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APPLICATI4rd FOR CONSTRUCT�ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259•8810 <br />fl DEMOLITION �l COMBINATION fl BUILDING �GI'Yr1ECHANICAL �l PLUMBING fl SIGN <br />PR�JECT ADDRESS _ <br />ciTv <br />IIP <br />__"_ __ .__...____,...,, w� lIP PHONE <br />GENERAL�J1 n�����' Cliv ZIP P�ION[ $IA7ElICFNSE� <br />•� l_ IYCCT 2Q� -L��,.�, A/ nTiJ..lc/.r.� .n.. <br />-'-- .•^ � ur PIIONE ' � ST�TE LICENSE i� <br />SEATfIF., Wa 9d199 <br />PLUMBINGCONTRACTCYi M41lA�DRESS Q�1' 21P PIIONE STATELICENSE� <br />I:UPlIRI1GTPqICEOfWOfiK �j���� <br />DESCPIBE WOqK AND SOU�RE FOOUGE INVOLV D <br />/n�<T,a[. �/�l'l�i�Cc <br />/� F'L�/1<1��,� �'r` <br />PR01'OSEO USE OF BUILDINQ <br />LEGA� pE$�RIpTION OF PROPERTY (SNON?! BELOW OH �TTRCM TWO COPIES) <br />�or eiocK or <br />PARCEL Tl1% I.D. NUMBER' / <br />`1�?-�-oo��-DU/-b n / <br />CONSTRUCTIONtO�NLENOER,A00RE5S,TElEPHONENUMBER <br />NO. TYPE 01 <br />WATER CLOSET <br />BATHTUB <br />LAVATORY(WAS <br />SHOWER <br />KITCHEN SINK d <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASH <br />URINAL <br />DRIN!:ING FOUN <br />BACKFLOW PREVENTERS <br />SINK fSERVICE — BAR. El <br />FOR OFFICE USE ONLY: <br />FRONTSETPALN REM SEiBRCN <br />USE 20NE <br />HEIGIIT LIMITATION <br />OCCUPANGY NO Of SfORIES <br />GROUP — <br />FIRE ALARM fiE00 <br />OR ITEM <br />SUB TOTAL $ <br />PERMIT S <br />TOTAL FEE $ <br />HEATING SVSTEM: !�'�AS I-1 ELECTRIC I-1 <br />C/O�N7ACT PERSON ANO PI/Ip/(JnE N9 p <br />f �J( /1 �� /9/!N/I//� L.Y � � �� Gi l L <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. qLL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHEA 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. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS P TY TO P RM THE WORK FOR WHICH <br />APPLICATION MA N I COMPLV WITH THE STATE <br />CONTRAC S LAW .2 2g6.200 WAC. <br />CITY B1151NE$$ LICGNSE NO. <br />MECHANICAL <br />NO. TYPI <br />A/C — AlHNDLG UNITS — H.P. <br />FORCED AIR SYSTEMS — B.T <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE � <br />FIREPLACE INSEFT <br />GAS FIREPLACE <br />GASRANGE <br />GAS PIPING <br />EXHAUSTFAN <br />SIDE SE79RCK � PLANCIIECK <br />IOTAREA VpCAN�SIi[ �FEES <br />f IVES f 1 NO ppIL�ING <br />NO. OF UWELLING 512E OF OLDGRI <br />UNIiS PLIIM[iING <br />OCCUPANTLORD B�SFMENT M6C11nhICAt <br />f1YES 11 NO <br />RF�SON ADOI110N�I.1'l�N CNl.CN <br />on�en <br />REASON <br />STN[ OUIIDMC SIIqCH�RGE <br />rinNsnrrnoveoav CITYOFEVERETT runur.wonHs <br />LOCALSALES <br />onrF TAX CODE IS 3105 7o7AL <br />SUB TOTAL $ <br />PERMIT S <br />FEF � RECFIPT NO. <br />FEE <br />