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APPLICATIa�J FOR CONSTRUCT;N PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREEI'•EVERETT,WA 96201 •259-8810 <br /> U DEMOLITION C�1 COMBINATION ❑ BUILDING ��� ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS: 49z3 �V fQA,yl �rJw IS �V�'L� Wa Q$2o3 <br /> M6MA$ . 32v �OSTM Ar✓ �t4do 8a.11cvw,._ Wr� 9Boof (ZvG�453 - c3z4 <br /> OW'1EH MAI�FODRF55 CITY 21P PNONE <br /> �i+ru ou✓ 7't3o zlSfi' �.t. s� �l�„�,c� ���z� ��6� �71-3zs�1 <br /> IENANT MNI�OD(1E55 GfY Z�� 1'nONE � <br /> Kih�� I,e� Po � 316� �ecct+fQ w/+' 9�'I►� (��) �zz�79�v <br /> �RCHRECT OESIGNER �/ M��l ADORE55 Citt 71P PIIONE <br /> �% .� J Ll���� . . . , .� . � � <br /> GENE��I LONiR��I M�I�epDf1E55 G�I^� TI PIIONE SGTE IICENSE� <br /> 'T�.� �ii✓1�n��� ���, ��r,,� /I7C/�1 .J�,Q i G o�Qs G3 2 <br /> MECHANICQ ,p�G� MAiI ADDPE Cltt zIP PIIONE STATE LICENSE� <br /> � Z�9�7 <br /> PIUMBINCCONIflACTOR MRILADDPE55 Lli:f ZIP PHONE STA7EUCENSE�� <br /> CONfq�CTPRICEOP Of11( <br /> HEATINC SYSTEM: ❑ S ❑ ELECTRIC ❑ <br /> DESCRIBF.WORK 11 D 50 ��E FOOTAGE INVOLVE� '�O� � LONTA�T P R�SON�NO PNONE NO 7—T��/2�� (16 <br /> 1 <br /> X.G I Ih 1 I" Y'�Ml�Y 1 C 7�,0.-� (i�" 7 I � � <br /> -� �, �,a(��w;�u �'f7�.,,,y��,�r 1 HEREBY CERTI THAT 1 HAVE REAO AND E%AMINED THIS <br /> PROPOSEO USE OF BUILDINQ 1 APP!.ICATION AN NOW THE SAME TO BE TRUE AND CORRECT qLL <br /> ��0.1I �00� SWr'3 PROVISIONS OF WS AN�ORDINANCES GOVERNING THIS TYPE OF <br /> WORK 1Yi�L B COMPLIED WITH WHETHEFi SPECIFIED HEPEIN OR <br /> LEGALDESCNIPTIONOFPROPEfliY�SHOWNBELOWqiATThCHTWOCO01E5) NOT. THE O ANTING OF A PERMIT DOES �10T PRESUME TO GIVE <br /> tor etocK oF AUTHOaIT TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER S TE OR LOCAL LAW REOULATINa CONSTRUCTION OH THE <br /> PERFO ANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY THE <br /> OWNE OF THIS PROPERTY TO PERFORM THE WORK FOH WHICH <br /> APP ATION IS MADE AND I COMPLV WITH THE STATE <br /> OMCEL TA%�D.NUAIBER CO RACTORS LAW iB27 HCW AND 296.200 WAC. <br /> 41o2 - aao - o►7-0000 (c�,�,h �-,. q���-y[ <br /> CONSif1UGT10N lMN LENDER,�DIXiEiS,TELEPHOHE NIIMBEN <br /> � 516NAT E D�TE <br /> piY BUSINESS LICENSE NO <br /> � PLU6181N0 Lt..Ga.� SC.^iL..e7ln 1=L�-ft,:f � MECHANICAL• . . , .• . . . . <br /> NO. TYPE OF FIXTURE OR ITEM F ND. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) � q/C—AMNDLG UNRS � <br /> BATHTUB FORCED AIR SYSTEMS ; <br /> � LAVATORY(WASH BASIN) � i HEAT PUMP � <br /> SHOWER � IT HEATEHS � <br /> KITCHEN SINK 8 DISP � CL HES DRYERS i <br /> DISHWASNER � RANG HOOD � <br /> � LAUNDRY TRAY ; WATER TER ; <br /> CLOTHES WASHER � WOOD STO � <br /> URWAL ' � METAL FlREP E(WOOD BURNING) ' <br /> DRINKING FOUNTAIN i FIREPLAC 5 T(WOOD BURNINO) i <br /> FLOOR DRAIN � GAS FI PLACE � <br /> BACKFLOW PREVENTERS ; GE ; <br /> SINK(SEFVICE—BAR,ETCJ � PIPING " � <br /> 9 .>�^ �r it. � ' IXHAUST FAN� . ' <br /> i / � <br /> � / � <br /> 1 <br /> i � <br /> i � <br /> S TOTAL S ; SUBTOTAL S ; <br /> RMIT S � PERMIT S � <br /> OTAL FEE S � TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: <br /> FRONT SETB�CN . REAiI SET �CK SIDE SETB�CR PIAN CIIECR NUMOFII fEF /� RFCEIP7 NO <br /> �'Z <br /> use za+e l07 A `A V�C�NT SIfE FEE VALUATION FEE <br /> . ❑r¢s ❑ No euaoir+r !�� ✓ � <br /> NE�GIITI�MIUiION NO. DWELUNG SREOFBIDCRI � <br /> UN S I 7G� �/ T I. PL114BING � i <br /> p��PANCY NO 0�SIOBIES (�CC/UPANf LO�D BASEMENT AIECHANICU � � <br /> I ((/� . I. ❑YES �PNO — � . <br /> FIlIE PPINKLERPEO'0 RE�SON �DDiIION�LPUNCnf.CN � <br /> � <br /> (//�' ;—_ <br /> fi/� C7 . OTHER � <br /> � <br /> FIREAIAHMNEO'D RE�Sfk! <br /> � 1 Gfl/`' STAIEBWl0�NO511f4;1U116E —1— I�� <br /> .Y/�C r— <br /> rroeocr,ousr ntnr+senrnoveoor � <br /> CITY OF EVERETT rueuc vronKs <br /> �Tr / 1�M LOCAL SALES - — i— <br /> ..WJ� o��E � % �� TAX CODE IS 3105 TO7AL � � (J <br />