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APPLICATION FOR CONSTRUCT&N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />32GO CEDAR STREET • EVERETT, WA 98201 • (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑BUILDING <br />0-MECHANICAL 13PLUMBING ❑ SIGN <br />46 <br />PROJECT ADDRESS: J901 <br />_ <br />�L_td_v_, ff c rA1L� 39o1 e <br />• IfP <br />nn <br />AP AOOnfsS Gtt tm P'•oNE <br />39D/ (isyf Ak- E�u�� <br />_Ce.�ee <br />AN1r 1 1 <br />IfNANI <br />peJ,( E � 1 lie s r i 33 s all <br />rai�wxy <br />P p <br />AncM rcI OR OEsartn All Anlx+Es; lv <br />Kt �ey - olI Iwz__Lr0 s�. 1aM s <br />fm NONE <br />95ra9D 36Ds�K79/9 <br />GFN(M1 CONln ICII MMIAWnIfi: [n♦ I'f i'Ixnf PAIL IICf NSi• <br />111eaL� hleciT 4630 l��f eI cfM3 IX-S 3v22•/ /ht/trTMzi63�J <br />AIFCHAMCAL CONNIAC10R 101.1 AflGKSS LILY <br />ZIP MGNf STATE LICENSE <br />_qAHl^le 45 Abo.1e- <br />Pl11MPMGCON"IT ;10" MAP AMNESS c1t, <br />ZIP PNON, STATE ICENSf• <br />CONiMCIMQI MCnR <br />� � Aoc) IR!2 <br />HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br />Nf..IPPE PIORx INDlIOUATTE IGGIAGE Plvavq <br />d <br />cONrAc nnSW ANOPIKWF NO <br />�ttoun� 893-9 -2q <br />eca� r S �sr <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />C'aAL-�F i $ENSe RS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PRCEmt O USE Of WILDING <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />GLUA C <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />LEGAL OEKRIPT"OF rrrortR1v I51aKm PELOH OP AnACN I confS1 <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVF <br />AUTHORITY TO VIOL.QE OR CANCEL THE PROVISION OF ANY <br />LOT PLMIT OF <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 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW IB 27 RCW AND 296200 WAG. <br />PARc[Lu ID MNMnO� oo/ (Jcp <br />pp� <br />-I_7 - <br />LOAN CONSWULiION 1CMIEP, NAMIE55.1[l[MgNf MN1•PIG <br />/ <br />SIGNA1IATE <br />D!?3B9 PAE <br />GiY RVLNCSS IICENSC MO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />3 <br />WATER CLOSET (TOILET) <br />A!C—NHNDLG UNITS _ <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />_ <br />KITCHEN SINK A D_ISP <br />CLOTHES DRYERS <br />HWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />—�— <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERB <br />GAS RANGE <br />T <br />SINK (SERVICE —BAR. ETC.) <br />GAS PIPING <br />EXHAUST FAN <br />U <br />SDerornL s <br />SUBTOTAL s <br />r7 <br />PERMIT s <br />PERMIT $ <br />/. <br />TOTAL FEE S <br />iTOTALFEE <br />$ <br />& <br />FOR OFFICE USE ONLY: <br />(MNi ViPACM <br />11F.N SFIIACR <br />SLOE KIPACIt <br />Pl.W C11FLM NUA4fI/1 <br />FEE <br />MCfm•NO <br />USE ZONE <br />101 AREA <br />vACANI ylE <br />FEES _ <br />VALUATION <br />FEE <br />OYES Cl NO <br />Pwonx: <br />' <br />rKIGNI LIVI•AIpN <br />NO PGNfuING <br />SIZE OF SLEGGI <br />I <br />UNRS <br />1111.1w,G <br />O IIPAWI <br />rW ff 51fKg5 <br />GCNPAMI .GAO <br />BAPFKMI <br />Mif.MANIf.AI <br />I <br />f.PO111' <br />pvf5 ONO <br />_ <br />rw SPRINPLCN <br />MOT <br />IIf A."4ppIP]IUI <br />RAN CI(CR — <br />OINER <br />fINE NAPMPEOU <br />_ <br />RFASO'I <br />SATE AMEPINO SlIGENAMPE <br />"I',Mr,ONsl <br />r. wSAPPRONEORv CITY OF EVERETT <br />PImIP:wnPPs <br />LOCAL SALES-- <br />OTTE TAX CODE IS 3105 <br />TOTAL <br />—�' <br />r <br />_ <br />