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APPLICATION FOR CONST�UCTION PERMIT� <br />CITY OF EVERETT • DUILDING DIVISION <br />3200 CEDAR STREET • EVERETf, WA 98201 • 259-8810 <br />I'I DEMOLITION f 1 COM8INRTION I I BUILDING MECHANICAL �l PLUMBING f 1 SIGN <br />PROJECT ADpRESS 5��� <br />. �.� e � <br />owr+�n Mny- nooness cin zir rHONt <br />�vc�e� �dct%'c Cory� �/o C�1P ilduisws 3"s3`f5 W 1o�"1z l�� 51� 110 f3ruu�,q�u,, �fil�s 6�liclvna� �'S 33'� -- <br />ir.Nnr�r Mnannunr:ss r.nv zm � PIIONE � <br />fV1�C�8215 13�� � �. 61�Yr_+1 Wl?II I,�� 6leY'�I-F �I��6�{ <br />nm:nineiunur.sir,rn�u mnunurme;: aiv /IP PIIONf — <br />GENEMICONiMCTOfi MAILADOOESS GIV ZIP �HONE STATELICCNSE• <br />MECHANICALCONTRACTOR MAILADDRE55 <br />�jni�t� ��,�rnS 1in� l(�1 S�W. (�h�ki� <br />PLUMOINGCONiRAC R MMLAODRESS <br />LUN1114C1 I`1111:1: UI' WOIIN <br />���,oOCi Ou <br />OLSCf110F. WOfiK AN� SOl1AfiF. FOOTAGE INVUlVEO <br />Zn5tzll nf� <br />u�orl�te ex�sT��,r� ra�fo�units V`��PP�T <br />W'b11 Y�k.u�n', ` I v�5�1'vuw, ��N2u4k, <br />rnoroseo use ov nuaowc <br />LEGAL DESCRIPTION OF PROPERN (SHOWN �ELOW OR ATTALH T WO 1 <br />�oT n�ocK _— or_ <br />PAACELTAXLD.NUMOER <br />I `h�`��.5 - y - U19 - OtX� <br />CONSTRl1CT10N IOAN LEN�ER, A�ORESS, TELEPHONE NUM�ER <br />NO. TYPE OF FIXTURE OR ITEM <br />WATf_R CLOSf:T (TOILET) <br />O�THTUB <br />L�VATORY (WASH BASIN) <br />SIiOW[R <br />KITCHEI� SINK 8 DISP <br />DISHW/1SHER <br />LAUNDRY TRl�Y <br />CLOTHES `iHER <br />URINAL <br />ORINKING FOUNTAIN <br />FOR OFFICE USE ONLY: <br />rnoNrsernncK aennf <br />USG 20NG <br />HEIGIR UMITATION <br />OCCI..'�kCY NO Of <br />cnour <br />NBE ALAf1M 8E0'D <br />$ <br />$ <br />$ <br />sme <br />�iry Zip PHONE <br />. St� � r�v �a�lv 9J'13`� `�`f;l �1� <br />JSE � <br />�� �� <br />LICENSE � <br />HEATING SYSTEM: f:�l GAS �l ELECTRIC J� <br />CONTACT PFfi50N �ND PIIONF NO. <br />��I1 :,i�.' •�, � �Oi� c���l ���fo <br />I HEREBY CER.:Y THAT I HAVE READ AND EXAMWED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LA'1�'S AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OP <br />NOT. THE GRANTING OF A PER411T DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULAT!NG CUNSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. Th:.T I qM AUTHORIZED BY THE <br />OWNER OF THIS PROPEflTY TO PERF09M THE WORK FOF bYHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1027 RCW AND 29G200 WAC. <br />X(� � 2,�% �C',�(., I� ' I I ti � <br />'�, SIGN�TUf1E D�T� <br />ICITY DUSINESS IICENSE NO. ('� � %j � � ) � <br />I10. <br />NC — NIiN�LG Ut:; f5 — H.P. <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />HEI1T PUMP <br />uNIT HCAT[FlS — O.T.U. M <br />WATER <br />RANGE <br />FAN <br />SUB TO' <br />P[RMIT <br />TOTALF <br />� in�icre,:r, rmn�nr.n I Fec I erceir� wo. <br />� .�'l ��/ �� <br />LOTAl1G VACANTSI7E r«� <br />fIYES fi YO OWLOING <br />PO.OF DWELIING SIZE OF OL06Rl. <br />❑NII$ p�pMf11NG <br />OCCUPANI LOAU OASEMENf MpCIIANIf.AL <br />fIYFS II NO <br />AOOI710N�1. PLAN GIIf:CN <br />f1f:n50N <br />OTHEA <br />RE�SDN <br />STAIE OIIILDINf.5U0L11AfIG[ <br />PLANSAP4`f10VED0Y CITYOFEVERETT PIIpLIf,W00KS <br />� LOCALSALES <br />oqTE TAX CODE IS 3105 70TAL <br />