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APPLICATII,.� FAR CONSTRUC7.ON PEFiMIT <br />CITY OF EVERETf • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259•8810 <br />❑ DEMOUTION ❑ COMBINATION fl BUILDING ❑ MECHANICAL ❑ PLUMBING f� SIGN <br />PROJECT ADDRESS �, 1 O--' �����, 2�� W�y �v�_� <br />� V� I� � g2�� <br />4W�JER � ^ MPILAD�PES$ , cin� nr PHO4E <br />ADORE55 <br />GENERALCONfR�CiOIi <br />GITV <br />�� <br />e <br />CONTqFGT PRICE OF WOfiK - <br />HEATING SYSTEM: ❑�.AS ❑ EIECTPIC ❑ <br />DESCRIBE WOfiK AND SOIIAFE FOOTAGE INVO�VED �OMi�CT PER50N �6D PHONE N. _ <br />USE <br />LEGAL OESGFIPTION OF PROPERTY (SHOWN 9ELOW Ofl ATTACfI TlYO <br />LOT BLOCN OF <br />PARCELTAXI.D.NUMBER <br />CONSTPUCiIONLOANLENOER.A0�Rc55.TELEPHONENUMBEP <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK (SERVICE — BAR. ETC.1 <br />SUBTOTAL S <br />PERMIT S <br />TOTALFEE $ <br />FOR OFFICE USE ONLY: <br />FRONTSETBACK REAR SETOACH <br />USEZONE LOTAREA <br />HEIGHTLIMITATION NO.OFOWEWNG <br />UNITS <br />FIRE ALARM REO'0 REASOY <br />FIRESPFINKLERREO'0 RE�SCN <br />NFE OF COf�ST PLANS APPROVEO BV <br />OATE � ✓If/"/G <br />9a� — v U , <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 ORDIfJANCES 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 OA LOCAL LAW qEGULATING 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 />APPL'CATION IS MADE AND I COMPLY WITF1 THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />���.� 3-g-�� <br />�I�NATI DATE <br />CITV BUSINE55 LICENSE NO. <br />MECHANICAL <br />FEE N0. TYPE OF FI%TURE OR ITEM <br />� A7C—A/HNDLGUNITS—H.P. <br />; FORCED AIR SYSTEMS — B.T.U. M E.A. <br />� HEAT PUMP <br />' UNIT HEATERS — B.T.U. M <br />i CLOTHES DRYERS <br />� VENTILATION FAN <br />; RA�IGE HOOD <br />T— WATER HEA7ER <br />' WOCDSTOVE <br />i METAL FIREPLACF (WOOD BURNING) <br />� FIREPLACE INSERT (WOOD BURNING) <br />; GAS FIREPLACE <br />� GAS qANGE <br />—� <br />; GAS PIPING <br />� EXHAUSTFAN <br />0 <br />SIDC SETBACK PLfiN CHECK NUM�ER <br />� � <br />VACANT SITE FEES <br />f7YE5 f7 NO pU1L�ING <br />512E OF BLDG/CI. <br />PLUMOING <br />BASEMENT MECHANICAL <br />❑YES ❑ NO <br />AODITIONAL PLAN CHEGK <br />0'li[R <br />STATE �OILDING SUfICHPfiGE <br />CITY OF EVERETT PUBLIC 1YORKS <br />LOCALSALES <br />TAX CODE IS 3105 TOTAL <br />FEE <br />SUB TOTAL $ <br />PERMIT 5 <br />TOTALFEE S <br />� I RECEIPT NO. <br />/ / �7 <br />FEE <br />