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APPLICATIa� FOR CONSTRUCT: �N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />❑ DEMOLITION ❑-7C�O�MBINATION ❑ BUILDING Q� MECHANICAL ❑ PLUMBING O SIGN <br />PROJECT ADDHESS: �/�SE FdE.P�7%l�Y1fALL � �r0y '�% <br />%3F�' GwNinC . s� S 9/sr. ,4.�n,_. Ne E✓EeErr r„e4• �£3aoS jzs- �{soo <br />OWNER MRILAppRE55 Cltt � ZiP PHONE <br />cr4s4qdr eauiS�di.L �vl� 7/I SF_ EUMR�O✓A✓/ �S�Ke �E7/�E7i 7io-oiag <br />TENANT M�IlA0�FE55 GIIY 21P VIIONE <br />IIRCHITECTOR OESIGNER M�IL AO�RE55 pTY Z�P PMONE <br />GENEB�LCONTfUCTIX1 MAIL�OORESS CO�� ��S4J7 �/L IIp PNONE SqTELICENSE� � <br />�e�� /„��NOSo�G.,?/,�./1/I J �/�c°�T/' 982031s.2- iy08 //iN/JSA6-2.�7�T �� <br />MECHANICAL CONTRACTOR MAIUOORE55 (:ITY pP PHONE STATE IICENSE � <br />PLUTABINGCONTRACTOR MAILADORE55 CItY � IIP PN04E STATEUCENSE� <br />�T.oO <br />SOUARE FpOTAGE INVOLVED <br />PROPOSE� USE OF BUIl01NG <br />LEGAL OESCRIPTION OF PROPI <br />LOT BLOCK <br />PMCEL TA% I.D. NUMBEH <br />CONSTNUCiION IOMI LENOER, �DDRE55. TELEPHONE NIIMBEA <br />PLUMBING <br />NOT— <br />WATER CLOSET <br />BATHTUB <br />LAVATORY(WAS <br />KITCHEN SINK 6 DISP <br />LAUNDRYTRAY <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRA�N <br />BACKFLOW PREVENTERS <br />SINK (SERVICE — BAR. E7 <br />FEE <br />SUB TOTAL $ <br />PERMIT S <br />TOTALFEE E <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK REAR SETBACK SIOE SETBACK <br />USEZONE LOTAPEA V�CANi51fE <br />❑YES O NO <br />HEIGHTUMITATION NO.OFOWELUNG 512EOFBLWR.1 <br />UNIiS <br />FIflE SPPINKLEfl REO'D <br />TYPE <br />OATE <br />BASEAIENT <br />❑YES ❑ NO <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />CONTACT PERSON �ND PHONE N0. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT OOES NOT PFlESUME TO G�VE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL lAW REGULATING CONSTRUCTION OR THE <br />PERFOr7MANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNEfl OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 29 200 WAC. <br />,��Y�Gl.�tv Gt C��-di � //��� - % <br />AT RE D�TE <br />LIN BUSINESS LICENSE NO. <br />MECHANICAL <br />NO. TYPE OF <br />FORCEO AIR SYSTEMS <br />UNIT HEATER <br />CLOTHES DR' <br />RANGEHOOD <br />WOOD STOVE <br />FIREPLACE INSERT <br />GAS RANGE <br />EXHAUST FAN <br />�UN CIIECN NUM[iFfl <br />�UILOING <br />PLIIMOING <br />MECHRNICnI <br />AOD�IIONAL PLAN CIIF.CN <br />0111EP <br />STR7E DUIl01N0 SIIfiC1Uf76E <br />CITY OF EVERETT ruoiicwonKs <br />LOCAL SALES <br />TAX CODE IS 3105 TG7AL <br />SUB TOTAL S <br />PERMIT E <br />FEF �i7Ef.EIPTNO <br />