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��� , A���.ICQT14. � FOR CONSTRUCT► �N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR S7REET • EVERETT, wA se2o1 •?59•OBto <br />❑ DEM7LITION ❑ COMBINATIOh �BUILDING �MF.CHANICAL �1 PLUMBING ❑ SIGN <br />PROJECTADDRESS: ZZ� Qs/�y ✓��Mc _�✓cit�_______ <br />01NIEP <br />1""' � <br />iEN�NT <br />DESiGNEfi <br />� <br />NqRNAND <br />Z <br />MML�OOqE55 <br />M�IL ADUfiE55 <br />araPos�/e10 use or euiarm <br />'YGML Ia t!'�L(��� <br />iea�� scmrr Oi P{10PERTY (S!1 <br />lOT � BLOCK <br />Z� �o.^,n (�Jtnti.[ <br />S i.�1 •��y c-� N f. �y 5. E <br />PARLEL TiVI I.O. NUTABEP <br />MOpE55. <br />O.� <br />CIIV IIP PIIONE <br />l ob� 7g � 6 7 0 0 <br />PIIONE <br />� EJ��rr/ �jSzo 3— [2ob) 35"3 -os3�' <br />CI1Y �II• P ONE SIAIE LICENSE � <br />c(�cr�-i l.t:yy__Ly��„we:,:, yfiO3b �Gb�78�b7u0 ELEC.iFc�r74.TC <br />� IIP PIIONrE �- /7v� ST�1E UCENSE � <br />C�-�� i., W, Cy��v�,,�,n.� � vy3� 7' d ELEC��L�IoGJ � <br />CIfY 71V PpONE ST�IELICENSE� <br />L,,,«r, �<< C.��,,�o�� y��s� Z�_ 6�a� E�E�TE�r�c <br />✓ c G.... to,./ �'e (G.✓ HEATING SVSTEM: f�GAS � ELECTRIC ❑ <br />r.onur.rruisoN�Ni r�rro � <br />�c /c.r�, �o.seln l2uG) 7f37-670� <br />�TI/iLM <br />NO. � TYPE OF FIXTURE OR ITEM <br />7 WATER CLOSET ITOILET <br />0 <br />LAVATORY <br />KITCHEN SINK 8 <br />DISHWASHEH <br />UUNDRY TRAY <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />SINK (SEHVICE — <br />SU8 TOTAL <br />PERMIT <br />TOTALFEE <br />FOR OFFICE USE ONLY: <br />FRONT SETPALN RF�R SETB�CK <br />Zd� 2�� <br />USEZONE IOTARE� <br />�"� �oUS3`� <br />HEIGNTIIMITATION NOOiOWELIING <br />�c�� UNIiC � <br />Z <br />, <br />S <br />C <br />FEE <br />SIDE SETB�CN <br />5' <br />VAC�Nf 517E <br />ES ❑ NO <br />(_K�?" �l�h��, �7uel 337-�-f733 <br />I HEFEBY CERTIFY THAT 1 HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALl <br />PROVISIONS OF LAY:S AND ORDINANCES G7VERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHEH SPECIFIED HEREIN OR <br />NOT. THE C�RANTIN6 CF A PERMIT DOES NOT PRESUME TO 61VE <br />AIITHORITY TO VIOLATE OR CANCEL THE PROViSION OF ANY <br />(1T�iER STATE OR LOCAL LAW REGULATINO CONSTRUCTION OF THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTV TO PERFOR�1 THE WORK FOH WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONiRACTORS LAW 18.27 FCW AND 2962QD WAC. <br />���/�.w.� ,,u.../�— h��y /z �tiSb <br />N111 1 D�TE U <br />027GSv <br />CIIY BI151NE55 LICFNSL NO <br />MECHANICAL <br />NO. IYPE OF EWMPMEHT FEE <br />A/C — AMNDL6 UNITS � <br />FORCED AIR SYSTEMS ; <br />HEAT PUMP � <br />UNIT HEATERS ' <br />� CLOTHES DRYERS � <br />2 RANGEHOOD ! <br />WOOD STOVE <br />FIREPLACE INSE <br />GAS FIREPLACE <br />GAS PIPING <br />SUB TOTAL S <br />PERMIT S <br />TOTALFEE S <br />rinNaiEr.KNuuen �reF �n¢r.FirrNo <br />� 1111111)IN6 <br />a eiocrt i — <br />7G S,F. CNi„G f' riuunn+r. <br />6 S,F. GA?AG8 <br />B�SEMENf � � Mff.11nNICM <br />j]YF.S �ND ----- <br />anuniorui. ri eN cnrcK <br />omu� <br />sui e nun un�c sunnunr,¢ <br />GTY OF EVERETT runnc vmm�s <br />LOCAL SALES -- <br />TAX CODE IS 3105 TOTAI <br />� <br />