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APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT a BUILDING DIVISION <br />3200 CEDAR STREET E EVERETT, WA 98201 a (425) 257-8810 <br />I. r"15EMOLITION ❑ COMBINATION BUILDING WMECHANICAL PLUMBING ❑ SIGN <br />PROJECT ADDRESS: 101 %0 CV c:2G anA Lo <br />FVLVLTS Mn.'e L. IN s--I 13,�R.w R-0 -,ff;Lit.C-l' ut- 91caol oL) 64(-0096 Etf II <br />OW4FP MULADDRESS <br />SA l+lL <br />OFY hr IRDRE <br />IENANt upI ADDRESS <br />Gn lw w,pr.F <br />ARCretr Ol on nESiGnrn MAIL DORESS <br />Otr tir Ie,ONf <br />GENERAL CONTRACTOR MAIL AOWIE63 <br />Cil pP wxrvt [tATL LKMSE• <br />MF.CRAIRCAL CONDIAC1Dn MAIL ADDRESS <br />cz <br />fl, Im rnJNf ' A', MCENSLI <br />PLMMnNGCONIRACIOR MAIL AppflE55 « WI tir vNONf STATE LICENSE p oO� <br />CONTRACT PRICE OF nM <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />DE Ri9F NORx AND SOW RE FgOLGE VIVIXVEO <br />L - <br />corNCl rrnSON ANn rNONE ND <br />"6FwcLs 7e. LE.cL-.� 1,�061 99i -o$Ti <br />StFLND G�a.1 t-LML_ Ro <br />T.�ooO saLFc <br />ibryr,L.--�Z� Cl.a3 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW T14E SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK Wil L 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 />O'NN:9 OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />A ICATION IS MADE AND I COMPLY WITH THE STATE <br />CONIAA TORS LAW 1B 27 RCW AND 296 200 WAD. <br />x -q <br />PlNmosrooSE OFSOIDIN3 <br />LEGAL DESCRIPTION OF PPOPTnTYISNonN BELO EAIArt ACu rnDUOPIES1 <br />Lot BLOCK o< <br />PARC T ern <br />��9Z C0 -Go <br />CONSIRtICtION 10AN lCNOEA A1,'ORf 55.1C1[T'110NE INM ER <br />SM.NAIMPC DATE <br />/ <br />Gh BOSN2531K[NSC 1 <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NC. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C -AMNOLG UNITS <br />_ <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASINI <br />HEAT PUMP <br />31 <br />O W ER <br />UNIT HEATERS <br />KITtHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWA +ER <br />RANGE HOOD <br />LAUNDRY Y <br />WATER HEATER <br />I <br />CLOTHES WAStiER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (W OD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT(WPOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE f <br />BACKFLOW PREVENTERS <br />GASRANGE <br />SINK (SERVICE -BAR. ETC.) <br />GAS PIPING <br />EXHAUSTFAN <br />L <br />L <br />SUBTOTAL <br />S <br />/ SUBTOTAL S <br />PERMIT <br />S <br />PERMIT S <br />TOTAL FEE <br />S <br />TOTAL FEE S <br />FOR OFFICE USE bNLY: <br />rRDNISFrnc% <br />REARSEIBACX <br />SKIESTRIMOA <br />CIKCK NUMBS <br />If <br />In 11.11 NO <br />USE IDAlf <br />NEIGNt IIMIIATPJN <br />ODIICD'1V 1NCY NJ (Y f1I KlE <br />I <br />FIRE SPRWALER RED'0 <br />A/17 <br />FIRE AWMRC00 <br />Im AREA <br />- <br />NACANI MIE <br />OILS-D NO <br />FEES <br />VALUATION <br />FEE <br />T— <br />- <br />---'— <br />ewDlNf. <br />ND . DwELHRG <br />units <br />SIZE <br />OF BLIKYN <br />ODD <br />auvn No <br />CCCUPANI LOAD <br />J <br />BA$(MENI <br />OYES M <br />M((NMYCN <br />ApplgNAl M1AN OGCA <br />In, <br />DUKE <br />RFASDY <br />SIAtr DIKuwO VX RLRGE <br />—_ <br />imE Lx f.011G1 <br />r <br />I1ANs. PAIwED er <br />CITY OF EVERETT <br />LOCAL SALES <br />( CODE IS 3105 <br />niNlr. wows <br />I <br />—�-- <br />TOTAL <br />--- <br />