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ppPLICATION FOR CONSTRUCT�ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREEf • EVERETT, WA 98201 •(425) 257-8810 <br />❑ pEMOLITION ❑ COMBINATION ❑ BUILDING � <br />MECHANICAL ❑ PLUMSING O SIGN <br />PROJECT ADDRESS: lo OO �� �-� � 98203 �� ZS� 1-�8� <br /><_ . iT'c tA..G.RJ.,T. S.«._ �v�rc <br />ARCIIITF.CTOlUE51GNER MMIPD[1RE ��T Z� �� n��}�J��� <br />� G <br />QTY 71P PHq4E SfAiE LIC[NSE � M p <br />GGNERFIGONTRACiO�i MMLAOO�E55 n�.�..i �?/�19G/_L¢/7/J X/EA�YSDSI.T. <br />CONfHR'.� <br />LEGAL <br />lOT _ <br />OF WORN <br />FOOTAGEIAVOLVE� <br />oF rnoPenrr �sr:,wn o=�� <br />_ OLOCK — OF <br />CON57RUCTION LOAN IEN�Ef1, AO�PESS. TELEPHONE NUMOER <br />NO. l YPE OF <br />WATEA CLOSET� <br />BATHTUB <br />LAVATORY (WASi <br />SHOWER <br />HITCHEN SINK 3 <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASH <br />URINAL <br />DRINKING FOU� <br />��� PIIONE $TATF. LICENSE � <br />Cltt ZIP <br />ur <br />HEATING SYSTEM: �GAS ❑ ELECTRIC ❑ <br />CONTp�/TP•SAS�NANDP110NEN0 � � <br />' �(..S(o0) 7UJ'/GL 5 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NpT, THE GRANTING OF A PERMIT DOES NOT PRESUIv1E TO GIVE <br />AUTHORITY TC VIOLATE OR CANCEI THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THe <br />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />qppLECAT�IONHI SP MADET AND PERCOMPLYHEWITOH KTHE ST TE <br />CONTAACTCRS LAW 1827 RCW AND 296.200 WAC. <br />.�i1fN'o�//T'�"� � oniE / !9 <br />51 HATURE <br />CITY 6USWF55 LICENS[ NO <br />�V iYPEOFE0UIPMENT FEE <br />OR ITEM FEE NO. � ' <br />, q/C—A/HN�LGUNRS �---- <br />— � FORCED AIR SYSTEMS -�-- <br />— , HEAT PUMP _ � <br />SINK (SERVIGE — eAn, t i �.1 , � <br />� <br />� <br />� <br />� <br />i <br />i <br />SUB TOTAL S '� <br />PERMIT 5 � <br />TOTALFEE S J <br />FOR OFFICE USE ONLY: <br />fppNTSFTAACK REARSETBALK <br />USE ZONF <br />HEIGHT � IMITAiION <br />OGCI�P/.NCY NO � <br />GROUP <br />FIRE SPPINhLER RE <br />l01 AREA <br />k0 O: DY/EII�NG <br />UNIiS <br />OATE <br />SIOE SEIBACN <br />SUB TOTAL $ � <br />PERMIT $ � ' <br />TOTALFEE S f�1� <br />fEF IPECFIPiNO <br />PlANC11ECNNUMI1fR ' <br />VPCnNi SItE � - -� <br />❑YES ❑ ND pUIIDINf. <br />54E OF OLDG/f I <br />PLUMh� ._ ___ <br />BASEMENI MFCHnNiCAI <br />❑VES ❑ N� <br />_ ��DI IION�I. PL RN GIIf.GK <br />Oi�+En <br />StAIE B111tUiNf. SIIfiC11ARtlE <br />CITY OF EVERETT rumicwonKs <br />LOCALSALES <br />''� TAX CODE IS 3105 TO7AL <br />