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APPLICATIC� FOR CONSTRUC7.ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISIOiV � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />G DEMOLITION ❑ COMBINATION ❑ BUILDING �MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECTADDRESS: (��Q�- �=- G �I��T7' n,1 n, i �. i_✓ �ih_ <br />DESCRIBE WORN �N� SOUARE <br />� : LEu�L DESGRIPTION O: PROPI <br />� �� COT BLOCN <br />MAIL ADDRE55 <br />� <br />INVOIVED , � <br />� PNiCELTAXI.O.NUMBEF <br />IqiZS�G�� � �� <br />CONSTRIICTION LOAN LENOER, AOONESS. 7ELEPMONE NUMBEfI <br />PLUMBING <br />NO. TYPE OF FUCTURE OR ITEM <br />WhTER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK d DISP <br />DISHWASHER <br />LAUNDRY7RAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />BACKFLOW PREVENTERS <br />SINK (SEflVICE — BAR. ETC.1 <br />11V p110NE SUTE UCENSE <br />IIEATING SYSTEM: �1 GAS ❑ ELECTRIC ❑ <br />CONIDCfPCf15011AN�PMONENO � v � �� n_ , i_� <br />G I HEREOY CERTIFY THaT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORF;ECT qLL <br />. PROVISIONS OF LAWS AND ORDINANCES GOVERNING TH�S TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEFEIN OR <br />rnocories) NOT. TF{E GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTFIORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW RECaULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPEFlTY TO PERFORM THE �VORK FOR WHICH <br />APPLICATION IS DE AND I MPLY 1'VITH THE STATE <br />CONTRACTORS IB.2 6200 WAC. <br />� r o- <br />X __ 2 � 9 <br />SICNAIiIfIF. DAT <br />CIIV IIIISME55 LICENSE N0. <br />SUB TOTAL E <br />PERMIT S <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />FRONT SETBICK REAR SETBACN <br />USEZONE LOT�REA <br />HEIGHTIJMITATION NOOFOWELIING <br />UNIfC <br />OCCUPANCY Np pfSI0NE5 OCCUPANTLO�D <br />GnOUP <br />FIPESPRINKLEFiREO'D �E�SON <br />FIREAIMMREO'0 FEASOH <br />TYPE OF f,pNS� PlANS A�PfiOVEn <br />NO. TYPE OF EOU <br />NC —MiNDLG UNRS <br />Fbf10ED AIR SYSTEMS <br />IiEAT PUMP <br />UNIi HEATERS � <br />CLOTHESDRYERS <br />RANGEHOOD <br />� WATER HEATER <br />WOOD STOVE <br />MFTAL FIREPLACE (WO( <br />FIR[PLACE INSERT (WO <br />GAS FIREPIACE <br />GASRANGE <br />GAS PIPING <br />EXHAUSTFAN <br />S�DE SFTBACR � P�AN LIICCN NIIMIIFfI <br />VACANISRE FEES <br />❑YES ❑ NO OIIIlO�Nf. <br />SIZE OF BIOGRI <br />hl11MpM6 <br />BASEMENi MECIInNICAI ` <br />O1'ES ❑ NO -- <br />�DDIIIONnI PI AN Cllf CK <br />Oil lEfl <br />Sin1E OUIIU�tI(1511nf;11npCE <br />CITY OF EVERETT rumir.wnia� <br />LOCAL SALES -- ---- <br />TAX CODE IS �105 TOTAL <br />SUB TOTAL S <br />PEflMIT E <br />TOTAL FEE E <br />FEF RECEIPT NO <br />