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APPLICATION FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT A BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT, WA 98201 R257.8810 <br />f DEMOLITION I:�'COMBINATION ❑ BUILDING ❑ MECHANICAL 1l PLUMBING � SIGN <br />PROJECT ADDRESS 1 .E /A <br />l0 ii JLl ry :L" Avo <br />OwN[P M11L A.IRESS CITY ZIP AXwv <br />SUST (i;1C COnsm:l AI _ o Cg3 6V&T+F- W+ 9 a703 •125 - 30 317 4 <br />TENANT Al"LIM PESS CILY ZP ppNC <br />ARCHITECTOIOESIWAR MAµ ACg10ES CITY ZIP PAICYIE <br />OENEAl1@LIRRtIpI IMRAODRESs CITY zr '"CAC STAMJC[NSEi <br />OATYLC CS L6�JC _ <br />MECIMNKK LCNTRACTOR MARACORESS CITY Zlr RpA1E STATE LICENSE <br />MWBM]CCNIRACIOR MAILADDRCSS CITY ZA NRyAE STATE LICENSER <br />camucTraaE LVORR <br />?/ <br />HEATING SYSTEM: AS DIELECTRIC ❑ <br />OEECRIBE WORK AN[I SW ME iW1AfiE RNQVLO <br />CQRT.Sfh LRIC P( S�n <br />CGIiACI PCR5011 A,1p ,IONE 110 <br />CPS' 3179 <br />PROPDSEOUSEDFWU OTTO <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 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 ON 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 />CONTRACTORS 60Y 19 27 RCW AND 296.200 WAC, <br />r�l ` -L <br />✓TIK QO <br />acALI<scnRlax Lx'oROPEarvlsAlowN azLowwAnADN TNV COPKEI <br />LOT BLOCK a <br />II <br />INO LA+ 99-0,15 <br />rAncu l+no MIMBER <br />COMSTRUCTKIN IOW LEADER.ApgiC$S. ICI[MNWC NUMBLP <br />$qN ipnE E <br />LIIY BU$INC$$ LIC[IISC Iq <br />PLUMBING <br />MECHANICAL <br />N0. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />,/ <br />WATER CLOSET (TOILET)I <br />AC —A HNDLG UNITS <br />BATHTUB <br />! <br />FORCED AIR SYSTEMS <br />2 <br />LAVATORY (WASH BASIN) <br />! <br />NEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />1 <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />i <br />WUOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />! <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />I <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />I <br />GAS RANGE <br />I <br />SINK(SERVICE — BAR. ETC <br />! <br />GAS PIPING <br />j <br />EXHAUSTFAN <br />I <br />I <br />I <br />SUBTOTAL S <br />I <br />SUBTOTAL S <br />PERMIT S <br />PEPMIT S <br />TOTALFEE S <br />TOTAL FEE S <br />! <br />FOR OFFICE USE ONLY: <br />FPORt $E10ACX <br />RGRSETwIX <br />SIX SETBACK <br />NfCR MUMBCR <br />HE `� <br />PCCf IPi NJ <br />MSEZ <br />TOT AREA <br />vACARt SIT[ <br />OYES ❑ w <br />FEES <br />VALUATION <br />FEE <br />BUROWo <br />74 7 <br />HEUHT UMIIATIW <br />29) <br />wIT OJU"'i <br />SIZE CL 0=71 <br />3LTA <br />KUTANKI <br />T— <br />CCCLFAAY, I RJCTSRMES <br />Onnr[S <br />OCCOPWT LOAD BASEMENI <br />jNo <br />MECHANICAL <br />ALOII _,ILNICHECK <br />FlIESFRNIERREO➢ <br />REASON <br />U1 ER <br />F AURMP[OO <br />REASON <br />STATE WROPKI SURCHMCf <br />rvPE OF caNST <br />PLu+s APPRrn[o BY <br />wrE O 00 <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />PueLIC LNnPXs <br />TOTAL <br />