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r ` �fp� <br />APPLICATION FOR COI�lSTRUCTION PERMIi <br />CITY UF EVERETT' • BUILDING DIVISION �/ <br />3200 CEDAR STREET • EVERETI', WA 98201 • 259-8810 <br />I�I DEMOLITION f I COMBINATION I I BUILDING �MECHANICAL f� pLUMBING I I SIGN <br />OWNEO `� MAllA0pRE55 J- � n CITY <br />''Y�� /�j� �c��� (.IiQS'i'ia-,�.2_ �-�Uc � .�PG� %6/D�% <br />ieNnr�i unn.nnonrss r.nv nr � riwrue � <br />�Y�W N�01�. 9q 3v er�r_e e� W 2� Ev�erck� <br />MI(:IIIIfCfO11Uf.51(fNl.li MMIA001`I:S`: f {;IIY 711` 1'IIONf: —. <br />GENEOALCONTOnCI0f1 MAIL�UOf7E55 (:IfY IIP PHUNG StATELICFNSE� <br />MAIL <br />�'WMtlINGGONTRFGmR IA�ILADURESS <br />CONIOACf PpICE OF WOI1N A/ �( � <br />urvoiveo <br />-¢.#c(/1�.u5� -�`�n5 'Ralbcak <br />norosFn usr or nuu uvur. <br />cin <br />s.W KI►�,��. t <br />Cltt <br />�0 <br />� .. �n <br />irun� ucscmrnon or rnore�m �suown netaw on nnncu <br />ior mocK or <br />— —��l..l �U1G <br />P�RCELTA%I.D.NUMOER <br />CONSTRUCTION LOAN LENDER. AD�RESS. TELEf'HONE Nl1MOFR <br />NO. TYPE OF FIXTURE <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISH'•••'•.'— <br />FEE <br />CLOT <br />URIN� <br />oR�N� ����Z 9 r,�//' �'� <br />FLOO ��. A, 7�G fJ�'L <br />u�J <br />BACK �i' <br />SINK M.�J.J 7 Y O /�I///S L� <br />��/ <br />= E ,�'.�37� ✓�i/zz 7A <br />_ �� _ l �/�1711 <br />_ iz-z G <br />FOR OFFICE <br />fRONT iFTf1ACK <br />11SG ZONF. I LOT AREA <br />IIEIGHTLIMITATION NO.Of-OWELLING <br />pNIiS <br />OCCUPANCY NO 0151UIUP5 OCCUi'ANI W�U <br />cnour <br />PMONE STATE UCENSE � <br />PHONE STATE LICENSE � <br />HEATING SYSTEM: f'I GAS fl ELECTRIC fl <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO �E TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OP <br />WORN WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. TI1AT I AM AUTHORI2ED BY THE <br />OWNER OF THIS PROPERTY TO PERFC`RM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I CCIMPLY WITH THE STATE <br />COIITR ORS LAN�827 RCW AND 291i200 WAC. <br />X � lI' /'/Y <br />SIGNATUR DATE <br />CITY BUSINESS UCENSG NO. <br />NO. � TYPE OF E�UIPMENT <br />�v� — wnrvu�� um i s— n.N <br />FORCED AIR SYSTEI�AS — B.T.U. M E.A. <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRYERS <br />WATER HEATER � <br />WOODSTOVE ; <br />METAL FIREPLACE (WOOD BURNING) ; <br />FIREPLACE INSERT (WOO� DURNING) �— <br />GAS FIREPLACE ; <br />GAS RANGE � <br />FAN <br />SUB TOTAL $ (J � � <br />P[RMIT $ i — <br />TOTAL FEE $ C! � <br />PLAN CI I&fJK NUM�� n I FEF I �FCEIPT NO. <br />3 0 <br />VACANI $IfF FEES <br />IIYES fiNO pUIL[11NG <br />512E Of OLOORI <br />PlUM01NG <br />OASEMENT MFCII�NIC�L <br />IIrrS tlNn — <br />ApD1110NA1. PLAN CIIf.CN <br />om�n <br />STAIE OUILDINO SURCII.NGE <br />CITY OF EVERETT rum.ir,wonKs <br />LOCALSALES <br />TAX CODE IS 3105 70TaL <br />