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APPLICATIO.i FOR CONSTRUCTWN PERMIT <br /> CITY OF EVERETT• DIVISION <br /> 3200 CEDAR STREET• EVEBUTT EVERETT. WA WA 98201 • 259-8010 <br /> ❑ DEMOLITION ❑ COMBINATION S BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRESS_, -— z <br /> =nMNI AOlMESS 1n m t1/ PUCNE <br /> J• m/� E>SOA/ /��//P' .?5.yAyl- 1� L`1> .Z�jt 9X�,7L bac -- 3/G P3Hj <br /> E AHt MAII AnOBESS CIIY IIP P11UNF <br /> MC10Tf.CI On OES❑H[AMAG AMTRE 55 CIIY 71P PHONE <br /> f�1 �C o 4s7 d 9NICI S Are As aG ,ew <br /> GENERAL CONIPACI(XI MAIL ADnnCSs LILY 71r PUUNE STATE LICENSE 9J <br /> MECHANICAL CONTTMCIGn MAIL AFORE SS CITY lip PIIONC STAFF LICENSE. <br /> PLUMBING CONIPA (On MAIL ADDRESS CITY zip PHONE STATE LICENSE. <br /> CONTRACT PRICk Of WONK "— -- — <br /> _ _ HEATING SYSTEM: PIGAS ❑ ELECTRIC ❑_ <br /> DESORIBE ;AX K AND SOUANE FOOTAOF INVOLVED CON'•CT PERSON ANo rU0NF NO <br /> I HEREBY CERTIFY THAT I HALE READ AND EXAMINED THIS <br /> Pf101'OSEO'15E OF OUIL(NNO 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 /> LEGAL DESCRIPTION OF PROPERTY ISUOWN BELOW OR AFTACR TWO COPIESI NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT = —BLocA__or. •eI-fA4C L"SfAyF+s AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> —�Q OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> T' OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCEL iM 10 NUMBER CONTRALTO SLAW 18 27 RCW AND 200.200 WAG. <br /> ccNsmUCTION LOIN LENDER,ADDRESS.1ELEfNIO,IE NUMBER <br /> SI u OAIB <br /> CIIY BU91PONS LICENSE NO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) �—_ AIC—AMNOLG UNITS �— <br /> / BATHTUB ; FORCED AIR SYSTEMS ' <br /> Zja LAVATORY(WASH BASIN) _�— HEAT PUMP ------- - <br /> t SHOWER ' UNIT HEATERS <br /> IF KITCHEN SINK A DISP IF CLOTHES DRYERS ; <br /> At DISHWASHER FLANGE HOOD <br /> LAUNDRY TRAY ; WATER HEATER ; <br /> CLOTHES WASHER , WOOD STOVE <br /> URINAL METAL FIREFLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN i_ FIREPLACE INSERT(WOOD BURNING) <br /> FLOOR DRAIN GAS FIREPLACE <br /> BACKFLOW PREVENTERS ; GASRANGE ; <br /> SINK I!;ERVIGL—BAR,ETC.) GAS PIPING T- <br /> -__ EXHAUST FAN <br /> 1 i <br /> SUB TOTAL f + SUR TOTAL f <br /> _ PERMIT S -rI PERMIT f N/ <br /> _ TOTAL FEE f 1 TOTAL FEE f <br /> FOR OFFICE USE ONLY: <br /> rRONTSETBACK TITAN SFTnACK SLEW SETBACK PIAN LIIECK NUMB R FEE nr CFIPi NO <br /> �— Zo 5 -fes <br /> USE ZONEZZ�� IOI AFUA VACANT SITE FEES VALUATION FEE <br /> (l- I I I C9`6 Z p+Es ❑NT nun unm 24Q 4( <br /> 1"GUT LIMITATION NO Of 0WELLING SIZE OF BI Win I 1211 '- <br /> UNITS / 2ZoL SIF CL LIwNl <br /> rS + PUnral <br /> Y.A.611 GP.[Ac6_ <br /> VCy1If10UPCUPqANCY , M�SIIDnIES OCCUPANTLOAM BASEMENT MFCIU1afµ <br /> 1 2- y� {- <br /> K''5 VMFS ❑ND <br /> IDE 'DINKLERRFOI PITAS(NI ADOIIIONAI rI AN'uffK /, /3' <br /> Cn1rn I <br /> FIRE ALARM nEVU - TIF.CON <br /> swc N imiun sunc,IARr,F <br /> I <br /> TYPE Of CONSt PL ANS APPROVFO B Y CITY OF EVERETT runny.won" <br /> .,j � LOCAL SALES -;-- <br /> —h/ GATE 7/qr(, TAX CODE IS 3105 TOTAL �� IL <br />