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APPLICATIOAFOR CONISTRUCT& PERMIT <br />CITY OF ERETT • BUILDING DIVISION OL <br />3200 CEDAR STREET • EVERETT, WA 98201 •257.8810 <br />❑ DEMOLITION %.COMBINATION )8-,BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECTADDRESS _ _ _ /J A <br />ARCMTECTORCESGNER ATAAAOg1ESS CITY IP PHONE <br />4ZS-337Q079 69"orolawS <br />- RUYBUA Cd1iRACTp1 MA4ACORE55 CITY ZP BMT1E STAIE LICENSE, <br />CONTRACT -- - "A <br />HEATING SYSTEM: GAS ❑ ELECTRIC (7 <br />DESCRIBE WOIIR PAID SWM.E FOOTAGE INYIXVEO <br />CpITALT PF/150ryµp PIGNE <br />use <br />- T1 Qo? 9 <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO 13E TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND <br />PRGPoseD USE of eunDlW 4/ / - <br />4,1 <br />LEGAL xscFmlGN Or PrgPERTY Is N BELOW OR ATTACH TWO COPIES) <br />Yes 2 <br />ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />LOT. BLOCK w vesoE.- twulf /L4jlT/H <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING 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 IS MADE AND I COMPLY WITH THE STATE <br />PARCEuexm WwBER <br />OD(oOS000ZL�os�oo <br />CONTRACTOR W 18.27 R�C�W�AyND 296.200 WqC. <br />�' lLL6/++'Lf•S.a✓L. <br />�b <br />CONSTRUCTION LOAN LENDER, AOMIESS. TELEPHONE WtAIEB <br />- SN <br />sK <br />— <br />TUTS DATE <br />CRYBUSY£SSLGENSEW, <br />MECHANICAL <br />PLUMBING <br />NO. ITYPE OF FIXTURE OR ITEM FEE <br />NO. TYPE F ECUIPMENT FEE <br />WATEBCLOSET(TOILET) <br />/ A/C —ARINDLG UNITS <br />BATHTUB <br />( <br />FORCED AIR SYSTEMS <br />__ <br />UVATORY (WgSH BASIN) <br />/ <br />HEAT PUMP <br />SHOWER <br />i <br />UNIT HEATERS <br />KITCHEN SINK 8 DISP <br />CLOTHES DRYERS <br />( <br />DISHWASHER <br />/ <br />RANGE HOOD <br />/ <br />LAUNDRY TRAY <br />/ <br />WATER HEATER <br />I <br />CLOTHES WASHER <br />i <br />WOOD STOVE <br />/ <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />i <br />DRINKING FOUNTAIN <br />/ <br />FIREPLACE INSERT (WOOD BURNING) <br />/ <br />FLOOR DRAIN <br />GAS FIREPLACE <br />/ <br />BACKFLCW PREVENTERS <br />GAS RANGE <br />/ <br />SINK (SERVICE — BAR, ETC.) <br />GAS PIPING <br />EXHAUST FAN <br />L� <br />SUBTOTAL S <br />SUBTOTAL S <br />1 <br />'ERMIT S <br />PERMIT S <br />j <br />TOTAL FEE f <br />TOTAL FEE S <br />FOR OFFICE USE ONLY- <br />EpONT SE <br />REAR SETBACK <br />AC <br />SIGE / <br />CHECgITW40ER <br />FEE'3 <br />RECEPTW <br />O <br />NSEZ2EK <br />II <br />wrAOELA / <br />vAc E <br />FEES <br />VALUATON <br />FEE <br />— <br />%! <br />ES ❑ W <br />BUAfxW <br />^^ <br />d 00 <br />HEGII LII/ILBTE]I) <br />W OWELLIW <br />SIZEOFBL <br />iRil( I <br />UNITS <br />�+— <br />I <br />RUYBNG <br />If <br />71}- <br />OCCIIPAWV MLi STORES <br />CCCUPANTLOAD <br />GROV <br />AIECHAHCM <br />ES ❑ NO <br />REASON <br />F PRNxIER REpO <br />ADDITIONAL RAN CHECK <br />i <br />„ <br />FPE ALAM III REED <br />REASON <br />OTHER <br />STAIE &MONO SURCIWGE <br />rrvE of coNST <br />RLANSAwROYEo er <br />CITYOFEVERETT <br />Puxc vawcs <br />LOCAL SALES <br />-- <br />AL <br />' <br />DATE <br />TAX CODE IS -- <br />