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APPLICATI�1 FOR CONSTRIJC"�bN PERMIT <br /> CITY OF EVERETT• BUILDING OIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> p DEIriOLITION ❑ COMBINATION � BUILDING ❑ MECIiANICAL ❑ PLUMBING ❑ SIGN <br /> PROJ CT DDRESS: <br /> m�e.r (� :i��s o � � �,�.� ae� �5�� zs�z <br /> OVMER MRILAWRE55 Gltt III' � P ONE <br /> _f/1/lo�C� �o I��v ��`fv ��T1__.��- � �?c�� ��7 ZoC�o _ <br /> T/E�'NT ,/� MMlA0DPF55 �-y � 77� CII�I— JIP � ,,(/ PI10NE <br /> IdAV /T��11c4/�/ D�D�z J�W�!-//�`l�c� c� Su�, 1 _._... ,7�1�✓1"Ad/ 6��P '�� ��a ��� <br /> �HCN T T OESIGNEF M�II�ODRE55 CItt lll' PI NE <br /> ����� C`�n.� cl,�v� '�Z1o� Za�_ -_ 2f/���� oee �3 Z�S�/5'S' <br /> NERAICONT �GTOfi M�Il�0�f1E55 Cliv ]IP PIIONG $fATEUCENSE� <br /> MECHANICAL CONTPACTOR MAI�AODRE55 CITY IiP PIIONE SiATE UCCNSE� - <br /> PLUTABINGCONTR�CIOR MnILA0DRE55 CIIY � U�� PIIONE STATEL�LENSE� <br /> CONTMCT PPICE OF�� <br /> ppZj 11EATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br /> DE$CRIBE WORK ANO SOUA E FOqTAGE�NVOLVFD CON1nCt PCf15011 AN�PHONE NO <br /> I�QI� � � \ Iw" �`�+/ � _ _ — <br /> �� ` 1 f I HEREDY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> �� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORflECT All <br /> vnor seo use oFeuaowa PROVISIONS Oi- LAWS AND ORDINANCES GOVERNING TH�S TYPE OF <br /> VJORK WILL BE COMPLIED WITH WHETHER SPECIFIED NEREIN OR <br /> LEGALDESCRIPTIONOF7ROPERtt�SHOWNBELOWORATTACHiWOCOPIES� NOT. T11E GFIANTING OF A PERMIT DOES r10T PRESUME TO GIVE <br /> �or BLOCN__OF AUTI�IORITY TO VIOLATE OR CANCEL T}iE PHOVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFOFlMANCE OF CONSTRUCTION.THAT I hM AUTHORIZED BY THE <br /> OWNEIl OF THIS PROPEFTY TO PERFORM THE WORK FOR WHICH <br /> APPLIC ION IS � WITH THE STATE <br /> P�wcEl T�x 1.0.NUMBER CONT AC: f 5 iB.Z 1Y �296.ZO0 C. <br /> CONSTRUC?IONIOANLENOER.ADORE55.fELEPMONENUMBER x / ���_ <br /> Slf. Alur1F. CATE <br /> CiIY IIUSINESS LICENSE NO. <br /> PLUMBING MECHANICAI <br /> NO. TYPE OF flXTURE OR ITEM FEE N0. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) � NC—MiNDLf3 UNRS ' <br /> BATHTUB ; FORCEDAIRSYSTEMS ;_ . <br /> LAVATORY(WASH BASIN) � I1EAT PUMP � <br /> SHOWER ' UNIT HEATEFS ' _ <br /> KITCHEN SINK 8 DISP i CLUTHES DRYERS � <br /> DISHWASHER � RANGE HOOD � <br /> LAUNDRY TRAY ; WATER HEATER ; � <br /> CLOTHES WASHER � WOODSTOVE � <br /> URINAL � Mf_�lAL FIR[PLACE(WOOD BURNING) ' <br /> DRINKING FOUNTAIN i FIREPLACE INSERT(WOOD BURNING) i <br /> FLOOR DRAIN � GAS PIREPIACE ' <br /> BACKFLOW PREVENTERS ; GASRANGE _ � <br /> SINK(SERVICE—BAR.ETCJ � GAS PIPING � <br /> � E%IiAUST FAN ' <br /> � — <br /> � <br /> , — � <br /> � — i <br /> i ' <br /> SUB TOTAL S ' SUB TOTAL 5 ; . <br /> � <br /> PERMIT S � � PERMIT 5 � <br /> TOTALFEE E � TOTALFEE S ' <br /> FOR OFFICE USF ONLY: <br /> FRONTSETBACR REMSETBACK SIDF.SET9�CN �IANGIICfRN1lMllfll �EF �v �ECEInTNO <br /> -� /G�3 � <br /> USEZONE IOT�REA VACANTSIiE FEES VALUATION FEE <br /> OYES ❑ NO ppILI)ING ��p � Q(� i(�� <br /> HEIGNT UMITATION NO OF UWELUNG SIEE OF BIOG/f I � <br /> UNIfS � <br /> (� � ' IRII1AOMfi —'""— <br /> f ' _I—� <br /> OGCUPANCY NO 0�SIOwES OCCUP�AyN�f LO�D�7,�{,�y� BASEMENT MECIInNILAI j <br /> �IO L/ � /W GPI/ti"G}"i ❑YES �•ND _'____ ; <br /> FIRESPPINK�LE�/fl,RF.O'D AFASON 40DIIIONAI PI4Nl:IIfGH � _ <br /> /V/J ' <br /> OtI1F0 i <br /> FIREMA�MPE�'D AEASON ' <br /> �I!1 Sin1F 011tll)li![i SIIrtGInpGE —_ �.[%1 <br /> �V __"_'_ r�]✓ <br /> TYPEOFf,pNSi PlANSAP�q� ipOY CITYOFEVERETT �'���Iif.W011n9 i <br /> � JI�'1 IOCALSALES ---- ---- — --�— <br /> uA,E � g� TAX CODE IS�105 Toin� ; <br />