICATI�.� FOR CONSTRUCT �ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />f� DEMOUTION f 1 COMBINATION I" 1 BUILDING �MECHANICAL J�PLUMBING f 1 SIGN <br />PROJECT ADDRESS _ _ , <br />1 <br />OR <br />�- <br />�u� <br />�� � <br />PLUMBINGCONiRqf,TOR M411.��DRESS CI�Y 21P PHONE S7AlELIGENSE• <br />n i <br />CONTqqCT PRICE OF WORN <br />DESCPIBE WOqN AND SOUARE <br />��tS�A�� ��L <br />(���E �f-f�um� <br />PAO�F BUILDING <br />LEGAL OESCBIPTION Of PROPF <br />LOT BLOCN <br />� <br />INVO�VEO <br />BELOW OR <br />_ OF_ <br />CONSTRUGTION tOAN LEIIDEiI, ADDRE55. TELEPNONE NVMAER <br />PLUMBING <br />NO. TYPE OF fl)(TURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />IAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASIIER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRnIN <br />BACKFLOW PREVENTERS <br />SINK BERV�CE — BAR. ETC.1 <br />SUB TOTAL 5 <br />PERMIT S <br />TOTALFEE $ <br />FOR OFFICE USE ONLY: <br />fRONTSETPACN PFnR SF.TBACK <br />USE20NE IDTARfA <br />MEIGNTtIMITATION NOOPUWf:LLING <br />UNILS <br />OCQIPANCY 4f P°$lOniES OCCUPANTLOAD <br />RIAFM <br />rinN <br />uarE <br />HEATING SYSTEM: �AS I 1 ELECTRIC f l <br />CONiACTPFR50NANDPHONFNO i /j , <br />a�� ��(��l � � x y/ s <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITN WHETHEFi SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS - AND PLY WITH THE STATE <br />CONTRACT LAW 1 A�! 96. 00 WAC. <br />CRY <br />NO. 7VPE OP EQUIPMENT <br />FVC — A/HNDLG UNITS — H.P. <br />FORCED AIR SYSTEMS — B.T.U� <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DqYERS <br />VENTILATION FAN <br />RANGEHOOD <br />W.4TER HEATER <br />WOODSTOVE <br />METAL FIREPLACE (WOOD BUR <br />FIREPLACE INSERT (WOOC BUF <br />GAS FIREPLACE <br />GAS RANGE <br />2,,, GAS PIPING � <br />E%HAUSTFAN <br />$IpFSETAACN �t'tANC11Ef.K <br />VACANISIiF ftt.7 � <br />t I VES � 1 NO BWLDINC <br />SRE OF BLIX:/TI <br />PLUMOMG <br />BASEMENI MPCIUNICAI. <br />IIYF.S II NO <br />AOp1110NN �'I.ANCH[CK <br />on�En <br />STAIE f3111loING SUnCHM6E <br />CITY OF EVERETT runi ir, warKs <br />LOCAL SALES — <br />TAX CODE IS 3105 TOTAL <br />rrr <br />E.A. <br />SUB TOTAL $ <br />PERMIT S <br />TOTAI FEE S <br />RFCHPiNO <br />FEE <br />