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__ ,�, <br />APPLICATIO.. FOR CONSY'RUCTL JN PERMIT <br />❑ DEMOLITION <br />ADDRESS <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CtDAR STREET • EVEREI-i; VJ� 98201 • 259-8810 <br />❑ COMBINATION fl BUILDING f►7 MECHANICAL (�1 PLUMBING <br />OWNEfl MAILAODRE55 CITY Zu' rrvr.c <br />l.-Q2C�C.`� i�l�l,l� 62oSC �vT�ti1QuwY �vl'fq:�1' 9$2.G�3 3���.�013 <br />TENANT MAIIADDRE55 CITY ZIP PHONE <br />Ur+ kr�a•,i.�u <br />ARCHRECTORDESIGNER MAILADDRESS CITY ZIP PMONE <br />�" <br />GENEMLCONTflACTOfI MAILADDRE55 Cltt 21P PHONE STATELICENSE� <br />rl SIGN <br />MECHANICALCON�RAC70R MAILADORE55 CITV ZIP PNONE STATEUCENSE� <br />6LY�Ptc ri�.tiNAN�CA� Pot'x�� 53'L6 t-YNUWoaG '�8046 77`� 3SN1 ��YmPMr +�oa i <br />_....._...___.._.....�.... .�.�� �nnecce CIiY ZIP PHONE SiATELICENSE� <br />� -7 O . G �� <br />INVO.VE� <br />�TC'JV� d�l'�� <br />"AtJ 84' oTN�sf�S <br />LOT BLOCK <br />CONSTRUCTION LOAN LENDER, AO�RE55. TELEPHONE NUMBER <br />NO. TY <br />WATER CL <br />BATHTUB <br />LAVATORV <br />SHOWER <br />KITCHEN ; <br />DISHWASI <br />LAUNORY <br />CLOTHES <br />URINAL <br />DRINKING <br />FLOOR DI <br />BACKFLO <br />SINK (SEF <br />OF FI%TURE OR <br />& DISP <br />WASHER <br />FOR OFrii:E USE ONLY: <br />pp6NT SE7BRCK AEAf15ET8ACK <br />USEZONE <br />HEIGHT LIMITAiION <br />LOTAREA <br />FEE <br />SUB TOTAL $ � <br />PERMIT S —� <br />TOTAL FEE $ ' <br />SIUE SETBACK <br />VACANT SITE <br />❑VES fl NO <br />NODFDWELIJNG ISIZEOFBLUGR.i. <br />UNITS <br />❑YES ❑ NO <br />HEATING SYSTE.M: <br />❑ ELECTRIC ❑ <br />I N3REBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME l O BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE CONPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PEPMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL L.\W REGULAT�NO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOFIZE� BY TH� <br />OWNER OF THIS PROPER'fY TO PERFORM THE WORK FOR WHICH <br />A?PLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />i� <br />,�- Z /�-9G <br />X NATURE ORTE <br />� � � � � — <br />CIN BUSINESS LICENSE N0. <br />Np. I TVPE OF FIXTURE OR ITEM <br />j A/C—AIHNDLGUNITS—H.P. <br />FORCED AIR SYSTEMS — B.T.U. M <br />— B.T.U. <br />RANGE H60D <br />WATER HEATER <br />WOODSTOVE <br />GAS FIREI <br />GAS RAN( <br />GAS PIPI� <br />EXHAUST <br />TOTAL <br />$ <br />S <br />PLAN CHECK NOMBER I FEE I RECEIPT NO. <br />BVILDING <br />PLUMBINQ <br />MECHRNICAL <br />AOOITIONAL PLAN CHECN <br />OTHER <br />STATE FUILUING SURCH�RGE <br />CITY OF EVERETT ruoucwonks <br />LOCALSALES <br />TAX CODE IS 3105 70TAL <br />