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AP�PLiCATiS,,.l FOR CONSTRUCT�O�1 PERMIT/ <br />CITY OF EVEflE1T • BUILDING IiIVISION �\y�Q� <br />32�0 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />❑ DEM�LITION ❑ COMBINA710N ❑ BUILDING ❑ MECHANICAL <br />PpOJECT ADDRESS: �l 9� E J ,E7 PLUMBING ❑ SIGN <br />��tr��n �n/�n �ilJ7 i� — �F/�Sf S7�E <br />r W � � � �ti �2 1 l. C u ln �, p J,1�,���ti ,,; l� � A �/ <br />OwNEq ^ iUAILA6u'�tSS ��rv j�. 11�L� N#Kiln �o..Lu.nO['. <br />IY�- <br />yyG -:�oyy <br />AHCMTECT OR OESIGNER MAII �DORE55 -----�� <br />! .� ._ . r. _ CIIY IIP <br />._•�••^••�..�i�urviNnci0il M�IL <br />' v f�' P�G'i�� <br />�w.ro�NaForr�n�cton u�u� <br />CONTR�I PpiCF OF YpItN <br />saaee rramcnno sou�ne roouce <br />i � <br />IIGn j� <br />PROPOSED USE OF BNLpNO <br />� ea�i oescnivTior� a wrorenn iu�ov <br />�ot etocK <br />7MCEL TAX I.D. NUMBEp <br />`r' <br />i <br />f:IIY <br />CONSTIIUCtpf� �pµ �EN��, ��E55. TELEPNONE NUMBEN <br />TYPE OF FI <br />1 CLOSET (Ti <br />UB <br />)RY(WASHF <br />_R <br />:N SINK 8 qF <br />4SHER <br />RY TRAV <br />ES WASHER <br />VG FOUNTAI <br />DRAIN <br />FOR OFPICE USE ONLY: <br />FpONTSE7BAGK qEM SGIBALK <br />USEZOHE �pfAnEA <br />IIEIGNipAryfAT10N NO OF DWEtUN6 <br />UNIIS <br />OCWVAN�Y 1qM51ptlF5 OGCUPANIlO�D <br />nnn�o <br />JTAL S <br />r S C <br />FEE S <br />SIDE SETB�CN <br />WCANI SIIG <br />❑YES ❑ NO <br />SIZE OF OIOGrt i <br />B�SEMENT <br />❑vE5 O �+0 <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS �105 <br />� PnON[ $1�7ElICENSE• <br />""^�r S7AlEUCENSE� <br />---- ���,��o��� o y � aq <br />P110NE STAIEUCENSE� <br />HEATING SYST •� '; ❑ GAS ❑ ELECTRIC ❑ <br />coranr.r r[nsnr� eNo m�otie rro <br />I HEREOY CERTIFY THAT I HnVE READ AND _XAMINED THIS <br />APPLICATION ANO KNOW THE SAI��: TO BE TRUE AND CORREC7 ALL <br />PROVISIONS OF LAWS AND ORDIhANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOi. TI1E GRANTIN(3 OF A pERMIi DOES NOT PpESUME TO GIVE <br />AUTIiORIiY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER SiATE OR LOCAL LAW REGUTATING CONSTRUCTION OH THE <br />PEHFnRMANCE OF CONSTRUCTION. THAT I.\M AUTHOqIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APP ATI IS MADE AND I COMPLY WITH THE STATE <br />C T7AC7 RS LAW 1827 RCW AND 276200 WAC. <br />SI � 1 F. � , `� ^C� <br />D�IE <br />CIIV IIIISINF.55 UCCNSE Np <br />dECIIqNICA--L —�� <br />NO. TYPE OF <br />NC — NR{NOLG UI <br />FORCED AIR SYSTI <br />NEAT PUMP <br />UNIT HEATERS <br />CLOTHESORVERS <br />� RANGE HOOD <br />� WA7EA HE/1TER <br />WOODS70VE <br />ME�AL FIR[PLACE p <br />_ FIfiEPLqCEINSERT� <br />GAS FIqEPLACE <br />GASRANGE <br />PI AN CI <br />011ilt)INC <br />PI UMOIN6 <br />�EC�IANIC�I <br />�DDIIIONAI PI AN Cllf f.N <br />omen <br />srntE nnnumr 5uncunnaE <br />rimi ir, wonr,s. <br />TOTAL <br />SUB TOTAL S <br />PERMIT S <br />TOTAL FEE S <br />fEf �RECEIPINO <br />