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APPLICATION FOR CONSTRUCTION PERMIT <br />CITY OF E-VERETT • BUILDING DIVISION <br />0200 CEDAR STREET • EVERETT, WA 90ZG7 • 259.OBIO <br />] DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />?ROJECTADDRESS: 3�0/ Fl04TF IgVE, <br />fNEML CONIMCIM MAlt AWnES'i <br />city nNwE 11AIEL¢EnSE• <br />190. 3o {JC 1 LI^nnwcn c� wM. 7 rql 776- S'Uj 9` 122Nc--77c^^ <br />ECMANIC LONIDALTOn uuL: fNH+ESS Dlry lIP INIM+E SINE LICENSE <br />UCCNSE• <br />W4BIVDCOn11LCIW MAILADWE55 CITY Iw I'11DNE SIAIE <br />INIPACI MADE OF WOW <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ _ <br />EscnmE WonK ANosWAnE roolAcc wvoLv[o <br />SI e <br />CONlAcI"PSON AND ..IF NO. -_ <br />1,7(j1 <br />dhsf- Il (5)II Se*s - e acc <br />Noy /I'VMIYAPT6d LP if QrS ON <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />D, <br />7U 779 ii <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />IlorosmusE of nmL NO <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORT( WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />cF rnorfnry lvroww RELOW 011 MADE TWO COALSI <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />fcel.Dfscmruou <br />AUTHORIT" TO VIOLATE OR CANCEL THE PRO'ASION OF ANY <br />DT e[OCK or <br />OTHER STATE OR LOCAL LAW REGULATING CONS"+RUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM TIIE WORK FOR WHICH <br />• <br />APPLICATION I: MADE AND I COMPLY WITH THE STATE <br />AALEL IAA Lo, lquorn <br />CONTRACTORS LAW 18.27 RCW AND 290.20J 7f <br />ONSInUGI1CN LOAN ICNOEI1,AMnf55. IELIFIIONC NEWDEl <br />OAIC <br />SlGrut E <br />- <br />City PUSINESi LICENSE NO. <br />'LUMBING <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />NO. T'/PE OF RXTUOE OR ITEM FEE <br />WATER CLOSET (TOILET) <br />NC—AMIIDLG UNRS <br />FORCED AIR SYSTEMS <br />OATHTUD <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KI'. -. TEN SINK 6 DISP <br />CLOTHES DRYERS <br />_ <br />DISHWASHER <br />RANGE HOOD <br />IAUNORY TRAY <br />ATEn HEATER <br />WATER <br />CLOTHES WASHER <br />WOOD STOVE <br />FIREPLACE (WOOD BURNING) <br />URINALMETAL <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT( WOOD BURNING) <br />_ <br />FLOOR DRAIN <br />GAS RflEPLACG <br />_ <br />BACKFLOW PREVENTERS <br />GIS RANGE <br />SINK (SERVICE— BAR. ETC.) <br />�— <br />GAS PIPING <br />EXI/AUSTFAN <br />1� <br />SUB TOTAL T <br />SED TOTAL S <br />PERMIT 5 <br />PERMIT 5 <br />TOTAL FCC S <br />TOTAL FEE T <br />'Ef:Etwl ff1mj <br />`OH UFYIL: UJG UNLT: <br />RONTSFinACK <br />RFi <br />FEM SEI DICK <br />/Jn. <br />LOD AnFA <br />SIDE SEIYACM <br />/JA <br />YACAN1 SIDE <br />PLAN CHICK NVMnrO rEF <br />FEES <br />- <br />Ov` <br />VALUATION <br />nFf.CIPi NC <br />PEES_ <br />co <br />OYES Qlro <br />nulnwn <br />I <br />IEgNY 1ATION <br />LL 1' <br />NO OF DWCLUND <br />UNITS <br />SIZE Or CLDtLlI <br />PUMPING <br />T <br />LACNANICAL <br />_ <br />ICCUPANLY Iq 0151Mfi <br />OCCVPAN?LCAV <br />PASEMENI <br />nWP <br />]v[S El No <br />ADCITI(NIAI RAN CI If CK <br />IPE SPANALfN NCO'0 <br />mlrtn <br />S1AIF CNICIrID SIIIICIIAM.E <br />/ <br />;a <br />v <br />111E NADM NEOJ <br />of ASp( <br />YPE OF CONSI <br />1•LANSM COCA <br />CITY OF EVERETT <br />W <br />RIOIIDODKS <br />I <br />LOCAL SALES <br />D E <br />TAX CODE IS 3105 <br />TOTAL <br />