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APPLICATI& FOR CONSTRUCON PERMIT <br />CITY OF EVERETT A BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT, WA 98201 A 257-8810 <br />DEMOLITION COMBINATION BUILDING ' I MECHANICAL T- PLUMBING SIGN <br />rK <br />GENERµ CONrnACTOR A. A cm 7,1, "'ORE STATE LICENSE0 <br />MECHAWAL CONTRµTCB uAk ADDRESS CI1Y 7 w '"k STATE LICENSEA <br />RUUOnq CCMnA,ipR MA ADDRESS CITY ZF Rglh STATE LICENSE• <br />GOMRACT MILL GF YgRA <br />HEATINGSYSTEM: NiCrAS nELECTRIC ❑ <br />DESCRIBE NVRA ATO SQUARE FOOTAGE MVQYTB <br />CONTACT PERSON ASO MDNE W <br />1 HEREBY CERTIFY THAT 1 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 IS MADE AND I COMPLY WITH THE STATE <br />CONTRACT RS LAW 10.11 RCW AND 296 200 WAC. <br />SIG LURE VUF <br />rnoPDSED USE a DURDINa <br />LEGAL pESERIRTUN ai Fn RTY ISHONN BLIOW OR ATIACN nw COPIESI <br />LD+AfQ BLCCK a <br />PARCELTAX ID NUMBER <br />CDISTAUCTMLOANLEADER. ADDRESS. IELER IAAAMII <br />CITY BUSIMSS LKENN 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 />A'C—A'HNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />I <br />LAVATORY (WASH BASIN) <br />NEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK 8 DISP <br />L <br />CLOTHES DRYERS <br />i <br />(, <br />DISHWASHER <br />i <br />A <br />RANGE HOOD <br />LAUNDRY TRAY <br />I <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />I <br />URINAL <br />i <br />METAL FIREPLACE (WOOD BURNING) <br />I <br />DRINKING FOUNTAIN <br />i <br />FIREPLACE INSERT )WOOD BURNING) <br />i <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />i <br />GAS RANGE <br />SINK (SERVICE — BAR, ETC.) <br />i <br />GAS PIPING <br />i <br />L <br />EXHAUSTFAN <br />I <br />I <br />1 <br />SUBTOTAL S <br />i <br />SUBTOTAL S <br />PERMIT S <br />i <br />PERMIT S <br />TOTAL FEE S <br />TOTAL FEE $ <br />e ncnre "CC nMI V. V nK.G xy <br />BLUNT SETBACK <br />REAR SETBACK. <br />S1GE SETBACK <br />P CLECKAILAABER {� <br />FCE <br />RECEIPT RO <br />USE LxE <br />LOT AREA <br />VACARI SITE <br />n YES D NO <br />FEES <br />VALUATION <br />FEE <br />eulLnmc <br />REgXr LIMnArCII <br />DSOOF OWCLLM] <br />SIZE Of BL1ATI <br />BUSING <br />OCQFANCY RG OF 6iLPF5 <br />aRam <br />OCCUPANT LOAD <br />BASEMENT <br />n ss n Iw <br />MECHANICµ <br />MNTMXGLLPlA4 CHECK <br />FIRE SPnKRIER REOB <br />REASON <br />Omm <br />FIRE ALARMPED0 <br />REASpR <br />STATE BUFb1q 6URCNARGE <br />TYPED z5i;ST <br />w SA RovEOB. <br />DAM <br />CITY O EEVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />RJSLICW0RAS <br />TOTAL <br />