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APPLICATIf� FOR CONSYRUC'�`�N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 i <br />_ � <br />fJ DEMOLITION ❑ COMBINATION f7 BUILDING tV( IVIECHANICAL ❑ P�.UMBING ❑ SIGN ; <br />PROJECT ADDRESS i7� r, ��,s <br />�C/ fEOC�r/�Al. At <br />OWNCR MNI�ODRE55 CIIY ZII+ PIIONE � <br />�c'rY paP�- Co. -2(�00 �/1F.lQ� 4�r�- �E¢r;-r <br />iENANT 'dAILAODIlESS CRY ZIp PI10NE � <br />S�N� � <br />ARCIIITECTOPbE51GNEfl MAILAU�RE55 CIIY 21P PIIONE <br />GENEFALCONTpACTOR MAILADOPE55 CI1Y Z�p PHONE STATELICENSE/ ' <br />I�.�c►�1c��t �'6�' <br />MECHnNICALCON7PACTOR M�IL�UDRE55 GTY Z�P q PIIONE ` ,STnTEUCEN5E1 �•, � <br />VI ItiNC.� Q�ii D l��L, � �u it�r,� .�11. i . �'.fiCi(�- ��q { �J��� �I�'� Y � {�AiC.��a4J1 .�rv� <br />V� <br />OESC�IBE WORK AND SOUME FOOTAGE INVO WEO <br />�, ZGb 5( <br />A00� �o�J <br />PRO_ppseo us���vro <br />r��4a �_�«... <br />LEGAI �ESCRIPTION OF PROPI <br />�or _ oi.ocK <br />'�iCa.[ . _ % <br />BEI.OW <br />u <br />CONSTflUCT10N LO�N LENOEfi. AODRE55, TEIEPHONE Nl1M0Ef1 <br />NO. TYPE OF FIXTURE Oli <br />WATER CLOSET (TOILET) <br />BATHTUB <br />KITCHEN SINK & DI <br />DISHWASHER <br />LAUNDPY TRAY <br />CLOTHES WASHER <br />DRINKING FOUNTAIN <br />FLGOR DRAIN <br />SUBTOTAL $ <br />PEAMIT $ <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />FRONTSETU4CK (7EMSETBACK SI�ESETBACK <br />USEZCNE LOTAqEA <br />NEIGIITLIMIiATION NO.OFOWELUNO <br />VNITS <br />OCCUPANCV NOAFSfOPIES OCCUPANTIOAD <br />���Y 21P PIIONE STATELICENSEI <br />VAC�N7 SITE <br />OYES ❑ NO <br />512E OF OLDGR.I. <br />BASEMENf <br />OYES ❑ NO <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />HEATING SYSTcM: O GAS ❑ ELECTRIC ❑ <br />GGNTAC� PEti$ONANO PHONE NO. <br />I h1ERE9Y CEf�TIFY THAT I HAVE READ AND EXAMINE� THIS � <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. /fLL <br />PF�OVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF � <br />-b�ORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR . <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE � <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION GF ANY <br />OTHER STATE OR LOCAL LAVJ REGULATINO CONSTRUCTION OR THE <br />PERFORMANCF OF CONSTRUCTION. TH�T I AM AUTHORIZED BY THE � <br />OWNER OF TFIIS PROPF.RTY TO PEFFORM THE WORK FOR WHICH �� <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CUNTR ORS lAW 1d. ND 29 . AC. <br />X �P� ti I ICJ <br />SICNAIII G ONG <br />CI7Y OUSINESS UCf:NSL N0. � <br />NO. � TYPE OF FIXTURE OR ITEM <br />NC —MiNDLG UNITS — H.P. <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />HE�T PUMP <br />UNIT FiEATERS — B.T.U. M <br />� WOODSTOVE <br />METAL FIREPLACE (WOOD �UFIJING) <br />FIREPLACE INSERT (WOOD BURNING) <br />GAS FIREPLACE <br />GASRANGE <br />GAS PIPING <br />EXIIAUST �AN <br />SUBTOTAL $ <br />PERMIT $ <br />TOTAL FEE S <br />C <br />PIAN CNECK�NUM � FEE ,^a REC <br />��� <br />FEES VALUATIQ <br />OUIL�ING <br />PLUMOINI: <br />MECH�NICAL <br />AODITIONAL PLAN CI{ECN <br />OTHER <br />SiATE OUILOING SU(iC11ARGE <br />ruouc wonKs <br />TOTAL <br />