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, <br />APPLICATIG.1 FqR CONSTRUCT.JN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />, 3200 CEDAR S'fREET • EVERETT, WA 98201 • 259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUAABING �SIGiJ <br />PROJECT ADDRESS:_ (� SOI E�'`�RG��fE�✓ W� <br />OWNER MeILADDPESS <br />�(µr/ CNv,�6 c�n Z1" r��oNe <br />680/ EYE�6/QF�Y �„i�}j� �uf�ff� w,¢- 98�3 3Y7-2i39 <br />TENANT <br />p7Y � 1�p <br />GENERA��pNiR��TO{1 MAIL�OOf11�.55 CI7V 7�f PIIONE $IATEIICENSE• <br />�t/�reN9ti .Sr�i� a/10 ,� rd�srtA# Ad�: nJ. S�A�ZF (�f 9�09 ZSZ-o?oa nr�escS3,S�2 <br />IAECMANILALCONTRACTOR M�ILqDURI!55 Cltt rIp <br />P110NE Si�TE LICENSE � <br />PWMBINGCONTRACTOR MAI�AODP:.55 CItY ZIP PIIONE <br />STAiE LICENSE � <br />�VniH114IPPIGEOFWOfilf 6ygj� <br />DESCRIBE WORN ANO SOU�R FOOTAGE INVCI VEO <br />_ /�✓sr�u u,✓E DouBcF -F,tc� /uuMi�1�0 �'i,t6.�� <br />yatE S/�1 D1S0lA�'%Tn /1EpN� �N6 6/6n� kEr <br />tJ ho. . ✓Ek(�`T O�l� I�roRkSj� <br />PROPOSEO USE OF B ILD'NG <br />T,4�[ <br />LE: �L DESLRIPTION OF PflOPERTY (SHOWN B EIOW OR ATTACH TK'0 COPIES) <br />LOT BLOCN OF <br />PARCEL Tl1X I.O. NUMBEH <br />CONSTPUCTION IOAN (ENDEq, �UDPESS. TELEI HONE NUMBER <br />PLUMBING <br />NO. TYPE OF Fl%TURE OR ITEM FEE <br />WATEH CLOSET�TOILET) <br />BATHTUB � <br />LAVATORY (WASH BASIN) , <br />SHOWER , <br />KITCHEN SINK 8 �ISP � <br />�ISHWASHER , <br />LAUNDRY TRAY � <br />CLOTH[S WASHER � <br />URINAL � <br />DRINKING FOUNTAIN � <br />FLOOR DRAIN , <br />B/1CKFLOW PREVENTERS � <br />SINK (SGRVICE — RAR F7C 1 � <br />FOR OFFICE USE ONLY: <br />FRONTSETBACN � REARSETBAGK <br />USE IONE �. � � �Of MEA <br />HEIGHT LIMITA710N <br />� r <br />ra_ r_�;�n <br />OF <br />SUB TO <br />PERMIT <br />S <br />S <br />$ <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />LOHTAC� PEfiSON AND PHONE NO <br />I HEREBY CEFTIFY 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 GOVEHNING THIS TYPE OF <br />WORIC WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />N07. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHJRITY TO VIOLATE OR CANCEL THE PqOVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PEPFORMANCE OF CONSTRUCT�ON. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PEFiFORM THE WORK FOR WHICH <br />APPLICATIO IS n�m E AND I COMPLY WITH THE STATE <br />CONTRA Lq 827 W AND 296.200 WAC. <br />x �%IL�/�' 5�8-9� <br />C�TV BUSINESS LICENSCNO. <br />MECHANICAL <br />��0. TYPE OF EOU <br />NC —AMNDLG UNRS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATEPS <br />CLOTHES DRYERS <br />RANGEHOOD <br />NlATER HEATER <br />NJOOD STOVE <br />MEfAL FIREPLA:.E (VJOC <br />FIREPLACE INSEIiT (WOI <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />SIDE SETB�CN PUN CIIECN NUMO[O <br />� : /!1'7!0 <br />VAC�NT SIiE FEES <br />9A'ES ❑ NO <br />�� � IIIIILDIN6 <br />NOOFDWELLING SIZEOFBLOGRI <br />UNII$ � <br />�'UlIU01NG <br />OCCUPANf LO�D BASEMENf hIEC11RNICRL <br />❑YES ❑ NO <br />REr150N �ODI110�UL PUN CI�fCK <br />mirzn <br />REASON <br />STNE �UqOWG SIIRCII4pGE <br />ninNserrnov¢nor CITY OF EVERETT runnr.wonKs <br />JM / LOCAL SALES <br />]RTE /.� 3/9G TAX CODE IS 3105 TOTAL <br />�EF <br />SUB TOTAL $ <br />PERMIT S <br />TOTAI FEE 3 <br />f1Ef.EIP7 NO <br />FEE <br />