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F ,GI N�APPLt^�ATIA FOR CONSTRUCAN PERMIT <br />690 s • 010 CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257.8810 <br />-" DEMOLITION COMBINATION " 1 BUILDING ' 1 MECHANICAL k PLUMBING SIGN <br />ARCYIECTp1DES41,1ER UUUL MEss CITY Z' f `E <br />GENERK COMFUACTCR MKNCDRESS DUTY ZIP PNJIK SIAM LICENSE• <br />MECHANICAICONTRACTOR MMACOREsS CITY M AItNIE SIATEIICENSE• <br />PLUMBIIq CCNTRACIOR MAKADDRESS CITY ZM' RKK1L SIAM UC[ME• <br />_lam /.V f ✓... n_ .. l ,.� <br />QL'A/1l�,wC <br />coNTRAc c � IK <br />HEATING SYSTEM: GAS FI ELECTRIC ❑ <br />DESCRIBE KVRrt ANDSW/AE EpO Z11N0.VEO <br />! ✓. <br />f.S..AL•. [ L <br />CCNIACI l'[RSpI ANDf HOIK Ip <br />r <br />1 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 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 15 MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW IB�227 RCW AND 296 200 WAG, <br />Xiw lc=. �.+[ �_ 1C i G y• O / <br />veovosEo osEJor Bullolru <br />..� <br />IEGAL CESCRVTKKIa PRCPfRTY ISIIOYMBLLDYI OR ATIACH"YO COPKSI <br />Lot BLOCK or <br />PMCELTM ID NUMBER <br />CONSIINCfAN LOAN LETRKR ADDRFBs, 1f1EA1JT&1NYBER <br />SgNA1URE ,; / $ TIME <br />tlTv Bu5wC55lIC[�..E NO <br />PLUMBING <br />IMECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO, <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />i <br />AC—A'RNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />I <br />SHOWER <br />UNIT HEATERS <br />_ <br />KITCHEN SINK A40M <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />i <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLCW PREVENTERS <br />GASRANGE <br />SINK (SERVICE —BAR, ETC) <br />GAS PIPING <br />EXHAUSTFAN <br />— <br />e <br />G •nss <br />' <br />l <br />1 <br />o P /- <br />SUBTOTAL S <br />/ <br />.,1«. SHE TOTAL $ <br />PERMIT S <br />[K Ll� PERMIT S <br />' <br />TOTAL FEE S <br />TOTAL FEE S <br />OFFICE USE ONLY: <br />SIDE <br />USE:GNE <br />LOT AREA <br />vwwl wTE <br />❑YES ONE, <br />VAUDI <br />NEKINr LIURAiUN <br />NDOFOWEWM <br />MIS <br />sIZEa&D1'll <br />KULIBMO <br />OCCUPANCY I SO XSTCPBS <br />cR m <br />rcCUPANTww <br />BASEMENT <br />UUC,,NBCAL <br />❑vEs ONO <br />�A[[.RINKLER BEG D <br />REASON <br />ABBIrYM4LLPWIMKIt <br />O1NER <br />FIRE ALAW REDO <br />NEAWN <br />STATE BU4pNe SNKNMGE <br />TYPE OF CCNST <br />ITIM APPROVED BY <br />CITY OF EVERETT <br />Ru cwoRU; <br />LOCAL SALES <br />TOTAL <br />..... <br />TAX CODE IS 3105 <br />THE <br />