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-, --- <br />APPLICATII.N FOR CONSTRUCI.ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259•8810 <br />❑ DEMOUYION ❑ COMBINATIOk ❑ BUILDING �MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJEC7' ADDRESS: �j J((� Do�� � _L_�✓L�Q��__[.(!l,�VS <br />�E�/I�G Q/ `I NL��II�y_J/JI_C�_�/�ry—J_��� . �� ��ION[ ��/ J � I / � � <br />/ ILl <br />7 N�Nt P_�MAII AfXAl�S f.IIY !il• PIIONI� <br />11RCl/IT CT OESIGNFf1 EI�II MDOE55 <br />L•� AT-�el-iEFCfF� �.Sto� <br />�GENEOQCONT �CTOR M�IL�DIXIE S ��_ <br />c�'f�Mi., <br />MECN/�NIC/�l CONTRACTOR MML ADDPE$S., � <br />c"� /1 <br />`X 1 � <br />PIUNlkM>CONTPACTOR M�I�AODRE55 <br />CONTMCT PRICE OF � <br />��.�'G � <br />OESGWlE YIOIIK �NO SOUARE F00TI16E INVOLVEO <br />� �; -�� ��PL.Ac6 <br />�.� c,,l� � ��(!�i <br />vnoroseo usE or euadrxi <br />�a�u oescnmraN a riavean �s�rowN ee�ow on �rt�cx <br />LOT BIOCK OF <br />PNICft TAX I.D.1MASER <br />�� �(� � [Z. � <br />CONSTRUCTION LWN LENOER. ADDRE55, TELEPIIONE NUNBER <br />NO. TYPE OF FlXTURE OR ITEM <br />WATER CLOSET (TOILEn <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SFIOWER <br />KITCHEN SINK 8 OISP <br />DISHWASHER <br />UUNDRY TRAY <br />CIOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />ROOR DRAIN <br />SUB TOTAL S <br />PERMIT S <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />FRONTSE78ACK PEMSETBACK <br />USE TONE lOT �RE� <br />MEIGHT LIMIT�TION NO Of DWELLIN6 <br />UNITS <br />FIRESPRINKIERREO'D ��F�S <br />FIPEAtMMREO'D RE�S <br />TY�E OFf,ONSf PL�N <br />o�iE <br />GIIY Q_��' JII' -"'-"'n- PIIONf <br />crtJ Yi+=--11:,�\ �U-� ruo� zR7. <br />GiY )IP IIP ONE " <br />CItY 11P —_ PNONE <br />IIEATING SYSTEM: j11GAS ❑ ELECTRIC ❑ <br />f.UNIACT 1'C�SON NI� pHONE Np i— <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE ORANTIN6 OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION Of ANV <br />OTHER STATE OR LOCAL LAW RE6ULATINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />A FLECA�ONHI SPROPER���LTHEWI HRNT ER STATE <br />CONTRACTOR iB. 296. WAC. <br />CITV BUSINESS IILENS[ NO <br />MECHANICAL <br />FEE NO. 7VPE OF EOUIPMENT <br />� A/C—AMNDLGUNfTS <br />; FORCED AIR SYSTEMS <br />� HEAT PUMP <br />� UNIT HEATERS <br />� CLOTHES DRYERS <br />� RANGEHOOD <br />; ( WATER HFATER <br />�— WOOD STOVE <br />—+— <br />! MEfAL FIREPLACE (WOOD BURN <br />GAS RANGE <br />GAS PIPING <br />EXNAUSTfAN <br />0 <br />SIDE SETB�CN I PUH CIIGCN NUMi1ff1 <br />V�CIINT SITF. YCtS <br />❑YES ❑ NO p111l�INC <br />SIIE O: BLOG/f.l <br />P111�A01f�0 <br />B�iEMENT Mff;11�N1C.�1 <br />❑YBS ❑ Np -----"— <br />�UUI IIONN. PI �N Cilf CN <br />ourtn -- <br />$TAIG OIIIIUINO51111f,ll�qbE <br />CITYOFEVERETT runiicwonKs <br />IOCAL5ALE5 — <br />TAX CUI;E IS 3105 TOTAL <br />fEF <br />SUB TOTAL f <br />PERMIT S <br />necrirr No <br />