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.-, ' ' "� <br /> APPLICATIVN FOR CONSTRUC�� � '— <br /> CITY OF EVERETT• BUILDING DIVISI � <br /> 3200 CEDAR STREET• EVERETT, WA 98201 • 259-8�iD� 1 � � �M����rr <br /> 3 1„97 <br /> f 1 DEMOLITION f 1 COMBINATION i 1 BUILDING I 1 MECHANI - Gl•..P..L.U..MBING SIGN <br /> PROJECT ADDRESS P�b��c Works De�t, <br /> --� f3o� G�G��� L� `� • <br /> ownFn Mnu.nonm[ss :irv rm PHONE <br /> ��� �-� , �t! A aU�a-� <br /> l�Ni( MnILAODNF:SS (:ITY 21P PHONE <br /> IV � <br /> G[NFft�� ` O�niD^SIG�nn MNIAI:II1f.5ti (:IIY IIIP PfIONB STAiEUCENSEY <br /> ����� P.�. 6� �3�3 ����,,.�A �i��7-4 v23 � iI'�-Z -f.�i�'�'31t�tS <br /> � _ _ .. _ _ _ _ __ - . ._._ --- --- <br /> . MI�.CII�iNrnIII11M'.lUll MMlMibnl:?I . . ... . . �alY dP PIIONE SiATELICENSE� <br /> PL�OMII�f,TOR N�,i '.�DRESi f,liY ZIP PHONE $TATELibENSE� . <br /> 0 �� — <br /> cor+ran.t racr:orwonK HEATING �Y iTEM: i-; GAS ❑ ELECTRIC fl <br /> DESCPIBE WORK ANU SOVME F OT GE INVOLVEU /� CONTAC!PFFSON F^iD PHONE N0. � � \ <br /> � I N S-Tf�(�(. �.c.e. � r— G /�("�'L )n? 1'�olnf�/�.1 <br /> �._ '--�— <br /> ��N � <br /> —� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> ' PROPOSED USE OF BUII.DING � �X PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> � WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGRL�ESCHIPiION OF PROPERTV�SHOWN BELOW ORARALH TWO COPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE, <br /> �oT PLOCK oF AUTHORITY TO VIOLATE OR CANCEL Th1E PROVISION OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> • PERFORMANCE F CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> — OWNER OF T PROPERTY TO PERFORM THE WORK FOR WHICH� <br /> APPUCATI IS MADE AND I C061PLY WITH THE STATE � <br /> .._____ . . .. . . _ ._ . . � CqN111A l�l l. I :V ItCW�NU 2!)IL2UU WAC. <br /> � rniv.iiinaiunur.nnn <br /> . CONSifiUCTION LOAN I.ENOER.ADORE55,TELEPHONE NUMBER X_ I I <br /> .. SIGN lifl[ ���� DATF <br /> CITY BUSINE55 LIC[NSE ND. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM _ �,._ <br /> WATER CLOSET(TOILET) \� ,� , , -- <br /> . BATHTU� ��� �Y�OIW V� � , ��� <br /> LAVATORY(WASH BASIN) A _1_ aSl(S • <br /> SHOWER _ �J� m� � — — <br /> � P.n��c�iri�:\iiiw'n�'�m���.��nlin�rnuc.uDuri>r� <br /> KITCHEN SINK 8 DISP ` \ �,� ��rl'� x�fo Ucnm v�,�� :\ri,ti S�.rrn r.\1':\,�5 i 1; _. <br /> DISHWASHER ���`� — <br /> LAUNDRY TRAY �e ����,� �O tiILU1'N RON'IiN ' _ <br /> CLOTHES WASHER — <br /> IJRINAI. ��� �_ _ _' r�i �oi, ,i; iiiz , _' <br /> .____ ._._.__ . . . _. .. .. .. ._ . _.__ _ . __— '_— <br /> URINKING FOUNTAIN � ��� 2O1i ''�� ��_� — <br /> FLOOR DRAW i i Foo 4�,t xxt} _ <br /> ----"— ---_..—'----- <br /> nnr,iu=i r�w rncvrNrrn: - — ; __—-- <br /> _ . � ___.... ._._ ___ .__._.. _.. _._ —______..—r — � <br /> SINK (SERVICE—�AR, ETC.) GAS RANGE <br /> � GAS PIPING � <br /> � ; EXHAUST FAN <br /> i <br /> � <br /> � � <br /> SUB TOTAL S ; SUB TOTAL S � <br /> PEFMIT S PERMIT $ _____ �_ <br /> -- , TOTAL FEE S ' <br /> TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> ff10NTtiG111Af)H fif.Alltil'f1��CH --'_ SII>@ti[IUrG<--- PLAN�IIL(' NUMOP� PB[ RECEIPTNO. <br /> �U NA l0 2L <br /> USEZONE �RBA _ �. vncnNrsrte . FEES VALUATION FEE <br /> � - � �s� �,YFS lfNO DiHG !an <br /> IILIGHiLIM17,NION NO.OFUWEILING S�ZEOFNI.OG�f.I <br /> 3A i UNIiS Na PWMO�NG i _ <br /> � , <br /> OCCUPANCV NO Of Slnplc5 OCCUPANT I.O�U P�Sf:h�ENf �,�p�q�NICN. � <br /> Gtt01iP � <br /> �..��. ii ui� � D <br /> AI�I�I I I�If Inl 19 nN ll Ill Av <br /> iuumnur.na4�� ���K,�n� <br /> I <br /> OTHEIl � <br /> FIf7E SPt11NKLER Itf-0'� RFi150P1 i�O <br /> S IN C UUILDINC SllI1C1140GG <br /> irrea�consi i'i.n�+s noveonv CITYOFEVERETT runnr.wonr.s I <br /> LOCAL SALES . .. .__ . .__ _.'--. ._.. _. — -----'---- <br /> ur,tE 3- I� - 5 TAX CODE IS 3105 TOTAL 'J�� <br />