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� - <br />APpLE�ATIO.J FOR CONSTRUCTIJN �ERMIT� <br />CITY OF EVERcTT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING MECHANIGAL ❑ PLUl�IBING ❑ SIGN <br />PROJECT AODRESS: %iZI �i NW i�l n� ` �� <br />� � - — <br />eqi,NITiCTOR�E5IGNEA MeIIADORE55 Cltt 7�� PNONE <br />� <br />'PRICEOFIWPK ��OO _ I HEATING SYSTEM: �iYGAS ❑ ELECTRIC ❑ <br />PopRK�ND50UAREFOOTAGEINVOLVED CONT�CiF[RSONANDPNpNEAO. I I^\.\ ,/'��I <br />�! 1 LI V/ <br />IEGAl0E5GPoPTIpJ OF ^ROPERTY I�OYM BELOW OR A77�CH TWO COPIE51 <br />�pi BLOCK OF <br />CONSIRUCTiON lOu1 LENOER, �DDRESS. TELEPHONE NU <br />PLUM8ING <br />NO. TYPE OF Fl7CTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />IAVATORY (WASH BASIN) _ <br />SHOWER <br />KITCHEN SINK 6 DISP <br />DISHWASHER <br />LIUNDRY TPAY _ <br />CIOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FIOOR DRAIN <br />BACKFLOYVPREVENTERS <br />SINK (SERVICE — BAR, ETC.) <br />SUB T( <br />PERMI' <br />� TOTAL <br />FOR OFFICE USE ONLY: <br />FRONTSETBACfl AE�RSETB�LR <br />USE ZONE <br />.+EIONT UMITATION <br />� <br />IOiAREA <br />NO OF �WELLIHG <br />VNIfS <br />OLCUPANTLO�� <br />_ Z�Z-I�OCI <br />! HER��BY CERTIFY THAT 1 HAVE READ AND E%AMINEU THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIEO WITH WHETHER SPECIFIED HEAEIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OF CANCFL THE PROVISIO�! OF ANY <br />OTHER STATF. OR LOCAL LAW REGULP:i ING CONSTRUCT�ON OR THE <br />PERFORMP.NCE OF CONSTtiUCTION. THAT ! AM AUTHORIZED BY THE <br />OWNER OF THIS PHOPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MA D 1 COMPLY WITH THE STATE <br />CONTRACTORSLA 827 2 6200 WAC. <br />X D^V _Y !/ <br />SIGN�TURE <br />CITY BUSINES ENSE N0. <br />FEE NO. IYPE OF i <br />� A/C—NHNDLG U� <br />� FORCED AIR SYSTI <br />, HEAT PUMP <br />� UNIT HEATERS <br />� CLOTHES DRYERS <br />i R4NGEHOOD <br />� WATER HEATEH <br />, WOOD STOVE <br />� METAL FIRGPLACE i <br />; FIREPLACEINSERT <br />� GAS FIREPIACE <br />� GAS RANGE <br />, i GAS PIPING <br />TAL E i <br />S � <br />'EE S ' <br />S�DE SETBACN ��� <br />VACANT S�tE <br />❑YE$ ❑ NO pUIL�ING <br />SIZE OF BLDGRI <br />❑YES ❑ H� <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS 3705 <br />PLUu01N6 <br />MEdUNiL4l <br />RODIIION�I PI�N C��f CN <br />0111Ef1 <br />ST�1E OUIIOwC SIIf1G11A0GE <br />ruenr,wonKs <br />TOTAL <br />S <br />S <br />TOTAL <br />FEE I pE.^.EIPi NO <br />�` <br />