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APPLICATI01 FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT P BUILDING DIVISION <br />3200 CEDAR STREET P EVERETT, WA 98201 • (425) 257.8810 <br />❑ DEMOLITION )�j COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />IT - <br />PROJECT ADDRESS: `iB25 <br />Ave- <br />SC <br />�,/ec, f LLY <br />T2] iNE ,zN St <br />k rklc[ <br />) <br />gg5034 <br />42S -'. 7" <br />W22-4174 <br />OWNER <br />HuIX'N t AESrS <br />a" <br />ZIP <br />PRONE <br />TENANT <br />YAII ARORESS <br />CITY <br />]IP <br />PROWF <br />ARCHIT OR OEi(RIT. <br />ry1�� n5+. <br />MAT Ad SS <br />IZ700 NFS lyP$� st- <br />S .;+ sot, <br />iGtrkla <br />CITY <br />iR Cc1a <br />ZIP <br />Qg034 <br />PNONF <br />425'- 8z�417A( <br />C A-F:G 16C M N <br />GINEnAt CONTRACTOR <br />MAR ADDRESS <br />CRY <br />hr <br />RmNE <br />STATE u<rN%, <br />MECHANILAL COT RAC10n MAIL ADDRESS CITY bP P•IONE STAIF LICENSE, <br />PIUMBINGCONIRACTOR NMI ADDRESS Cltt ZIP PROld STATE LICENSEE <br />CONTMLT PRICE OF WOIIR <br />HEATING SYSTEM: GAS ❑ELECTRIC ❑ <br />pESLRIBE M9nN ANp p' SWAdifOOTAGE WVIXVEn <br />•I! •` <br />CdIMLi PERSON PIgNr Nn <br />n oll L{25-338-21Q <br />I 2ON tAi PG'7 Z �C�o- <br />1�yy 9 <br />3o L- 12Oy <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 TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERL'IT 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 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 1188.27 RC W AND /2996 200 WAC. <br />X. / ?, IZ - 4-9-7 <br />pINBPOIFO USE nF PURGING <br />LEGAL DESCRIPTION OF PROPERTY IAgWN BELOW ON'"ACII TWO COPIES) <br />LOT, 3/, DUMB OF ,_ <br />--- <br />PU¢rl MA I D NUMBER <br />CONSTRUCTION LOAN I ENOFn. ADDRESS. TELEPRONE NUMBER <br />SIG ARIL DATE <br />CITY BUSINESS LICENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />.3 <br />WATER CLOSET (TOILET) <br />A/C-AfHNDLG UNITS <br />Z <br />BATHTUB <br />I <br />FORCED AIR SYSTEMS <br />3 <br />LAVATORY (WASH BASIN) <br />C) <br />HEAT PUMP <br />k <br />SHOWER <br />C) <br />UNIT HEATERS <br />I <br />KITCHEN SINK S DISP <br />( <br />CLOTHES DRYERS <br />DISHWASHER <br />1 <br />RANGE HOOD <br />LAUNDRY TRAY <br />1 <br />WATER HEATER <br />I <br />CLOTHES WASHER <br />p <br />WOOD STOVE <br />Q <br />URINAL <br />C-D <br />I METAL FIREPLACE (WOOD BURNING) <br />-� <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />_ <br />G) <br />FLOOR DRAIN <br />I <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />C] <br />GAS RANGE <br />SINK (SERVICE - BAR. ETC.) <br />GAS PIPING <br />- <br />LL <br />EXHAUSTFAN_ <br />SUBTOTAL S <br />SUB TOTAL S <br />PERMIT S <br />PERMIT S <br />TOTAL FEE £ <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />I PONT SETBACK <br />FEAR SETBACK <br />SIDE $WICK <br />PLAN CHECK HUYprP n <br />rFF <br />III Cl IPI NO <br />USE IMF <br />IO AMA <br />VACANT SITE <br />FEESd'/ <br />VALUATION <br />FEE <br />RUIdNG <br />O <br />�— <br />_ <br />DYES ❑ NO <br />NFIOIIT [IMITATION <br />NO W OWEIIIIO <br />UNITS <br />SI/J }f �IE" BlgQf1 <br />F 4✓rw1 <br />u s. e- <br />ryNMPINa <br />-_ 7 de) <br />OLCIIP NCY <br />W d FI(VnIS <br />CCCUPANI WAU BASEMENT <br />MrCHANCA. <br />IOUPu I <br />`I DYES <br />ACCRONA.. PIAMdR6S <br />— _ <br />FINE SPROATLER BIG <br />nFASON <br />Owrn <br />- <br />FINE unn70R <br />WAS" <br />o <br />SURr Bill MIT AAICNAnGE <br />I <br />TYPE Or CONCT <br />Punt APPFOVF"' <br />CITYOFEVERETT <br />/�/ <br />LOCAL SALES <br />�— <br />V <br />CARE �� <br />TAX CODE IS 7105 <br />70TAL <br />/OHO <br />