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APPLICATIa � �OR CONSTRIDCT�JN PERM��' <br />CITY OF EVERETi • BUILDING DIVISION <br />3200 CEDAR STREET • EVERF_'fT, Wq 98201 • 259-8810 <br />❑ DEMOLITION O COMBINATION ❑ BU!E.DING � MECHANICAL � PLUMBING [� SIGN <br />PROJECTADDRESS: ��-C,-'Z, ��, �,,.C,2�11— � /J,�L �l� ,� 7r <br />�✓�ti���r I�,�,��- <br />f� <br />���r 71P <br />.lN (____— Y/�_- �[C�`l "�/`J <br />MECHAHICAICpNTRnCfGR MqqA��RE55 LI'!Y pl{' PMONE STAiEUCENSE� <br />SAv�.f1— /Yi�c� �i 9tYY.1� �I�w . 15.3Co7 /V Ec1/���.�� .jR�m�w n Q��.. i _. : �..� c,,.. <-�, _ ,,. _ . � �_ <br />MRII <br />I OF WORK <br />f� <br />�r+o souy <br />PR�POSED USE OF Bt11L01NG <br />IEGAL OESCAIPTION OF PROPEAtt �SHOWN BELOW IX7 ATTACH <br />LOT BLOCK OF <br />PMCELTNlI.D.NUMBER <br />CONSTPUCTIONLO�N LENDER.AD�RE55,T[LEPHONE NUMOF.R <br />NO. TYPE OF FIXTURE <br />WATER CLOSET (TOILET) <br />BATHTUB <br />Z LAVAiORYlWASNRaRIw <br />SHOWER <br />KITCHEN SINK $ DISP <br />DISHWASHER <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FlOOR DRAIN <br />BACKFLOYJPREVENTERS <br />SINK (SERVICE - BAR, ET <br />SUB TOTAL $ <br />PERMIT $ <br />TOTALFEE 3 <br />FOR OFFICE USE ONLY: <br />FqONT SETBACN REM SETBnCK <br />u°EZONE LOT�ncA <br />HEIG/17lIMITATION NO OF DWELLIHG <br />UNIt$ <br />IO�D <br />AIARMREO'0 I AE <br />PL�NS <br />HEATING SYSTEM: � GAS ❑ ELECTRIC ❑ G�S N k <br />CONTRCi f'F.fi50NANA PHONE NO <br />I HEREDY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORREC7 ALL <br />PROVISIONS OF LAWS AND ORUINANCES GOVERNING THIS TYPE OF <br />WORK WILI BE COMPLIED WITH WHETHER SPECIFIEO HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TU VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STRTE OR LOCAL LAW REGULATING CONSTRUCTION OR 7HE <br />PERFnRMA!'CE OF CONSTRUi;TION. THAT 1 AM AUTHORIZED BY �iHE <br />OWNE�. OF TNIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APP�ICAT:OfJ IS MADE AND I COMPLY WITH THE STATE <br />CON'T.�t;:ORS LAW ip.27 RCW AND 296.200 WAC. <br />x _ iL, U�7 / l,V� /���� �— <br />SIGNATURE DATE <br />CITY BUSINF.55 LICENSL NO <br />NO. � TYPE OF <br />' � A/C-MiNOLGUNITS T— <br />� FORCED AIR SYSTEMS � <br />� HEAT PUMP , <br />L UNIT HEATERS do '- � <br />' RANGEHOOD <br />; WATER HEATER <br />� WOOD STOVE <br />' METAL FIREPIACE i <br />� FIREPLACEINSERT <br />' GAS FIREPLACE <br />; GASRANGE <br />� GAS PIPING <br />EXHAUSTFAN <br />� ..n��.Tn �.i.�.. <br />SIOESETBACN I�I�NCIIlCNNUMPBfI <br />WCANI SI1E FEES <br />❑YES ❑ NO OUI'.Du1G <br />SIZE OF p�p�Rl <br />PlUM01NG <br />B�SEMENT MECIInNICnI <br />❑YES ❑ HO <br />�DDI IIONAL PUN �uf.CK <br />OillEn <br />STAIE OWI�RlG SUtiC1Uf10E <br />CITY OF EVERE7T �uenr, wonrcs <br />LOCALSALES <br />TAX CODE IS 3105 TOTAL <br />SUB TOTAL E ' <br />PERMIT E � <br />TOTALFEE S „ /> � <br />FEF � f1ECEIP: NO <br />