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APPLICATI�N FOR COIdSTRUC'*�ON PERMiT <br />CITY OF EVEFETf • BUILDING DIVISIOn <br />3200 CEDAR STREET • EVERETT, WA 8201 • 259-8810 <br />O DEMOLITION ❑ COM8INATION ❑ BUILDING 64 MECHANICAL ❑ PLUMBING p SIGN <br />PROJECTADDRESS: .�d� �� PL SC <br />� .l�ts�� G�w��rw� - <br />� <br />� <br />TENAHT AUILA�ORE55 CITY 71P PuOHE <br />ARCNRECTOflDE51GNER NAILADpPE55 Cltt 71P Pf10NE <br />MAIL��OR555 CIIY AP PUONE SUTELICENSE� <br />�wu.eo 6ox IZ5�3 /`���� c�csK . I.J/� J`SSOgZ .qBSaLG5oSS2K <br />MAIL ADDRESS <br />uuL AODRESS <br />CONTNACT PRICE OF WORK <br />� ��' <br />DESCRI6E M/OPN ANU 50 WqE FOOTAGE INVOIVE� <br />X� �,J t� � E rA i"` .(� , <br />IEGAL OESCRIpT10N OF PROPERtt (SIIOWN BELOW IX1 <br />lOT BLOCK OF_ <br />CONSTflUCT10N IONI lENOEN, AO�RE55, TELEPIIONE NUMBER <br />PLUMBING <br />NO. TYPE OF FIXTURE <br />WATER CLOSET (TOILET) <br />BATHT:IB <br />LAVATORY(WASH BASIN) <br />KITCHEN SINK d OISP <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />SINK (SERVICE — BAR, <br />FOR OFFICE USE ONLY: <br />FRONTSETOACN PWRSF.TBACK <br />USE ZONE I I.OT AfiEA <br />ITEM <br />Cltt <br />FEF. <br />SU8 TOTAL S <br />PERMIT 5 <br />TOTALFEE S <br />HEIGMTUMITA710N NO.OFDWELLING <br />UNIIS <br />OCCUPANCV NO Of90WE5 OCCUPANLLO�D <br />GROUP <br />FIRESPPINNIERflEO'D �EASON <br />OFf.ONST � t'lNlti <br />SIOE SE7BACN <br />0 <br />d <br />SUtE LICENSE � <br />PuONE SiATEIICENSE� <br />NEATING SYSTEM: ErGAS ❑ ELECTRIC ❑ <br />CONTACiPER50NAN�PMONENO <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />AFPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILI BE COMPLIED WITFI 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 />PEFFORMANCE 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 1827 RCW AND 296200 WAC. <br />�x �f�rh �"p"^"C- <br />SIGNATUR��— D�TE <br />CITY BUSINESS IICENSC NO <br />MECHANICAL <br />N0. TYPE OF EQUIPMENT FEE <br />A/C — AMNDLG UNITS � <br />FORCED AIR SYSTEMS � <br />HEAT PUMP � <br />UNIT FIEATERS ! <br />RANGEHOOD <br />WATER IIEATER <br />MEfAL FIREPLACF (VJOOD BURNING) ; <br />FIREPLACE INSERT (VJOOD DURNING) i <br />GAS FIREPLACE � <br />GASR.4NGE ; <br />GAS PIPING —�— <br />EXHAUSTFAN ; <br />SUB TOTAL b n ; <br />PERMIT S �� <br />TOTAL FFE E �� � ! <br />PlR�C11ECRNl11A11[❑ _ IfEF �REf.EIPiNO <br />VAC�NI SIIE FEES <br />❑YES ❑ NO OWtf]ING <br />512E OF BIOGRI <br />PLIIMpWG <br />BASCMENT IAEGIIANICAI. <br />❑YES ❑ Nn —'— <br />' ADDIIIONAI PIRNCII(CN <br />O11iE11 <br />SiAIE OURDwC 51/fiCllnpGE <br />CITY OF EVERETT runur.wonKs <br />LOCAL SALES — <br />TAX CODE IS 31D5 TO7AL <br />