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APPLICATIO.� FOR CON�TRIDCT.JN PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259•8810 <br />❑ DEMOLITION O COMBINATION � BUILDING�yJ �1 ME/CH/ANICAL ❑ F�LUMBING ❑ SIGN <br />PROJECTADDRESS: �yQ% S�' C'(/E-��'_�%%//a�� (i�:,\i Jiro�,.> ��"' <br />� - �z. /,�� , u �� ' ��� �y.Ff <br />/f riwr+e <br />GV ���:�7 <br />�aGY�eW�e�e�NEn' u�nnoonEss cin � - �' �m rHor+e <br />�GENEMLGpNIRAC108 MAILADDl1E55 CIIY 21P PHONE SIA1ElICENSF• <br />/'l7„-, /��, __. •_,/_I ..� ,�-f: � �,���.. �?/.,..�.,,.JTJ�' %30/a ��S)?</5i7J,i0 <br />COVTMCT PRICE OF <br />ANOSOUARE <br />LEGAL OESCRIP(ION OF ('OOPEfITY �SNOWN BELOW W ATTACH TWO COPIES� <br />lOT BLOCK _ OF <br />�,%l�� <br />1'Ai10ElTN( LD. NI/MBER <br />CONSiRUCTIONIO�NLENDE8,A00pE55.lELEP/10NE NUTABER <br />TYPE OF FI%TURE OFi ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCH&N SINK 8 DISP <br />LAUNDRY TRAY <br />CIOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />BACKFLOW PREVENTE <br />SINK (SERV�CE — BAR, <br />FOR OFFICE USE ONLY: <br />PRONT SETO�CN iiERfi 5ET0ACN <br />USE ZONE <br />NGIGHT LIMI UiION <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />$ <br />SI�E $ETOALN <br />CIIY <br />FEE <br />G(ld <br />IiCENSE � <br />HEA7ING SYSTEM: �QGAS ❑ ELCCTRIC � <br />co�nncr rr.nsm+nNo r�iorue No _ _ , . , <br />1 HEREBY CERTIFY THAT I HAVE READ AND ExAMINED THIS <br />APPLICATIOI! AND KNOW THE SAME TO 8E TRUE AND CORRECT ALL <br />PROVISION:'� OF IAWS AND OR�INANCES GOVERNING THIS TYPE OF <br />WORK WILI BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRt�YTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTNER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTFUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM iHE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACT 5 LAW 1827 FCW AND 296.200 WAC. <br />7ic �dly -. �/��� i'V <br />SICNQUf1E � O�TE <br />Q/ 7'� `% <br />CITV OUSINE55 LILENS: NO <br />MF.CHANICAL <br />N�.l. TYPE OP EqUIPlAENT FEE <br />A/C—A/HN�LG UNITS <br />FORC�D AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYEFS <br />RANGEHOOD <br />WATER HEATER <br />MEfAL <br />INSERT <br />GASRANGE <br />SUB TOTAL 5 <br />PERMIT S <br />TOTAL FEE $ <br />PUNCIIECNNUMOF.fJn �IEF I�Ef,F.IPTNO <br />LOi��EA ��CANf51fE �c�� <br />❑YE$ ❑ NO pUIlOINC+ <br />NO OF OWELLING 512E OF OIOGRI <br />UNIIS PLUMOING <br />OGGVP�NIL04U DASEMENT MFG�InNICAI <br />❑YES ❑ NO <br />REASON �DOI I IONnI PInN CIIf.GN <br />on�en <br />RE�GpN <br />SIAIE OUILDING SUfIC1U110E <br />rtnNs�rrnovEnov CITYOFEVERETT runnr.wanns <br />LOCALSALES <br />oAiE TAX CODE IS 7105 70TAL <br />