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APPLICATICA FOR CONSTRUCTININ PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 9B201 •259-8810 <br />LI DEMOLITION ❑ COMBINATION ❑ BUILDING ,C1 MEC:IANICAL ,�y ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS:.l'2, I 0,4h a A\l ��-�n E� ."Sze I <br />i[NNNI YNL MIYnI SS C � Ir /n' �nr,^� <br />Ancwttct Oa oEslaNEa uAA .DwEss �r'T cm Zlr rNON( <br />CONIAACI PRICE 0, woRNIt, I O � <br />HEATING SYSTEM: AS ❑ELECTRIC ❑ <br />DEXINOt MDIA AND SWBAE FOOtaE MVOU40 <br />coNinCl nnsaN BNO ngNE No <br />r <br />/ <br />1. <br />no <br />AI HEREBY CERTIFY TI/AT 1 HAVE READ AND EXAMINED THIS <br />PPLICATION AND KNOW THE SAME TU DE 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. T14E 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. TIWI I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION 18MA D 1 COMPLY WITH THE STATE <br />CONT RACITB B C AND296.200WAC. <br />SI / <br />P SH)USE OF BUADING <br />torn 6FSUBIAON Or A .IYY 19q BDDWDa ARNLN M CXIESI <br />TOT MCCB OF <br />ru¢EL TAXI D. NUMBER _ O <br />CONSiAVLApIIOIHIEMOER. MOTIFS .lEI[Ag11E NUMBER <br />SIGNMUM C 7 <br />CITY BU9NESS LXlNM NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIC—MMDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS — r <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />�_ <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />DISHWASHER <br />LAUNDRY TRAY <br />I <br />CLOTHES DRYERS <br />RANGE HOOD <br />WATER HEATER <br />CLOTHESWASHER <br />WOOD STOVE <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 />SINK (SERVICE — BAR, ETC) <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL S <br />SUBTOTAL f <br />PERMF f <br />PERMIT f <br />TOTAL FEE f <br />TOTALFEE f <br />FOR OFFICE USE ONLY: <br />rnoNIUIBBCK <br />MAIISr10ACK <br />SIDES(TBACN <br />AANCIXLK NIAH(n <br />r(F <br />n(ttrol NO <br />USE ZONE <br />HUAMA <br />vu.,Wt <br />FEES <br />VALUATION <br />FEE <br />IUALDA6 <br />❑NFS D NO <br />NEgN1 LIMITATION <br />NO IF DWELLING <br />SIIE OE BLCOIII <br />UNITS <br />PLNMIIINU <br />OCCaDmPANCY <br />AT mSUl S <br />OCE~LOAD <br />BAM4fN1 <br />Mrf,I1AMICAI <br />OYES D ND <br />AOPtId/M El AN CINLM <br />FINE SAUNRL(A MOD <br />nr.S" <br />DNrcn <br />11%MRM RED <br />AFA. • <br />[in( BIMDMG 51ACNAK.F <br />Ivrtw CONS, <br />AANSA.MDBY <br />CITY OF EVERETT <br />AIRIK,wmK% <br />LOCAL SALES <br />BAT f <br />TAX CODE IS 3105 <br />TOTAL <br />