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APPLICATIN FOR CCNSTRNAON PERMIT <br />CITY OF EVERETI • BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT. WA 98201 • (425) 257.8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING 6'MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECTADDRESS: 213Z =m 4T <br />CrY :: E ttmf 5360 CCDAZ ZOI 4Z5-25-1-t6dp <br />GINNER MYEAWnESS GEY $R IINONE <br />A"mstL. 5Iirv*Z P757 ibYN S El LAfY 91320 <br />,6XCFr' <br />TENWE MM AOWESS CITY, N PNONE <br />lUCTNTGOICTOODESIGNE. MAIL MOnE55 CITY D, rNONF <br />GENERM CONTFACTOT MAIL ADDRESS CITY ZIP PNONE 54TE LICENSF• <br />lllgl +AI hu -1,ll l� T2CIf b1C S..) sMA'rtlf 481C(o �5-w4t� mPL,YrMLy i4fd19 <br />MFCNAMCAL CONTRACTOR MINI ADOMESS CITY ZIP PI,CNF STATB LICENSE• <br />PWMBNGCWIRAP,TCP MM1 AC01ESS CITY ZIP PNGNF STATE LCENSF• <br />4 1"5DO <br />CGNTTTMCTT tOF w01K <br />HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br />DESCpBF WOnKAND SQUARE FOOTAGENOVIYEO <br />CONTACT PERSON AND PNONF NO <br />AT,',-, sm 2 <br />I 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 1 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 I8.27 RCW AND 296200 WAC. <br />��jIW [Jp...,7'_ %I2RI-// <br />PTIooGSEUUSE GF BUM0440 <br />LEGAL MSCRPT" Of INICFERTY ISNOVIN RELOR DB ATTAOM Two CORES) <br />LOT SLOM( a <br />PARCEL TAxI D R <br />CONSTRICOOM LOAN I ENOFR. ADonESS. TELERgNE MMRFn <br />URE � <br />SbRA <br />CITY BUSNE55lCExSC HO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPEOF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C—A/HNOLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />_ <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK S DISP <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 />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />I GAS RANGE <br />T <br />SINK (SERVICE —BAR, ETC.) <br />GAS PIPING <br />EXHAUSTFAN <br />— <br />i <br />SUBTOTAL S <br />SUfl 70TAL f <br />PERMIT S <br />PERMIT f <br />TOTALFEE S <br />TOTAL FEE $ <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK <br />WAR SETBACK <br />LCf SFfBACx <br />P1W IE Rwwro, <br />TIFFnKF.PT <br />NO <br />USE IMF <br />lOONTNwTMbN <br />OCCUPANCY 40 fN 51Iw.15 <br />LIRE SPRNKIFRpEO'0 <br />"'GAURMRFO'O <br />TrPF Or r'oxcT <br />NOT ARFA' <br />YACWT STE <br />DYES ❑ NO <br />FEES <br />VALUATION <br />FEE <br />RI111MwG <br />NO Of W LLING <br />UNITS <br />SUE Or SLOGRI <br />gU4RM0 <br />— <br />1 <br />IX{UPWT LOAD <br />BASEMENT <br />OTES DYO <br />MFTNAM[M <br />AppII(WAI.M1W OMCK <br />nFACCN <br />GINETT <br />MASON <br />STMF RULGNG SUMMOCE <br />TNAw<ovronv <br />Q Q <br />DATE )0"C 1 <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />RIN Ir vnORKc <br />TOTAL <br />1 <br />