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i ` <br />APPLICATION FOR CONSTRUCTIa�N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVEREI"f, WA 98201 •(425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING C9'MECHANICAI ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: y �n �� �/C'�iy���� � <br />- - — -- — - .. _, � , ., , J <br />11RGHITCGTORDESIGNEA M1111l�DORE55 <br />nr <br />rHONr <br />���X 'Lo �/ / 7 <br />cow�r vmcc oF won� , <br />��J�� � <br />DESC E WORK�N�SOU�RE FOOTAGE MIVOLVED <br />A�/.�/�f=,r/ �n/� � <br />-.T-- � <br />vnoroseo use oF aunonxi <br />IEG�L OESCRIPTION O: FROPERtt ISHONTI BEIOW OR ATfACH TWD COWES� <br />�nT eia� or <br />PNICELTAXIU. MIMBER <br />GONSTRlICT10N LOAN LENOEP.IIODRE55. IEIEPNONE NUMBEP <br />PLUMBiNO <br />►p, TYPE OF FlIITURE OR REM FEE <br />WATER CLOSET (TOILEn <br />BATHTUB <br />LAVATORY(WASM BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />FOR OFFICE USE ONLY: <br />iRONT SFTfl�CN RFAq SFTB�f.K <br />USt IUNF �0111RE� <br />NE16H11�MIiGiION NOO�DWEILING <br />UN115 <br />SIOm,kS � O(:f.UPAM 10�D <br />D/.TE <br />TOTAL S <br />�ir a <br />lL FEE S <br />NEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />CONT�Ci PEPSON �ND 1'HONE NO <br />1 HEREBV CF,iiir'i ?HAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND COPRECT 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 NOi PRESUME TO OIVE <br />AUTHOPITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THl1T I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPUCATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAyJ 1827 RCW AND 296200 WAC. <br />GITY BUSIIESKIICENSC NO <br />A/C — NHNDLG U� <br />FORCED AIR SYSTI <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRVEFS <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE I <br />PUN CIIECR NUMqfR <br />r/�3/� <br />V�C�Ni SITE r[ca <br />❑YE$ ❑ NO 911pf11NG <br />92E Of PIOGRI � — <br />PIUMPM6 <br />B�SEMENI MFCNeMf.di <br />❑VkS O MO <br />R�D�IIONM. PI �N Cu(.f.K <br />O1HE� <br />$l�iE fllfilUMG SUfiCllAliG( <br />CRY OF EVERETT runnr. won�s <br />LOCAL SAL��S <br />TAX CODE IS 3105 TOTnL <br />EOUIPMENT <br />SUBTOTAL E <br />PERMIT S <br />TOTALFEE f � <br />rEF nFr.Firr No <br />