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APPLICATI�1 FOR CONSTRUC'1�N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />fl DEMOLITION [-1 COMBINATfON fl BUILDING J�i MECHANICAL rl PLUMBING fl SIGN <br />PROJECT ADDR�SS P n�� /a; ,/��%/�%C�1V /.i�� �'�UY /� <br />�OCC fi!/ f� <br />OWNEF _ _ MfjILADDRE55 CITY � 21P <br />LIiV ZIP rn�ne <br />PLUM9INGCONTRACTOR MAILADDRE55 CITY 21P PHONE STATEUCENSE• <br />DESCRIBE WOWK ANO <br />LEGAL �ESGRIPTION OF PROPE <br />LOT BLOCK <br />PARCELTAXI.O.NUMBER <br />D <br />�GEINVOLVED <br />Ofl <br />CONSTRl1CTION LOAN LENDER. ADDRf:55, TELEFHONE NUMBER <br />PLUMBING <br />NO. TVPE OF <br />WATER CLOSET <br />LAVATORY <br />KITCHEN SINK. 8 DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />SINK (SERVICE — BAR, <br />OR ITEM <br />SUB TOTAL $ <br />TOTALFEE S <br />FOR OFFICE USE ONLY: <br />iPONTSETPRCN REAR SETBACK SIDESETBACN <br />USE ZONE <br />HEIGIR IIMITATION <br />NO Of <br />HEATING SYSTEM: �AS f-I ELECTRIC fl <br />CONTACiPEFSONANPPNONEl�0.� � __ <br />� HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS UF LAWS AND ORDINANCES GOVERNING THIS TYPE OP <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 PEFFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONT ORS L 1027 FiCW AND 296200 WAC. <br />x ,�.d'� J �CX �. 1 02 ! <br />SIGN URE ^1 � O � /f/i DATE <br />�l � �7 <br />CITY BUSME55 LICENS@ N0. <br />NO. TVPE OF E�UIPMENT � FEE <br />wt; — wnrvu�u urvi i o— n <br />FORCEDAIRSYSTEMS L' <br />HEAT PUMP <br />UNIT HEATERS B.T. . M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />WATER HEATER <br />METAL <br />GAS FIREPLACE <br />GASRANGE <br />GAS PIPING � <br />SUB TOTAL S <br />PERMIT 5 <br />TOTAL FEE S <br />PLAN CIIECK NUMOER I F[8 RECEIPi NO. <br />,57j?�O/ <br />LOTAREA VACANTSITE rcw <br />f1VE5 fi NO O111L!IiNG <br />NO.OF�WELUNG S12EOFBLDG/TI <br />UNI�S p�UMOMG <br />OCGUPANTLOA� BASEMENT MECHANICAL <br />fl"ES Il NO <br />AUDI710N�L PLAN CHf:CN <br />RFF50Y <br />OTHER <br />RE�SON <br />STNE OUILDING SURCIInRGE <br />PLANSFPPROVEDBY CITYOFEVERETT ruouc�son�s <br />JM LOCAL SALES <br />....� �., �e%%Gi TAR CODE IS 3105 TO7AL <br />