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APPLICATI� N FOR CONSTRUC' �ON PERMIT <br />3200CED RSTREETE VEREITT, Wqgg�20110 59-8810 � <br />B DEMOLITION l] COWIBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS:�. 9ZQ Broadwav Everett WA 9820; <br />fiverett Communit �oll^ege Spl Wetmor.e Everett WA 9A201 'iRR_OSto <br />OMTIEq <br />TENAN7 M�p.ApppF.55 � <br />CIIY 11P PIIONi <br />��M�T�Ci OB DESIGN[0 M1�1 ADppE55 <br />Owner c'^' 71P PUUNf <br />p1Y � --- lip -'----- PIION[ <br />SI�IE IICFNSE � <br />M�II <br />. ••^ r lll' PIIONf ST�IE IICENSE � <br />PIIIMBWGCONIP�f.TO(1 qAlIAqME55 -- '-- <br />CIIY lIP � — I IIONI <br />SiAIE IICENSE � <br />LONfR�GT PqiCE OF WOflq _ _ _ <br />OESGi4BE WDIIR ANf15011A11E f007AGE INVq VED <br />dua <br />IEGAL OESCnRiION Oi pfipp� <br />��� BIOCK <br />Of <br />'..`�1 <br />Gd/STPlIL110N l OAN l EHOEP. /�pDRE57. IEI EM10NE MIMBER <br />PLUYBINO <br />NO. TYPE OF FUfTURE OR ITEM <br />WATER CLOSET (TOILEn <br />BATHTUB — <br />LAVATORY (WASH OASIN) <br />SHOWER <br />NITCIIEN SINK 8 DISP <br />DISHWASHER — <br />LAUNDRY TRAY — <br />CLOTHES WASHER — <br />URINAL — <br />DRINNING FOUNTAIN — <br />FLOOH DRAIN —' <br />DACHFLOW PREVENTERS <br />_ SINK (SERVICE — BAR. ETC.) <br />SUBTO�AL f <br />__ PERMIT j <br />TOTALFEE S <br />FOR OFFICE USE ONLY: <br />�R�NTSETP�CN REefISFiBACN SIUE SETHACk <br />USE IONE <br />MEM.11T ll W TA710N <br />101 �fiE� <br />NO Of UWELLING <br />UNI IS <br />V�C�NI SIIE <br />❑YES ❑ NO <br />S12E O� 6lOGR I <br />nres ❑ r�o <br />.. rinr�s�ri�nnvcnar CITY OF EVERETT <br />LOCALSALES <br />u.n TAX CODE IS 3105 <br />: i.=ATINCa SYSTEM: L7 GAS ❑ ELECTRIC ❑ <br />f.ONUC1 P: p50N�ND <br />Pfarlc Stewart 3fl8-9513 <br />I IiEREBY CERTIFY TI1AT I HAVE READ AND EXIIMINED THIS <br />— APPLICATION AND KNOW TfIE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OP LAWS AND OROINANCES GOVERNING THIS TYPE OF <br />— WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NO7 PqESUME TO GIVE <br />_ AUiIIORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />UTIIER SI'ATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PEFlFURMANCE OF CONSTRUCTION. THAT I AM AUTHORRED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM Tl1E WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITN THE STATE <br />— CON7RACTORS LAW IB ('RrAN 2gfi.200 WpC, <br />��'%� C���=-��-' <br />_ sioN�T RE �� l C�k"-i. o�re 5/16/97 <br />QTY BUSINESS UC[N5C NO <br />7YPE OF EOL <br />A/C — A/HNDLG UNITS <br />FORCED AIH SYSTEMS <br />HEAT PUMP <br />Uk1T HEATERS <br />CLOTfiES DRYERS <br />MNGE HOOD <br />WATER HGTER <br />WOOD STOVE <br />ML-7AL FIREPLACE (WOC <br />FIREPLACE INSERi (WO( <br />uAS FIREP�AC.E <br />3AS RANGE . <br />3AS PIPING <br />. SUB TOTAL S <br />_ _ ! �_._ PERMIT f <br />_ _ TOTAL FEE S <br />PI�NdICCRN111Alll�q�� ffP RFf.EIPiNO <br />�IJ <br />__ FEES _ yALIIATIDN � <br />eunnmu <br />PI IIMUMfi <br />MFCIInNIGI —_--- ��_— - --- <br />♦II@IINIAI I`IANCII(f.N _--_- .. _._..___ ____ <br />UIIIFII - - �� �"� <br />tiIMl�Ilupinql:SW11.���11G!"--__� �" <br />IiniN:wnnns ._---` . _. . <br />T07AL <br />__....."__� .'_'..-- . <br />. � __ .._ . . . _. �._.— <br />