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APPLICATION FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, INA 98201 A (425) 257-9810 OAL <br />❑ DEMOLITION ❑ COMBINATION I O III [I BUILDING II MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: �r1C I YY04T f ue-tioE <br />ec: <br />A%FIFT MC-c4. 9�?o IJ3 -A�F AT1.� �/ � J .�a 9raTa VIErr,7arnhs ^J <br />M UTTMG COMRACi(q M4L /,pEPE55 an I'm PIgNE STATE LICENSE0 <br />a o.ao <br />CMIRACT PRATE OF K <br />F <br />HEATING SYSTEM: ❑GAS DIELECTRIC ®ns � P ye <br />_ <br />DESCroBE Yaa ARgQSOOARE PK)r�jE N4IXvrp <br /><p11Ecr PCnsal AND rIgNF Np <br />11111 V$ <br />PTloros[p OSE RE BIRmiNO <br />G �fc <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 />APP .ATION IS MAD: AND I COMPLY WITH THE STATE <br />CO ACTORS LAW CO ACTORS LAW I1RCW AND 296.200 WACAND 296.200 WAC. <br />X .�J-1/ 'z <br />_ <br />LEGAL DESCRPTION DF PRDPERTY ISN BELOW EAT MACH TWO COMES, <br />LOT BLOCK Or <br />PARCEL TAXI D PBIMBER <br />Cd15TRUCTM]NIO.W IEMIER. /.pMEBS. TElCP1bNEMNBER <br />G AtU1LL OI ^ DAIF <br />`� <br />1Y0WNCBS IiCU:5C N0 <br />PLUMBING <br />4ECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />_ <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C—AMNDLG UNITS <br />--T <br />BATHTUB <br />FORCED AIR SYSTEMS <br />_ <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK 8 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 />DACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE —BAR. ETC.) <br />GAS PIPING <br />EXHAUST FAN <br />SUBTOTAL <br />E <br />SUBTOTAL i. <br />PEIT <br />E <br />PERMIT E <br />'T <br />TRMOTAL FEE <br />E <br />TOTAL FEE E <br />FOR OFFICE USE ONLY: <br />EININTVTD*CK <br />REAR SETBACK <br />SIBF MIEACN <br />MAN VIECA NUMBFR <br />FEF <br />RFF.FiPT NO <br />15E IMF <br />IDIAREA <br />VACANT SITE <br />❑YES ❑ NR <br />FEES <br />VALUATION <br />FEE <br />00,NW.. <br />wl"TNMTATKIN <br />NO apWMNNG <br />,MAIs <br />SVECA BLOGRI <br />MIIAKIPKI <br />0.11WP1NCY <br />C <br />Nt M51fvn15 <br />IX:CUMNI LOAD <br />BABELFMI <br />TIS 0M <br />MFCNAKK;AI <br />AWTKINAI. MANCNECX <br />F 2SMXNKLEr REO'0 <br />RFASW <br />(TIMER <br />FIRE AURM REOD <br />WARGV <br />STATE BUId C. SIIRCNAWE <br />TYrt OF CAT <br />FLANSAMVIOVFDBY <br />vTt <br />CRYOF EVE NETT <br />LOCAL SALES <br />TAX CODE IS 0105 <br />MRR A:vmRxs <br />— — <br />TOTAL <br />-- <br />