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APPLICATIG J �FOR CONSTRU�T .�N PERMIT <br /> CIT`(OF EVERETT• BUILDING DIVISION �iC���� <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259•8810 <br /> ❑ DE(NGLITION ❑ COMBINATION ,� BUILDING ❑ MECHANICAL ❑ PLUFABING ❑ SIGN <br /> PROJECT ADDRESS: 5v��'� �/y4v'4YG .�/ �!�/ ���'�'(l� <br /> ✓ <br /> OVINER M�RADfNiE55 t�n , zm PHONE - <br /> Mr C'7cora.�f�.�.c �oT rz3 N,�lJ _.�0/.✓a .�,�l,o ���(,y 20�-?-�s��7y5 <br /> TENAN� uui�noncss '—�CI7Y � I�P �110NE <br /> �fICHRCCTOR�E5IGHER Mu�A0�RE55 Qtt 7i� PMONE <br /> GENERQGONTRIICTOR Mu�A�ORE55 CIIY Z�� PMONE iIATEIICENSE� <br /> L��S Y o-C.V, r I//9•79 '�✓� Si� ,��c��i� �x�s 33�/-C//3 ��sav �.��� �.� <br /> MECH�VIiCALLONTRnCTOR�' M�IIAU�FE55 Cltt ZIP P��ONE ,lFTELICENSE�� <br /> PLLIMBINGCONTRA�TOR M�ILAppf1E55 Cltt Z�P PHONE $TATEI.ICENSE� <br /> GONfMGT VPIC�F WOPN h:EATING SYSTEM: ❑GAS ❑ ELECTRIC ❑ <br /> 6. oU <br /> OESCRIBE WO�N�NU SOU�E POOTAGE INVOLVED CqNT�CT PCRSq�ND PHOy�7+O <br /> l7ss /�'trnn-F evci /,a�/ s�;�_ !/�/Iv •/�f�5`iC <br /> m6r ' <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINEU THIS <br /> APPLICATION AND KNOW THE SAME TO BE 7RUE AND CORRECT ALl <br /> vaowseou e ov 1guaortro PROVISIONS OF LAWS AND ORDINANCES GUVERN�NG THIS TYPE OF <br /> . 7 Y N � WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OP <br /> LEG�LOESCRIPTIONOFPROPERTYISHOWNBELOWOf1ATf�LHTWOCOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �pT BLOCN ov AUTHORITY TO V�OLATE OR CANCEI THE PROVISION OF ANY <br /> OTHEH STATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WnRK FOR WHICH <br /> APPLICATION IS MADE ANO 1 COMPLY WITH THE STATE <br /> PARO'..LTA%LD.NUI,.BER CONTRACTOPSLAWt8.27 C�D296.200WAC. <br /> �/Lgo> -/- , aG � �h�// 9� <br /> CONSTI7UC110N lOM!LENDE(i.AODRE55.TELEPIIONE NUMBER <br /> SIGNAI pE D�iE <br /> CITY BUSINE55 UCENSE NO. <br /> PL�V BING MECHANICAL <br /> NO. TYPE OF FURJRE OR ITEM FEE NO. TVPE OF EOUIPMEHT FEE <br /> WATEFi CLOSET(TOtLET) � MC—A/HNDLG UNRS ' <br /> BATHTUB ; FORCEDAIRSYSTEMS � <br /> LAVATORY(WASH BASIN) � HEAT PUMP ' <br /> SHOWER ' L'NITHcATERS � <br /> KITCHEN SINK 8 DISP � CLOTHES DRYERS � <br /> DISHWASHER � RANGEHOOD ' _ <br /> LAUNDfiYTRAY � WATERHEATER � <br /> CLOTHES WASHER � WOOD STOVE ' <br /> URINAL ' METAL FIREPLACE(WOOD BURNING) ' <br /> DRINKING FOUNTAIN ; FIREPLACE INSERT(WOOD BUHNING) � <br /> FLOOR OHAIN � GAS FIREPLACE ' <br /> BACKFLOW PREVENTERS ; GASRANGE � <br /> SINK(SEAVICE—BAR,ETC.) � GAS P�PING ' <br /> EXHAUSTFAN <br /> � <br /> � � <br /> � <br /> � <br /> � � <br /> SU6 TOTAL E ; SUB TOTAL S � <br /> PCRMIT S � PERMIT E � <br /> TO7ALFEE 5 ' TOTALFEE S ' • <br /> FOR OFFICE USE ONLY: _ <br /> F50NTSETBACK REARSETBACK SI�ESETB�CK PLANCIIECNNUMhcfi FEF �EQE��fNO <br /> ' js/C� <br /> USF.20NE IOT�iIEA VAC�NTSIiE FEES VALUATIUN FEE <br /> i <br /> ❑YES O MO pUILf1Wf. G ,�, i <br /> HEIGNT LIMITATION NO OF OWEIUNG SRE OF BLDCR.I j i <br /> UNIfS pIUM1IUIIiU �L/ T� <br /> 1 <br /> OCCUPANCY NO O�SIOWFS OLLUPAN�LC40 9�SEMENT M�CMGNILAL � <br /> GRWP <br /> ❑YES ❑NO —"— <br /> FIRESPNNKLEBREO'D AEASQY AOO�fIO�ULPUNGIf.CN � _ <br /> i <br /> on�en � <br /> FIREAUPMPEO'D PEA50N � �L, <br /> $TAIE OIIIl01Nfi SU�C11nfk1E i �xJ <br /> —_ r—� <br /> TYPc_OFf.ONST �I�hSAPP�OVE��Y CITYOFEVERETT �IiNIICW0�N5 � <br /> __i— <br /> LOCALSALES � ��` <br /> ��,� TAX CODE IS 3105 TOTAL �J <br />