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APPLICATI N FOR CONSTRUC*O"%ON PERMIT00mm <br />CITY OF EVERE77 • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 90201 • 259•8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />ARCHI'FCT OR DESIGNER MAIL ADDRESS CITY JN PHONE <br />ADDRESS CITY 71P PHONE <br />PLUMBINOCONTRACTOR MAIL ADDRESS CITY ZIP PRONE STATE LICENSE <br />CONTRACT PRICE OF WORK <br />� <br />HEATING SYSTEM: II/sGAS ❑ELECTRIC ❑ <br />DESCRIBE WORK AND souARE FOOTAGE INVN VFD <br />�,rUjcQj5 _�C¢-<i Ic l�Ol.(� <br />CONTACT PFR90Nmv. PHONE NO , <br />i 1.41A LLI n ,G} U—�iUl 5 <br />I 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 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 16.27 RCW AN 6.200 JC. <br />PROPOSED USE OF BUILDING <br />/ii Q�fOILCQ- I^GI_VYI 6 a65et <br />ff%OR <br />LEGAL DESCRIPTION OF P�tt1 1� ATTACH covlEsl <br />LOT BLOCK DF <br />a Ll L-(ne CAT u h l bl 4- lg <br />t CAI <br />. �) <br />PARCEL TAR I.D. NUMBER <br />ql-1615`5S <br />CONSTRI LOAN LEMMA. ADDRESS. IEIEPHONE NUMBFR <br />OHA DATE <br />CITY BUS NESS LICENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />_ <br />FEE <br />WATER CLOSET (TOILET) <br />A/C—AIHNDLG UNITS <br />' <br />BATHTUB <br />FORCED AIR SYSTEMS <br />; <br />_ <br />LAVATORY (WASH BASIN) <br />, <br />HEAT PUMP <br />I <br />SHOWER <br />' <br />UNIT HEATERS <br />' <br />KITCHEN SINK 8 DISP <br />i <br />CLOTHES DRYERS <br />i <br />_ <br />DISHWASHER <br />' <br />; <br />RANGE HOOD <br />WATER HEATER <br />' <br />; <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />I <br />WOOD STOVE <br />I <br />URINAL <br />' <br />METAL FIREPLACE (WOOD BURNING) <br />' <br />DRINKING FOUNTAIN <br />, <br />FIREPLACE INSERT (WOOD BURNING) <br />I <br />FLOOR DRAIN <br />�— <br />GAS FIREPLACE <br />' <br />BACKFLOW PREVENTERS <br />; <br />GASRANGE <br />SINK (SERVICE — BAR, ETC.) <br />I <br />GAS PIPING <br />' <br />' <br />EXHAUSTFAN <br />I <br />; <br />I <br />' <br />T <br />, <br />SUBTOTAL S <br />' <br />SUBTOTAL S <br />PERMIT $ <br />1 <br />PERMIT $ <br />, <br />TOTAL FEE S <br />I <br />TOTAL FEE S <br />' <br />FOR OFFICE USE I <br />FRONT SETBACK <br />USEZONE <br />HEIGHT LIMITATION <br />C <br />Iq MSIDRIS <br />PANLY <br />O <br />FIA 6PRINYWERR <br />RRFO'/ <br />Ir% <br />FIRE ALMM REO'D <br />4fh <br />TYPE off coNlsT <br />3zv <br />