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APPLICATIGA FOR CONSTRUCT .JN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET •EVERETT, WA 98201 • 259-8810 <br />I I DEMOLITION I I COMBINATION BUILDING ii- VfECHANICAL PLUMBING SIGN <br />PROJECT ADDRESS/ , /z-v E, - Sw / S I TIp Z <br />DVME�i All AFFIFESS CITY lm r11ONf <br />.m /� 2Z,) A } in �i' � r r` y'PT� ; 3 fs'8 9-01� <br />TENANT I MAIL ADDRESS CITY rip PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY 71P PHONE STATE LICENSE • <br />CONTRACT PRICE or YKDDK <br />0c)0 °— <br />HEATING SYSTEM: I -+-OAS I I ELECTRIC I-1 <br />OF.SCnIRF All AND SOUARF. FOOTAGE INVOLVED <br />54' <br />r,F {0�-I 1,•J/ 9FSr`(' <br />f.ON1A T rI nSON AND r1TONf NO <br />Dh n 1�45�nG r 1�i2-'0 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE I RUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN O'i <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUT14ORITY 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 WIJICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18 27 RCW AND 296.200 WAG. <br />X A.A_ !F / %'F1' <br />sic VURF OATF <br />rnoPoseO u5r of nunHD — <br />IEcuDEscnmulxlorrnorEnrvlsrrowrlpflowonArucNTWO corlFs <br />LOT stock or <br />PARCEL TAXI D NUMppn -- <br />CONSmIK;NONIOANIrNOFF! ADDRESS TFIFrIK1Nr NUMRID <br />OTY "UMNESSITCENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />A7C—"N-DLGUNRR—H.P. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET(TOILET) <br />BATHTUB <br />; <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />I <br />HEAT PUMP <br />UNIT HEATERS —B.T.U. M <br />I <br />SHOWER <br />' <br />KITCHEN SINK d DISP <br />) <br />CLOTHES DRYERS <br />DISHWASHER <br />I <br />VENTILATION FAN <br />LAUNDRY TRAY <br />RANGE HOOD <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />_ <br />URINAL <br />' <br />WOOD STOVE <br />' <br />DRINKING FOUNTAIN <br />METAL FIREPLACE (WOOD BURNING) <br />i <br />FLOOR DRAIN <br />T <br />FIREPLACE INSERT (WOOD BURNING) <br />T <br />BACKFLOW PREVENTERS <br />GAS FIREPLACE <br />' <br />SINK (SERVICE — BAR, ETC.) <br />T <br />GAS RANGE <br />' <br />GAS PIPING <br />1 <br />EXHAUSTFAN <br />I <br />I <br />T <br />I <br />T <br />SUB TOTAL d <br />' <br />SUB TOTAL $ <br />; <br />7h <br />PERMIT d <br />I <br />_ <br />PERMIT S <br />I <br />TOTAL FEE E <br />' <br />TOTAL FEE $ <br />' <br />FOR OFFICE USE ONLY: <br />r RONTSFTPAUK I of An SETBACK BIDE SETBACK GRAN CITEC5 NUMprn rlr I RECEIPT NO <br />Usr roNF <br />ITFIGNT (IMITATION <br />I OT AnFA VACANT SITE <br />AYES I I NO <br />NO OF DIRTLLING SIZE Or BLDGRI <br />DMTS <br />FEES <br />VALUATION <br />FEE <br />, <br />BUILDNG --- <br />PLUMBING <br />OCCUPANCY CUNO M SIMII <br />OCCUPANT LOAD <br />BASEMENT <br />AYES II NO <br />MECHANICAL <br />ADDITIONAL PI AN CHICK <br />FIRE ALARM REDE <br />REASON <br />DIFFERFIRE.9PRINKlEO <br />Pro <br />REASON <br />STATE (II)I1DIN171 SURCHAnGE <br />TYPE OF rONSI <br />rI ANS APPROVED BY <br />OALL <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />ronimworl <br />TOTAL <br />