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.--. _ <br />APPLICATII.N FOR CONSTRUCI �ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259•8810 <br />❑ DEMOUTION n COMBINATION � BUILDING f-1 MECHANICAL r l pLUMBING f l SIGN <br />PROJECT ADDRESS <br />GIGI� EVE2f�R�E1� WAY �JI.IIVDIN�f����� <br />OWNER MnILA��RE55 CITY 2�P PIIONE <br />N�TNW�T �Ea�I, �7aT� LI.�L1�3 ILoo Vd�i'(LAK� AVE � 4iL11'���r700 �EAf I.E <br />LENRNT MRILA(IDRESS CITY IIP PIIONE �,7�(p� �r�O I} <br />F'R�RG���/E INSUK�.rLE G'� Wi�Sv�JMI►.Ih Kd.� Moc(Gi��D �i�l.��� oN 4414'a <br />ARCHRECTORDESIGNER AIRILAODRE55 CItY 71P PIIONf ��p�� ��yG��"f0� <br />�.OhJN�LI. 17651lxN GTRoUP 22��-Lq-r�+Av�_�,rwNr�A.,�E T�,o,��� OT <br />GENERAIfANip4CTOR � MAILADpqES� �/"�f � CIfY 7iP PiIONG $Lqi[UCGNS@� <br />l / <br />mecnnrvica�CONTR�CTOR " MAILAf�OFE55 GTY ZIP PIIONF STr1TELILF.NSE� <br />PLUMBING CONTRAf,TpR MAII AO�PE55 GIY ZIP PNONE STATL LICENSE � <br />c <br />AF WORK <br />`�45,000. �o <br />AND SOIURE FOOTAGE INVOI VEO <br />'I�JZ <br />LEW L DESCRIPTION OF PPOPERTY (SHOWN BE�OW OR ATfACN T WI <br />LOT BLOCK Of <br />�� �N��T T— I <br />ai.l <br />_I?7Lbo4 '3 "OZ3�000(.� <br />GONSTRU�TON IOAN LENDER, ADDf1ES5. TELEPHONE NUM9ER <br />NO. TVPE OF flXTURE OR ITEM <br />WATER CLOSET (TOILE'n <br />� BATHTUB <br />KITCHEN SIPIK & DISP <br />DISHWASHER <br />DHINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PfiEVEM' <br />SINK (SERVICE — BA <br />FEE <br />0 <br />SUB TOTAL $ <br />PERMIT 5 <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />fRONT SGTp,V;K P[AR SFTBhCN <br />USEZONE LOTAFEA <br />IIEIGIITUMITAOON NOOFOWELLING <br />IINIIS <br />.�. <br />fIRE SPRINKLER HEu ❑ <br />0 <br />�;x���r�ti� <br />SIDE SETBnCK <br />VnCANi SIfE <br />f1VE5 f NO <br />HEATING SYSTEM: f 1 GAS �l ELECTRIC (l <br />CONTACT PFRSON ANp PIIUNE NO <br />czriv) l.10 -!.')U�i <br />1 HEREBY CERTIFV THAT I HAVE READ AND [XAM�NED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND OHDINANCES GOVEFiNING THIS TYPE OF <br />WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEt. THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRIICTION. THAT I AM AUTHORI2ED BY THE <br />OWNER OF THIS P PERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS �ADE ,\NO I COMPLY WITH THE STATE <br />CONTRACTOf{S LA B.R7 RCW AND 296200 WAC. <br />CITY <br />N0 <br />NO. TYPE OF E�UIPMENT <br />A/C — A/HNDLG UNITS — H.P. <br />FORCEDAIRSYSTEMS—B.T.U. M E.A. <br />HEAT PUMP <br />UNI7 HEATERS — B.T.U. M <br />CLOTHES DRYEI3S <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODS70VE <br />METAL FIREPLACE (WOOD BURNING) <br />FIREPLACE INSERT (WOOD BURNING) <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />Pt4N CIIECH YUI.�OF <br />�� 4' yG� <br />OInLDING <br />SIZE OF BL�G�TI <br />TI • PLUMOING - <br />! <br />BnSEMENI MEC11nNiC�L <br />f!'�Ei i!(NO <br />ADDi`IONPL PI�N OIF:CN <br />OiH[R <br />STAIE ��OI�INfi SIIRLR�RGE <br />CITY OF EVERETT nunur,v�onKs <br />LOCALSALES <br />TAX CODE IS 3105 7o7AL <br />SUB TOlAL $ <br />PERMIT S <br />TUTAL FEE S <br />RECEIPT NO <br />� <br />., <br />