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,AppLICATIt�A FOR CONSTRUC7.ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, �NA 9d201 • 259-8810 <br />fl DEANOUTION fl COMBINATIQN fl BUILDING fl MECHANICAL �l PLUMBING fl SIGN <br />PROJECTADDFlESS .L,9„r � .C�S�'` <br />�n�n�,� ,v.,,,. J = I� . <br />O�� 7W��GNER � MAILP�ORESS� <br />3F.N RPLeCONfR�C j]R � MAILAO��E55 <br />� �V � Jn �-�� <br />NECNRNICALf,ONTVi�CTOi� MPILADDRF.55 <br />PWMBINGCONTRRf,TCR MAILAOURESS <br />CONTBACT PRICE.OP WO�N <br />� i777% 1 <br />liu,� <br />OESCR.BE RKANDSOUAREfOOT�GEINVOWED <br />LEAAL DESCRIPiION OF PROPtH rt Wn�^^ "• <br />10T BLOCN <br />PARCEL T/�% ID. rvurnoen <br />CONSTRUCTION LOI1N IENDER. ADDRE55, TELEPHONE NIIMBER <br />NO. TYPE OF <br />WATER ClOSET <br />BATHTUB <br />LAVATOFY(WAS <br />SHOWER <br />KITCHtN SINK 8 <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASF <br />URINAL <br />SUBTOTAL S <br />PERMIT S <br />TOTALFEE $ <br />FOR OFFICE USE ONLY: <br />FRONT SETPACK REAR SETBpCK <br />USE20NE IOTpREA <br />HEIGIITLIMITATION NO�OWELLING <br />UNITS <br />Y�� <br />' vV � <br />YPF OF f,ONST <br />�v <br />JM <br />CITY <br />SIDE SETBACN <br />VACpNi SIiE <br />r�wr+e � <br />o� (�aa - �03 a <br />-� �Jh 3] <br />�Q�'p$ <br />�r i if.[NSE � <br />���, p�ipqp SIDTEIICENSE� <br />HEATING SYSTEM: I l GAS f ELECTRIC fl <br />LONTAp' PF.OSON AND PMONE NO. <br />� HEREBY CERTIFV THAT I HAVE REAO AND EXAMIIJE � THIS <br />APPLICATION �ND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND OR�INANCES GOVERNING THIS TYPF OF <br />NOT T EILGRANTINGPOF A PERMT'DOES NOTEPRESUME TO GNE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />OWNER OFNTHIS PROPERTY TO PERFORM THE WORKIfOR WHICH <br />ApPIICATION IS MADE AND I COMPLY WITH THE STATE <br />C NTRACTOR� LAW 1827 RCW AND 296200 WAC. <br />1 � <br />� ",��111�x1�1� ��`�Ii1lRQ "9 <br />DATE <br />SIG RTURE <br />LIN BUSINE55 UCENSE N0. — <br />.._.....__ _ <br />Np, TYPEOFEOUIPMENT FEE <br />�— <br />rva. —.v.n...�.... <br />FORCED AIR SYSTEMS — B.T.U. M <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEAT�R <br />WOOD STOVE <br />METAL FlREPLACE (WOOD BURNIN< <br />GAS <br />SUBTOTAL S <br />PERMIT g <br />TOTALFEE S <br />fEF RECEIPTNO. <br />p�AN CIIECK N MAE� 33. �D <br />�qial� / <br />IIVES �� NO BpILOING <br />SIZE O� �LOGRI � <br />� TJ. I�{ PL�:MOING <br />� 1 ✓ <br />BASEMENT MEG���NIGAL <br />IlYES k NO <br />ADOIi ICNPL PLAN G��F.CK <br />���� OiHER <br />STAIE OUIl01NG SURCIIARGE <br />CITY OF EVERETT rueucv+onKs <br />LOCALSALES <br />, TAX CODE IS 3105 7orn� <br />