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APPLICATION FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, `VIA 08201 • 259.8810 i�-" <br />I I DEMOLITION I I COMBINATION I I BUILDING I7� MECHANICAL (l PLUMBING 11 SIGN <br />PROJECTADDRESS !!! <br />�`i(1a rx1,.Ffho.'�.<f �vo✓cL4� 11!lnll IIhT.. S,.1Y. 7F� <br />GEKRALCONIFLAC MAILADDOESS CRY L'• PNONE STATE LICFNSE9 <br />STATE LICENSE i <br />CUrv111Ma 1•Ilna: W' 1WILK <br />A lI�a). a' <br />� <br />HEATING SYSTEM: CI GAS n ELECTRIC )I- <br />DESCRIBE Y/OPKAND SOMATIC FOOTAGE INVOLVED <br />ge L k „� <br />CONTACT PFn50NnM1 pl ONE x0. <br />(sd,, ; <br />Li LUA m{E���r'u/nit �ttT i IrD` <br />i�� Li��S�C�( (�5� 33go <br />11NW <br />�i duel Vf fjl ISeV f YZ w, Y <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />Pn 11 USE F mmwxc <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />LEGAL DESCRIPTION OF PROPERTY ISNOWN BELOW WAITACHTWOCORESI <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />LOT CLOCK of <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 BY THE <br />OWNER OF THIC PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CON�1lT!!jjL/iiAJC(n(�T11O//1RS LAy/ 11/0/./2/77 RC/W AA�NDD[1296.200 WAD. <br />5 �•4G <br />P"CEL TAX LO. NUMBER //ryry'"e� R ( ^C <br />�, <br />CONSTRUCTION LOAN LENIERADDR T�PH�E NUMBER <br />`1 �-�C/jLA.t..i/S/ <br />sIGNATunC 5sk3 I DATE <br />V <br />CITY BUSINESS LICENSE NO. <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />IVC—MHNOLG UI. i—H.P. <br />FORCE HAIR SYSTEM—B.T.U. M E.A. <br />N0. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BACIN) <br />( HEAT PUMP <br />_ <br />SHOWER <br />UNIT HEATERS —D.T.u. en <br />KITCHEN SINK d OISP <br />CLOTHES DRYERS <br />_ <br />DISHWASHER <br />VENTILATION FAN <br />LAUNDRY TRAY <br />RANGE HOOD <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />WOOD STOVE <br />DRINKING FOUNTAIN <br />METAL FIREPLACE (WOOD BURNING) <br />FLOOR DRAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />DACKFLOW PREVENTERS <br />GAS FIREPLACE <br />SINK (SERVICE — BAR. ETC.) <br />GAS RANGE <br />GAS PIPING <br />EX4AUST FAN <br />_ <br />SUB TOTAL $ <br />SUO TOTAL S <br />PERMIT i <br />PERMIT S <br />j, <br />TOTAL FEE E <br />TOTAL FEE S 1 <br />FOR OFFICE USE ONLY: <br />FnONTSETnACK REA05 <br />USE ZONE <br />HEIGIR LIMITATION INO. OF OWELUNG <br />UNITS <br />PLAN CIIFCK NUWEO <br />f IYES TI NO <br />DUILDINO <br />OF DUONTI <br />SUE <br />IL11Mnwo <br />DASEMENf <br />MFCIIAMCAL <br />IIVC:: II NO <br />ADgnONK Mul C11[CK <br />OTHER <br />STATE OUMOING S:IRLIIAI GE <br />CITY OF EVERETT <br />PU.,m WORKS <br />LOCALSALES <br />TOTAL <br />TAX CODEIS3105 <br />