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I�PPLICATII.N FO� CO�ISTRUCI rON PERMIT <br />CITY OF CVERETT • BUILDING DIVISICIN <br />3200 CEDAR STflE:ET • EVERETT, WA 98201 • 259-8810 <br />!-1 DEMOUTION fl COMBINATION ��BUILDING fl MECHANICAL �l PLUMBING fl SIGN <br />PROJECT ADDRESS �� 2v yi ;��,��'Jyr� � l,,J�`� �',.i�jL/��ljl� I Fj , <br />✓ (i�i s.�r ,. �. . <br />owr+e� MRILAOORESS cm z/ir! j ri�or+e / L / Ty�C <br />Nvnry wFs j�EB��ano�s��� i��' /��f'� l�,t') 0 ZUV�SI��N' r�' '�oNe � Y��%G ��v SfJI! /�f- ��� <br />N� �T�N�7�v�s <br />ARCHRFCTORUESIGNER M�IIAI�ORE[55 � Gltt�(- �� 21P PNONF. '/ � ��D �'� �� <br />�.�N�vr_c�n�s��,�C�IL�U1�/'�iLWn �(.`-l��lvl `V 110 QiAA��_��� �, u`�lL�r�F- cSetr-i r <br />NSF � <br />CMECNRNICAL �G0 TP�f,TO <br />��aQ <br />PLUMBING CONIRACTOR <br />CON AGT PRICE OF WCf1K <br />����U �� <br />O[SCRIBE WORN AN� OU�RE F <br />� S - t�l <br />�� <br />PROPOSED VSE OF BUILOING <br />MAILA�DRE55 GTV _f� �-7�" ,� � ��IONE STAEIICENSE• <br />L —_ <br />N� <br />LEGAL�UESCRIPTION OF PROPERtt �SMOWN tlt�un un ni ��..� <br />LOT BLOCK OF <br />�{�1 SNcrT i - � <br />PAFCELTN(I.D NUM ER <br />-��y � 3 G' �3�� � <br />C STRUCTIONIOANLENOER.AODRESS.TELEPHONE NUMBER <br />nA/v <br />PLUMBING (' F , ��� <br />NO. TYPE OF FlXTU E OR ITEM <br />WATER CLOSET (TOILET) <br />\ BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />NDRY TRAY <br />CLO ES WASHER <br />URINAL <br />DRINKING UNTAIN _ <br />FIOOR DRAIN <br />BACKFLOW PRE NTERS _ <br />SU8 YOTAL S <br />PERMIT 5 <br />TOTAL FEE $ <br />FOR OFFICE USE ONLY: <br />PRONT SEiPACN PF.M SFTB4CK SIOE SETBACN <br />USE 20NE <br />HEIGIIT LIMITATION <br />N�i <br />tvve or r.orv=. <br />�N <br />IOTAREA <br />HO OF UNELLING <br />UNIiS <br />�� <br />OCCUPANTLo�O <br />C7 <br />� <br />REASOY <br />�.�?�T <br />RG�cON <br />�✓/ V � <br />ri nNs nrrnoyEn ov <br />onTE ��/� <br />Cltt ZIP <br />HEATING SYSTEM: f l GAS �l ELECTRIC f� <br />Y <br />I hIEREBY 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 ORDINHNCES GOVERNING THIS TYPE OF <br />W09K 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 REGULATINC CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION I MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS W 1827 RCW AN � 296200 WAC. <br />� � �., <br />SIGNATUflE OATC <br />CITY BUSINGE° IlCENSG N0. <br />N^, TVPE OF EQUIPMENT <br />A/C — A/HNDLG UNITS — H.P. <br />FORCED AIR SYSTERIS — B.T.U. M E.A. <br />HEAT PUMP <br />L1NIT HEATERS — R.T.U. M __ <br />RANGE HOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE ( <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />FXHAUSTFAN <br />SUE TOTAL 5 <br />PERMIT S <br />TUTALFEE S <br />PL�N f,IIECK NOMBER F I RECEIPI NO. <br />��%�J'�/ ���� _ <br />V�C�Ni SITF. <br />I IVES f i NO ppll�ING <br />SIZ� � OF BL�/��GT I T <br />I�((iZ G/ • ITI. `LUMOING <br />BASEMENi M[CII�NICAL <br />IIYES �CHn <br />- �ODI71ONPL PL�N GIF.CK <br />Ot��Eq <br />STN[ OUILOR1GSIiRC11APGE <br />CITY OF EVERETT rani ir, wnnKs <br />LOCAL SALES — <br />% TAX CODE IS 3105 707AL _ <br />� <br />_/,�9� � �(7 <br />