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APPLICATA FOR CONSTRUCRON PERMIT <br />CITY OF EVEPM- B BUILDING DIVISION <br />3200 CEDAR STREET P EVERETT. WA 98201 B (425) 257-81310 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ES PLUMBING ❑ SIGN <br />PROJECT ADDRESS: z!a�- <br />TENANI MYI ADDRESS MY PP PHONE <br />.M."TCI On DESIG'IFn YAry ADDRESS CNY Z.P IKON, <br />7.11 ADIIRF%S CID\ I" 11.),E 51111 DCr NSF F <br />V All <br />e <br />L„_c�-e- B67 <br />CONIRACI PIKE OF WORK <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />NSCAIBF WOPN AND SOVAPr rootAOE AIvaYEo <br />c.NI.Cl 11 NS.N AN. PPONr NO <br />1 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 Wit 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 />CONTRACT RS LAW IB 27RC ND 296200 WAG <br />J��'i //C� _ <br />PRUI USE Or BOILOING <br />E GALOESCFxnnON or PPOPERTY1s wBELOW On AnAGNP cro csl <br />LOF BLOCA a <br />PMEl I"ID NUantn <br />CONSMOCtBY1 LOAN1rIRIFR AdRESS. TEIEPNONE NU4PE11 <br />/!`-NAl V11L DALE <br />CRY BkM W SS LFENSE NO <br />MECHANICAL <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />A/C —A/HNDLG UNITS <br />FEE <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />_ <br />C <br />SHOWER <br />UNIT HEATERS <br />_ <br />KITCHEN SINK d DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GASRANGE <br />SINK (SERVICE — BAR, ETC.) <br />GAS PIPING <br />EXHAUST FAN <br />SUB TOTAL E <br />SUBTOTAL E <br />PERMIT f <br />PERMIT f <br />TOTALFEE f <br />TOTAL FEE f <br />eno neelre uee nut v <br />FRON19 TRACK <br />FEAR 911F2R <br />SLOE SEIBACK <br />PLANCIR KNUMRfP <br />7 <br />FfF <br />RFCFIE,No <br />v <br />USE ZONE <br />IOF An" <br />V.CANI SITE <br />FEES <br />VALUATION <br />FEET <br />Bu11xNr. <br />_ <br />OrES O RO <br />PHGNI DMIAIgN <br />NO OF DWEIUNG <br />SIZE OF BEBGTI I <br />TWIT[ <br />NU.RNO <br />- <br />OCI:VP.hCY <br />GPOVP <br />NJ n151fR1) <br />OCCUP.NI IU.O <br />BASFNEN1 <br />O)E5 ONO' <br />Vff.NANICAI <br />AMImwIMANorca <br />— <br />FIRE SPRI4KlEP PEPO <br />Rf ASCN <br />OWfrl <br />FIRE ALARM RED <br />PFA501 <br />SLUE RIn1OW15U11LN.PC, <br />t1PE rnr.016T <br />M.NS APPROVED 01 <br />CITY OF EVERETT <br />runur. wDnKB <br />--- <br />LOCAL SALES <br />— <br />DATE <br />TAX CODE IS 3105 <br />TOTAL <br />