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8 <br />�. <br />APPLICATIr1N FOR CONSTRUCTIOlN PERMIT <br />CITY QF EVERETT • BUILDING QIVISION <br />3200 CEDAR STREET • EVERETT, M'A 98201 • 259-8810 <br />❑ DEMOLITION COMBINATION CI BUILDING �MECHANICAI �J PLUMBING f_-1 SIGN <br />PROJECTADDRESS �// % �'1 ��ee� <br />(O <br />,......�.. _ uen ennaccc Citt ZIP , PHONE _ O <br />r <br />TENAM MAILADDRE55 CITY 21P PHONE � Gr O!J/ <br />7L�C3 O G <br />" ""'......�......��.. u.i� .nnocce LITY ZIP PHONE <br />3L'� j `ucr.t'� <br />LEGALDESC!RIPTION OF PROPE <br />�p7 _1�7 BLOLK <br />- nn/-a/�- ODrO$- <br />CONSiP7Gf10N LC.aN LENDER. ADDRE55. TEIEPHONE NUAIBER <br />PLUMBINO <br />TYPE OF FiXTURE OR ITEM <br />WATER CLOSET (TOILET) �— <br />BATHTUB � <br />..,.._ ..................��.�� � <br />OWER � <br />KITC N SINK 8 DISP —� <br />DISHWA R — <br />LAUNDRY T <br />CLOTHES WASH <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />SINK (SERVICE — <br />FOR OFFICE USE ONLY: <br />FPONT SETBRCN REAR SETBACN <br />USE <br />HEIGHT LIMITATION <br />FIPE <br />HEATING SYSTEM: �GAS ❑ ELECTRIC ❑ <br />IHEREBY CERT�FY 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 COMPIIED 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 tAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AU � HORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICA ION IS MADE AND I COMPLY WITH THE STATE <br />CONTR ORS LAW 1027 RCW AND 296.200 WAC. <br />� <br />X �� onr � <br />51 � A UPE <br />A�P,flli a� �fio» i it. _ <br />CIN BUSIN 5 LICENSE N0. <br />MECHANICAL <br />FEE NO. TYPE OF FD(TURE OR ITEM <br />�— A/C —AMNDLG UNITS — H.P. <br />� FO( :ED AIR SYSTEMS— B.T.U. M E.A. <br />i HEAT PUMP <br />� UNIT HEATERS — B.T.U. M <br />� THFS DFYERS <br />i � VENT TION FAN <br />RANGE H D <br />WATEF HEAT <br />WOOD STOVE \ <br />METAL FIRE?LACc I <br />FIREPLACEIVSERT <br />GAS FIREPL��CE � <br />GAS RANGE <br />GAS PIPItJG <br />EXHAUST FAN <br />SUBTOTAL 5 <br />PERMIT S <br />TOTALFEE $ <br />a ,30 <br />SIOE SETBACK � AUN <br />LOTAREA VACAMSITE , <br />❑YES ❑ N� BIIIL�ING <br />NO.OFOWELLING SIZEOF9LW/f.l. <br />UNITS PLUMBING <br />OCCUPANTLOAD BRSEMENT MECHANICAL <br />❑YES ❑ NO <br />ADDIPONALPLl�Y CHECK <br />REASON <br />OTHER <br />REASON <br />STATE BUIIDING SURCHAflGE <br />PlANSAPPRO\'ED 6Y CITY OF EVERETT PUBLIC WORKS <br />LOCALSALES <br />,,.r� TAX CODE IS 3105 TOTAL _ <br />rcc <br />SUBTOTAL $ , <br />PERMIT S �_ <br />TOTALFEE $ ' <br />FEE PECEIPT N0. <br />VALUATION FEE <br />L� � <br />/`.Li�i� �. �, i �.) U <br />� <br />