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APPLICATI6.� FOR COWSTRUCT.JN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />f� DEMOLITIUN fl COMBINATION fl BUILDING f� MECHANICAL �� PLUMBING fl SIGN <br />PROJECTADDRESS 5��' C���y AvE . Lv - <br />, �2ET �JA q g 2v3 <br />DWNER M�ILAODRE S ��n. <br />. � � _ . . _ I P nunuc <br />Maa <br />GENERALCONiMCTOR MAILPpDRE55 CITY p�p <br />PIIONE $iATE IICGNSE • <br />MECNRNICAICONTRACi00 MAllA0DFE55 ��n. _ <br />71P P���NE STAfE UCGNSE � <br />PLUMBINGCONTR��TOA MAILA�bRESS Lltt Z�p _ <br />PIIONE STAiE LICENSE • <br />WORNRN� SOUAREFOOTAGEINVOLVEU <br />�tti�L UESCPIPTION OF PRCPERTY (SIIOWN PELOW <br />LOT BLOCK OF_ <br />0 <br />PnRGELPI%ID.NUMBER <br />�-/958 - DD3 - D o�-( - DD D�-{ <br />CONSiPUCT10N'.OAN IEN�@R, AODRE55. TEIEPHONE NUMBER <br />Nv,u t <br />PLUMBING <br />NO. TVPE OF F�%TURE OR ITEM FEE <br />WATER CLOSET(701LEn <br />BATHTUB <br />LAVATORY�WASH BASIN) <br />SHOWEq <br />KITCHEN SINK 6 DISP <br />_ DISHWASHER <br />LAUNDRY'iRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />_ SINK (SERVICE — BAR, ETC.1 <br />SUBTOTAL $ <br />PERMIT 5 <br />TOTAL FEE $ <br />FOp OFFICE USE ONLY: <br />fRONT5F.T0ACK R[AIISFTBACK <br />USEZONE <br />11EIGIIT LIINITATION <br />OCCUPANCY NO 0[ Si0RiE5 <br />GIIOUP <br />FIqE ALAPM REOD <br />IOTRREA <br />NO OF �WEILING <br />UNifS <br />SIDE SETBACK <br />HEATING SYSTEM: � I GAS f-1 ELECTRIC �l <br />CONipCiP[RSONAhpPHONENO. <br />I HEREBY CEpTIFY THAT i HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT qLL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THiS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING i)F A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIO! ATE OR CANCEL THE PROVISION OF ANV <br />OTHER STATE OR I.JCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE O; CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PR7PFR?� TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MAUE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />x ��,��q,�z �'(� � �/3- 9 <br />SIGNRi E ntE <br />CI7Y AUSMESS I ICGNSE NO <br />TYPE OF EOUIPMENT <br />A/C — MiNDLG UNffS — H.P. <br />FOFiCEDAIR5Y5TEM5—B.T.U. M <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRYERS <br />VEN7ILATION FAN <br />RANGEHOOD <br />WATEF HEATER <br />WODDSTOVE <br />METAL FIREPIACE (N'OOD <br />GAS FIREPLAI <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL S <br />PERMIT S <br />T07AL FEE $ <br />PI�N GIIECN I�yM�i[�� fEG q[Cf:IPT NO. <br />H 4 �1 <br />VRC�NTSITF � <br />IIYES I1 NO <br />BUII�MIi <br />5�2E OF BLOGRI <br />fIYES II NO <br />CITY OF EVEREtt <br />LOCALSALES <br />TAX CODE IS 3105 <br />PLUMpING <br />MEp/nNICAL <br />RDDI110N�L PUN C��f.CN <br />OLNER <br />SiAiE BUIL�MC SURCH�RGE <br />rum ic wowcs <br />TOTAL <br />/ <br />� <br />m <br />