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APPUCATI02 FOR CONSTRUCTiON PERMIT <br />CRY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT. WA 96201 A259 10 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL PLUMING ❑ SIGN <br />PROJECT ADDRESS: <br />TFt4Nr M.rl WR4SS VW Ib Rr.'MF <br />MG1iFGT OR CE51riNFR WttIf1p1E55 CRY Im i1ME <br />—s� /�i� •/yf'n'Srss JN 6le v l�)J1 7`is-Yi3 �- a�Nr�Y�,7ANC. <br />OEw f T 'm IWilip[M4 cRr rm EIICFNSF• <br />IEpUMG1 tOlfMAf. TOR MWALODRESS CATY NIP PADRE GTATE IICFNS(• <br />SevfJAr--Jl/� .+iJc /4C-al//1t,�,,a'`i5/ J1'I�rrru� �!?7a �Jo�.-Gia/3 SCY✓AO�09aL'7 <br />I,,u cwT TOP uML ADpcss I ury no surf NSEi <br />CWrRACrPx[a"aa` <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ _ _ <br />C(gLTIE NCYM AM 5p1.WE FOOTAGE OPIOTWO <br />cMTACT KIPLOII AM PUDIC NO <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 GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED W fH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PEPMNT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PAOVISION OF ANY <br />OTHER STATE OR LOCAL LAW 9EGLAATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AN, AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM T4E WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPV' WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 2M.200 Y 1C. <br />I <br />PnowsEOLTSE of eLA.pNo <br />LEDALDEscrorlaavniERtt ISIIdMi KLpRDRAPTXK oc Sl <br />LOT "DD( OF <br />AAMOLL TM I D. NATIfR <br />LOiETRIF1IMIlOMI IEiQER. A'�ORESS.IFIERIpf MlllER <br />$RWATMiE DATE <br />pir RUSMESI ICEHSE Iq <br />--- <br />p UINNp <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />PEE <br />NO. <br />lY, OF NOUN hmw <br />FEE <br />WATER CLOSET (TOILET) <br />VC—AHNDU3 U1NRS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEATPUMP <br />SHOWER <br />UNIT HEATERS _ <br />KRCHEN SIN(8 DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE MOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />r— <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE DYDDO BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />SACKFLOW PREVENTERS <br />GAS RANGE <br />SINK )SERVICE — BAR. ETC.) <br />GAS PIPING <br />EXHAUST FAN <br />SUBTOTAL f <br />SUBTOTAL f <br />PERMIT f <br />PERMIT f <br />TOTAL FEE S <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />(ppiiT SETBACK <br />RMSf1MCR <br />SICE SFTNLR <br />SFT <br />ttAN p1EfAMMf�Ry� <br />FFF <br />RFfi WiM <br />OSE 1oNE <br />LOT AMA <br />vACANT SITF <br />FEES <br />VALUATION <br />FEE <br />❑ RG <br />HEIGHT LANTAl" <br />NO aLYMFww <br />LwHs <br />WEOfYWrtI <br />nlne.A: <br />; <br />F <br />Ol;ppIJIC. <br />M1 rcsTMls71 <br />OCCUPANT LOAD <br />VSEWNT <br />WCHUAc. <br />cRouP <br />❑r(s ❑No <br />App LgNAI AAN CNECM <br />fEF SPRPVLER PLOD <br />Rf ASON <br />GIMA <br />FAKAMREO'p <br />NEAWN <br />SIAI(&Rl T104O StIRCIUIIfif <br />TrPE Lx COHST <br />Tr ANS APPRovFo er <br />CRYOFEVERETT <br />T'LR+NrxCGRS <br />LOCAL SAN.eS <br />DAT( <br />YAX ^.DDT .S 3105 <br />T� OTAL <br />