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APPLICATIC#A FOR CONSTRUCT.JN PERMIT <br />CITY OF EVERETT • RDIVISION <br />3l_00 CEDAR STREET •EVERETT. ETT. WA WA 98201 • 259-8810 <br />DEMOLITION COMBINATION I I BUILDING I MECHANICAL n PLUMBING <br />PROJECT ADDRESS SIGN <br />PHONE STATE LICENSE <br />e r x // S C�4/2: i nr <br />MAIL ADp1ES5 CITY ZIP <br />PIgNE STATE LICENSE F <br />MAIL ADDRESS Cttt np <br />PHONE STATE LICENSE I <br />v SQQ <br />DESCRIBE WORN AND SQUARE FOOTTAIGE INVOLVED <br />r <br />PROPOSED USE OF BUILDING <br />LEGAL DESCRIPTION OF pF10PERTY (SHOVM BELOW ORATTACNTWO COPIES) <br />LOT BLOCK OF... <br />8itV erlty+� I/o y tfst92ct5 n 2 <br />PARCEL TAX LO. NUMBER <br />� -n�Tn- <br />CONSTRUCTION LOAN LENDER. ADDRESS, TELEIMK)NE/UMBER <br />/+lCn Oic `ice C/•c <br />�ryle a't 9�/Q��i�9S%tom <br />PLUMBING <br />NO. TYPtOFFIXTURE OR ITEM FEEWATER CLO'--BATHTUB <br />LAVATORY(IN) <br />SHOWER <br />KITCHEN SINK A DISP <br />CLOTHES <br />URINAL <br />TOTAL <br />HEATING SYSTEM: 11 GAS n ELECTRIC ❑ <br />CONTACT PER90N AND PHONE NO <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AI4D 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 />APPLIC ON IS MADE AND I COMPLY WITH THE STATE <br />CON AC ORS LAW 1B.2T RCW AN 290 WAD, <br />SIGNATURE DATE <br />CITY BUSINESS LICENSE NO. <br />MECHANICAL <br />J <br />TYPE OF FIXTUREOR ITEMFEE <br />DO UNITS — H.P.CEDAIR SYSTEMS—B.TUM E.A. PUMP HEATERS — B.T.U. M , <br />GAS <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK PEAR SETBACK SIDE SETBACK <br />PUN CHECK NUMBER <br />USE ZONE LOTAREA VACANT SITE FEES <br />f1YE8 FI NO <br />HEIGHT LIMITATION BUILOINO <br />NO OF DWELLING SIZE OF BLDWI <br />UNITS <br />PLUMBING <br />IASEMENT <br />MECHANICAL <br />❑YES D NO <br />ADDITIONAL PUN CHECK <br />OTHER <br />STATE BUILDING SURCHARGE <br />CITY OF EVERETT <br />PUBLIC WonKS <br />LOCAL SALES <br />TAX CODE IS 3105 <br />1 TOTAL <br />FEE <br />SUB TOTAL $ <br />PERMIT $ <br />TOTAL FEE S <br />NO. <br />