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APPiLICATA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT B BUILDING DIVISION <br />3200 CEDAR STREET B EVERETT, WA 98201 B (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: C(O$ 34}b Av& <br />&14 1.Jrnsffnw �C✓ goS 34it, Avc- Eve-c gvzo l 06-227-ZSSC7 <br />-NA. -- Y4LAWTIESS CITY !IP PNMVE <br />IENANI MAN A`XXFSS all m 9p <br />�.. .. IIn L SIML-cr.sf. <br />MFCNANICAL CON InACTOR MAIL Ar W ss Clry llr MICNL STATE LICENSE. <br />% UMnING CON'.."Toi MAIL AMNf SS CIIY 8r rN f SIAIF LICENSE. <br />CMIIFACI rnICC Ur WpI1R <br />— <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />of SCmnF WJnR ANT, SOVAur IMIA,E wvaVfn <br />FQiv�Eitl1 I n b9S <br />cq!ucl vrusON AHn ^IHwr NU <br />E ' -t L 7, <br />_UA-S4r,, <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 Wit 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 PY 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 LA—W 1627RCW 4N0296200W �-�f <br />- / _(yam <br />X CN <br />r•rgrpwO un Or nunnwn <br />L1GAI ntscnlruaNa rlIrEM ISHOTANBDOINCIUIIACR two COMES, <br />[ol J ) '-IJLOnLot 1(4 or EJ�f{f DIf/._ 4 <br />�S <br />4 3 7 S 7 gYO I SQ 100 <br />PAFCFL TAXI u Mmnfn <br />LONSInIICN(W IVA,IIrNMn YI[ ADiSf :EI[%I(nE NV\WFII <br />'✓�j <br />SGNAT 11\fl <br />_ <br />CR. BUSINESS tKENSt NO <br />_PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) _ <br />_ <br />NC-AMNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />T- <br />MEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />L <br />CLOTHES ORYE RS <br />DISHWASHER <br />RW:Uc HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE. <br />URINAL <br />_ <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />DACKFLOW PREVENTERS <br />GAS RANGE <br />_ <br />SINK(SERVICE - BAR, ETC.) <br />GASPIPING <br />' <br />EXHALISTFAN <br />PUB TOTAL S <br />SUB TOTAL S <br />PERMIT $ <br />PERMIT $ <br />TOTALFEF. S <br />TOTAL FEE $ <br />FOR OFFICE USE ONLY: <br />rnnNT%tIWK <br />REAR SETBACK <br />SIX Sf IRACR <br />%.NCI-ECX NUMNrR <br />rf;; <br />Nr(1.11 N0 <br />Dsr loNr <br />orAREA <br />VACANT VIE <br />FEES <br />VALUATION <br />FEE <br />_ <br />OYES ❑ w, <br />nIAI MNf. <br />--—Y- <br />�— �---0 <br />�• <br />nElnMt[IMITATION <br />NO Or OYIEWI. <br />ytEMBLWT <br />111.ItS <br />� � <br />%VMRINn <br />OCLITANLY <br />N] rv51M15 <br />O(:LVVAHIIDAD RASr MFN <br />GRpM <br />4Fr.NAMI:AI <br />ADMIKWAI.%AN CNrCK <br />FIRE SMINKLER MOV <br />nfABM1 <br />Ob.En — <br />- — <br />%nCAIARMnEOD <br />Ip ASDV <br />[MIT nMILWn SIBTCIMRIE <br />ImE or rpFsl <br />ruNS tfil <br />Y OF EVENETTLOCAL <br />ES <br />SALES <br />TOTAL <br />DATt <br />X CODES 3105 <br />