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APPLICATIA FOR CONSTRUCAN PERMIT <br />CR OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 •257.8810 <br />FJ DEMOLITION 7 COMBINATION fl BUILDING ❑ MECHANICAL 7 PLUMBING 7 SIGN <br />GeII -Y,I cC sf T c EvcL+ 1129 'SG•77/C <br />TENANT uA&ACCESS ON bP NONE <br />APGPTECT OR KSGNER PAIL AC(VR" CITY IV f"C". <br />GENIE.µ CONTRWTGI MAX ACWIESS CRY :P PIF>C STATE LICENSE <br />Ge11ef5oN CDnSfNct:Un Etc FVyc++ GeLLeero99/Ar- <br />YECNANCµCOMMACTON WIL AONESS CITY N, PNCNE STATE ITONSE• <br />RUYBINGCONTNAC7ON MAX ACDPE56 CITY m NIO` STATE LICENSE• <br />CONTRACT PRICE OF WORT. <br />HEATING SYSTEM: f3GAS f] ELECTRIC f <br />DESCRIBE NgTN AND SWME FOOTAGE INVOLKD <br />CONTACT PE'SON AND PNONE NO <br />A++ 11aS-3OS-3/75 <br />A a119 <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 TAPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TC 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 61 THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18 27 RCW AND 298.2JO WAC. <br />X %%(• i _ l0' �_'Q� _ <br />PTaPosfD S or Bun DING <br />LEGAL DESCRETCNCF PR NTYISIwANDEmw OBAITACN T'NOGOPNSI <br />LOT 164 IC. mote "I5i ar <br />AAA;Ii"NI +c) SV4,el I. Sec 0 <br />rAPtu TA)1 D NUY&n <br />SG32- 391- oIS <br />CMSiNU Ti LOMLEt A,ACORESS.TELEINgNEMILItlER <br />SIGNANPL DATE <br />CITY DL ANLSS OQNSE NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />N0. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />i <br />A'C—A HNDLG UNITS <br />BATHTUB <br />I <br />FORCED AIR SYSTEMS <br />_ <br />LAVATORY (1YASN BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEV SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />i <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />i <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE(WCOD BURNING) <br />_ <br />DRINKING FOUNTAIN <br />i <br />FIREPLACE INSERT (W JOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTEHS <br />i <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC.) <br />d4G <br />A3 PIPING <br />EXHAUSTFAN <br />SUBTOTAL S <br />SUBTOTAL S <br />PERMIT S <br />i <br />PERMIT S <br />L TOTALFEE $ <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />(PROM SETBACK S111K <br />Zo <br />PUN SETBACK <br />Zo <br />SCE SETBACK y <br />r /o /� ' <br />1M1.AN CN NV4B[R <br />{ <br />I ,;Vo <br />— <br />PECEIrt NJ <br />USEZm <br />LOT.EA <br />LOO <br />vMAIM SITE <br />CIS O No <br />FEES <br />VALUATION <br />FEE <br />KNITTING <br />C' J <br />NEKMI Ll4RjiK,q <br />LFCjJ <br />NO OF BNEWNO <br />UNITS <br />SV•EOF&atI <br />0.WBING <br />OCCL9ANCY NO C{6TlNf5 <br />ORO�P n <br />CCCVPMi LOAD <br />PASIVLNT / <br />:1TES C�J <br />MECHANICAL <br />I <br />AWIIIp1µ PUNC1IECK <br />FN-ESPRPNLERPCOLB <br />REIBIXI <br />OMER <br />FEE AL414 MOD <br />PE/.SCN <br />6rATE BUILLEp 6URCNMOE <br />TYPE M CONsr <br />�J <br />�/ � <br />RANSANWFOBV CITYOFEVERETT <br />/ LOCAL 9ALE5 <br />wreb TA%CODE 153105 <br />RIBLC AORA6 <br />TOTAL <br />