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e <br />APPLICATI��N FOR CONSTRUC"�ON PERMIT �}�. <br />CITY OF EVERETT • BUILDING DIVISIOI� � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 '��"' <br />O OEMOUTION ❑ COMBINATION ❑ BUILDING [� MECHANICAL fl PLUMBING fl SIGN <br />PROJECTADDRESS n^� � � �n , ����� <br />ununoc.^=ss �� - cm zir �an� Ca�J 67i-2�7r <br />i��ri� _ i� a„� i r.-n i�J� �L %vi�tinwau �c�Jo �L[/.cu,c/%4i �ii 9%fa�76 <br />T NPNT MAIIADDR ,5 GITY ZIP PHONE <br />�NAs M ec�� $ �lsscr %,! .�c�seafr �Cfur t✓�trr �v.4 �/ddae3 �3-�a18� <br />PRCHREC�TORD`�ES� Al MRILADOAE55 Utt ZIP PNONE <br />GEkERALCONTRPLTOR A�A�L�DDfIF55 CI1V ZIP PHONE STRTEUCENSC� <br />MECNANICAICONiR4CTOR AIMLAD�RE55 Cltt ZIP P��ONE STAIELICENSE� <br />PLUMBINC�CONTRACTOR M�ILADORE55 Cltt ZIP PH NE STATELICENSE� <br />CONTRACTPPICEOF WONI( ING SYSTEM• Cl GAS ❑ ELECTRIC f7 <br />FOOTAGEINVOWFD /� <br />t)h�LHill/hrs � <br />LEG�L OESCRIPTION OF PPOPERTY <br />LOT BLOCN _ <br />CONSTRUCTION LOAN LENDER, A�DRESS. TELEPIIONE NUMBER <br />PLUMBIN6 <br />NU. TYPE OF FIXTURE OR ITEM FEE <br />WATER CLOSET (TOIIET) <br />BATHT'18 <br />LAVATOr'.Y (WASH BASIN) <br />SHOWEF <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL _ <br />FOR OFFICE USE ONLY: <br />FRONTSETBACK RERR SETBACK <br />USEZOYE LOT�REA <br />HEIGIITLIMITATION UNITS DW[:�I <br />Z ^�� <br />IM REO'D PEASON <br />fc.,i/J <br />rFs <br />IPE OF CONST <br />✓ � ��2 <br />11T <br />$ <br />S <br />$ <br />HEAT . - <br />CONiACT PERSON AND PHONE NO. <br />I 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 W�LL 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 REGULhTING 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 />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />SIGNRTURE D�TE <br />CIT' Bl151NES5 LILENSE N0. <br />NECHANICAL <br />N0. TYPE OF FIXTURE OR ITEM FEE <br />A/C —A/HNDLG IINITS — H.P. ' <br />FORCEDAIRSVSTEMS—B.T.U. M E.A. i <br />HEAT PUMP ' <br />UNIT HEATERS — B.T.U. M ' <br />RANGE HOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLA� <br />FIREPLACE INSI <br />GAS FIREPLACE <br />GASRANGE <br />GAS PIPING <br />EXHAUSTFAN <br />SIOESETBACK P�AN�HE�,K� <br />// f/ <br />7' J <br />VRCANi SIiE FEES <br />f1YE5 fl NO OIIILDING <br />SRE OF ULUG�f I. <br />� iJ$(,LS PLUNOING <br />r � <br />9ASEMENT MECNANICAL <br />❑YES �0 <br />ADDIPONAI PLAN CNECK <br />OTIIER <br />STnTE OUII�ING SURCIIARGE <br />°Y CITY OF EVERETT ruoucwonKs <br />LOCALSALES <br />1-9S TAX CODE IS 3105 l'O7AL _ <br />FEE <br />SUB <br />� <br />