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APPLICAT& FOR CONSTRUCOON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • (425) 257-8870 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING E4 MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: ILO II %I ✓ SE <br />V <br />. �.._.. ............. as U,T TIP hIONE <br />UICMTECT OR DESIGNER YAM AGGRESS CITY IIr PM F <br />GENERAL CON IRAC TOM MYIACTRESS CITY )II' rlxN[ SIAtE IMcf.stI <br />cm 40CLY y /HIS Rranclfwa EvrKr�f lrKz�l 41Szs9Gr,�G (Bl72N'FAr-K-0?seq <br />YECRAMCAL CONTRA NOR 4AlL AfI[MIESS f.IIY )M rlgNf STAIF LICENSE <br />PI IIMBING CONIRACIOR YAKADCALESS CITY VIM r—r swr LICENSf• <br />HEATING SVSTFM- CG GAS Fl FI FPTOIP M <br />DESCRIBE VY M AND SOLTANE"I"'MVOIvfD <br />as r n ors Tic IILo At OK Yc aI.d CYN, <br />- <br />Op <br />CCNTACT ATn ANR rN ND -/ p <br />hn GK�F /- <br />T 5),n N—RIPDn GoS O Tk S,e+ I <br />PtgPOsf D usE ar amtvNG <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION MID KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WII L 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 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 18 27 RCCf/-WAJND 296200 WAC <br />X <br />LEGAL DESCRIPTION M I•RaPERTY ISIIOMF BELOW M ATTACH TV.O CORESI <br />LOT BLOCK or_ <br />00539300000lo2 <br />PARCEL fAf 10N IftfR <br />CONSMAIG Tim, CAN I E METEP ADIIRESS TELfENOME NIIMBFR <br />smNUIxLEOI�OQ$ <br />CITY ROSINS".lI[FNS[ NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OFEOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />MC—AMNOLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WAF4 BACIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A 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 />GAS RANGE <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL S <br />SUBTOTAL S <br />PERMIT sl <br />PERBIIT f <br />TOTAL FEE f 1 <br />TOTALFEE Sl <br />go. — <br />FOR OFFICE USE ONLY: M nnif1_n2 —1 <br />FILUNT UTRACK <br />REM YIBACK <br />SIDE SETBACK <br />RAN CIIECM NUYRf B <br />If III <br />RFffIPI NO <br />use )DNr <br />IOIAPEA <br />ACANT SIIE <br />FEES <br />VALUATION <br />FEE <br />BUIdNG <br />i <br />NEIGH I IYIIAIION <br />ND G DWELLING <br />IINNB <br />WE M NOG7. <br />RIIYBWG <br />OCLLNANCY <br />GM <br />.1 N$1.111 <br />OCCV'ANI LOAD <br />BASF4fNl <br />OYfs O M <br />VFCNAWAI <br />—_—i— <br />ADdIHYUIRMCIKCK <br />— <br />FIPESPILINKIFNREryD <br />RFASDN <br />ONNER <br />FIRE AURM PLOD <br />RAXOY <br />STATE ST%C,AT SMCNARGf <br />TV" Of COA51 <br />PIANBAPINIDVfDBM' <br />D•TE <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />RINI..Rai <br />TOTAL <br />