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�f � A,PPLICATI4.. FOR CONSTRU�T►..lN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />❑ DEMOUTION ❑ COMBINATION � BUILDING l� MECHANICAL j�j pLUMBI�iG ❑ SIGN <br />PRbJECTADDRESS:_ i �% l%/'n �t�4L_�/�i�_.�J_.______ <br />MML 110Dt1E55 <br />�fa�n Z�zv� 8 L��� <br />MAIL �DqiE55 <br />IEn MAII MORE55 <br />inlf l`I/�lM�a..�r5✓.r <br />LEWL OESCRIPTIfjI OF PROPF <br />lOT � BLOCK <br />u� a��,� ,y,t., <br />5: �.�� '/y wf�u.�. <br />wwce� r�z to. nuusea <br />IO�N IENDER, ADdiE55. <br />� <br />TYPE OF Fll(TURE OR ITEM <br />WATER CLOSET(TOILET <br />UVATORY <br />SHOWER <br />DISHWASHER <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />SINK <br />SUB TOTAL S <br />PERMIT S <br />TOTALFEE S <br />FOR OFFICE USE ONLY: <br />FRONT SETBACM REAR SF.T&1CK <br />-'� _ � � _ I <br />USEZONE� � toten783Z <br />HEIGNf LIMITATION � NO OF OWELUN6 <br />�C UNIiS +• <br />� v. <br />51� <br />cin 1n• rno.�c <br />'��. N•�wa:Y./ _�I �36 �2ot.�� 7Y. 7- 6 70 v <br />[I1Y !IP PIIfN�P <br />flil )IP PIpNF � <br />_ E�t;_ff —%v2�3_ (yv�� 7��-67�� 353-�'�1 <br />f.IIY i��' � P11U E SUIEIICENSE� <br />�u c�l.y cv��w.���! _y_ UosG, zc6) 7Y�-b�oo E�-Ecrcu6a� <br />—��IdTY %iP � P110NE STRE LICENSE • <br />w`^c �yn���,<�� __`l.��36 ��) ��7-vx� C�EcTE�164.JE <br />�—CIIY JII'p 2� PIIpNE ST�IE LICENSE � <br />il H n.i..� �DU�v �/7��/"�7U� �E�%G�.�6�� <br />�„v �,,��,,,� HEATING SYSTEM: GAS � ELECTRIC ❑ <br />COIII�CI i'Gi50NAN0 PNONE Np <br />�.��tK Qarrk �, (z��) 78�- 6To8 <br />�i-� ��f— ���..sr,-, � vv� j37•Y733 _ <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PNOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WORK WILI. BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />cor�es� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHOIIITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />y)I c Nu OTHER STATE OR LOCAL LAW REGULATINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF TFIIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />N/��Ey� ,,��.s APPI ICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRAGTORS LAW 1R27 RCW A 296200 WAC. <br />x- /l'"`°'-^��/7f7�'�.:.-G``.��Y /L �ff6 <br />� 516N IIF D�TE <br />D�7(�S� <br />/�� ysy-)Zf� CIIYBUS�NF.55lICCNS[NO <br />VA��NI <br />� <br />rv�—ivnrvuui ur <br />FOHCISD AIR SYSTI <br />I�IEAT PUMP <br />UNIT HEATERS <br />CLOTHES ORVERS <br />RANGEHOOD <br />WOODSTOVE <br />FIREPI.ACE <br />GAS PIpING <br />PI �N GI�ECI( NU610f Il <br />JI��Lv <br />❑ N� OUIIPIN � <br />�.r c.ivin.c� rtuunm. <br />5 F C�sAAA4t. - _--------- <br />iMENT � � MflA1�NILA1 <br />UYcs gNn ------'—'— <br />— �I1bIIlONl�I �I�NCIIff.N <br />numi <br />sin�r nunumr. sunc:�mnce <br />CITYOFEVERETT rimiicw(mns <br />LOCAL SALES — <br />TAX CODE IS 3105 _ TOTAL <br />SUB TOTAL S <br />PERMIT S <br />TOTAL FEE S <br />fEF REf.PiPf NO <br />FEE <br />� <br />