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APPLICATIC* FOR CONSTRUC7*N PERMIT <br />CITY OF EVEHL-TT • 3UILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98NI E 257-8810 <br />MMo. L.< <br />❑ DEMOLITION ❑ COMBINATION X BUILDING ❑ MECHANICAL ❑ PLUMBMIG ❑ SIGN <br />PROJECTADDRESS ,� A RST A� <br />GWHER uA4 AOwEss Cm m NKIIE <br /><aMl�l \VIE 1AW(--9fTsvAAF96 Pa�nt-ola `6dl +IS•SM'2Z'1Z <br />TENµT RITE AMYESS <br />CIIY j/ gQ1E <br />ARCHRFCTw CESI 11 YAa AGGRESS CITY IP PIA"TE <br />RWBW CWWTCR YAM1 AOCR[55 CITY SW 4F14 STATE LICENSE <br />CWT iPatEOF WORx _ <br />HEATING SYSTEM: ❑ OAS ❑ ELECTRIC ❑ <br />CEsw11E WOaR ALA souAPE fooncF nnavEo <br />CdITAcr vfasoa Alq RNyE M <br />IZI'S i4'6•'Xd8•%J« <br />' 2•'PliCfl MmLIE?2 <br />"9T �4� S12&Q!}lg <br />1 <br />PROPOSEo usE a euio«o <br />L <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORREC I. 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 />PERFORMA,, .E OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION MADE AND I COMPLY WITH THE STATE <br />CONTRALTO .S 1 8.27RCW AND296.200WAC. <br />'A.i <br />X <br />LEGAL DEswvrCHO HgPERTV ISHOwN 9ELOW ORM' AUXH O COPIESI <br />LOT _BLOCK a <br />!� <br />:]�L �(A TR �L q Q • 0+ — G p �LOAL 'SOS <br />I' <br />on, Ilk BI II E / J �yJFQ <br />PWCEL rAK In. HIrEn <br />�,G29o4310 3ocao <br />L�{TRIICTK.W LOµ LEMKR,AppRF55. T[LE%"ME NJYBFR <br />i}FAIIESF+e. LtAlolBlFs �143�i-�ST hIG' <br />slcRAr rt <br />4'l�i'�Py�} 2Bytb tde¢4(t 9320 <br />CRYOUSI4ESSLCENSEW <br />PLUMNNO <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 />/VC—AMNOLG UNITS <br />BATHTUB <br />! <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />I <br />_ <br />KITCHEN SINK 8 DISP <br />CLOTHES DRYERS <br />i <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />I <br />WATER HEATER <br />1 <br />1 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 PREVENTERS <br />GAS RANGE <br />SINK (SERVICE —BAR, ETC.) <br />GAS PIPING <br />—ti— <br />EXHAUSTFAN <br />I <br />SUBTOTAL $ <br />SUBTOTAL f <br />PERMIT s <br />PERMIT $ <br />_ <br />TOTAL FEE $ <br />TOTAL FEE f <br />FOS OFFICE USE ONLY: <br />FaOMS'WB <br />REAR SElWK <br />SIM SETBACK <br />PLµ CRICK NINBER <br />TEE WCEPIT NO <br />I r- <br />20 <br />Co/oZ - U07 <br />Z�� <br />USE ZONE pp <br />LOTµEA <br />VACANrsP�c <br />FEES <br />VALUATION <br />FEE <br />RsuOING <br />Lg'CI Z <br />1� <br />IZ �11G <br />DfEs n No <br />HEIGHT LIMi N <br />pOF OWELLMIO <br />RD'*E-0 <br />U.T.SIEEOFBLOGTI <br />I <br />2a o S <br />OCCUP.LNCY <br />O1—CUR <br />U� <br />Wd SRAES <br />OCCURMR LOAD BA MEM <br />FS n 1q <br />MELNAMLAI <br />P- <br />�KiE PRINKLER MOD <br />REASON <br />ACOITKNA'FµCHECK <br />oTHw <br />FIRE ALMM REOD <br />REASON <br />STATE BlI4dN3 BURCNMOE <br />IIPE O CONST <br />PROVED By <br />JM:��-;L <br />CITYOFEVERETT <br />PRELCx S <br />_� <br />(-A <br />LOCAL SALES <br />TAX CODE <br />I <br />IS 310$ <br />TOTAL <br />