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APPLICATIOrI FOR CONSTRUCI'.JN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION �./ <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />❑ DEMOLl710N 17 COM3INATION I� BUILDING ,%�MECHANICAL y PLUMBING I; SIGN <br />PROJECTADDRESS �, � �� <br />OYfN[� �-+ M4ilA�ORESS CITV Z'^ PHONE /� <br />�UsAp� J�k�7'/�!-{/F`� �It=�,' — � �� oLr <br />iE!JPNT/� /� �dPILA00RE 5 CITV IIP PIIONE {- y/ <br />\ � _ 1 \ ' N� . .� .. . I l\ � I� AA _ . � i�T i– � I I] CI�"� �.7 �I �i � �l� �l �lY <br />� <br />___. _ irY/1V <br />O V <br />OESCRIOE WORK AND SOUARE FOOTPGE INVOLVED <br />LOT <br />PARCELTA%I.D. <br />CONSTPUGTION <br />PROPERN (SHOIVN 9E1�'v OR n� ina� iw� w���=w <br />BLOCK _ OF — <br />R SU�2� -o.a-3 -009 - <br />.ENDER,AUDRESS,iELEPHONENUMBER <br />'YPE OF FIXTURE OR ITEM <br />sHoweR <br />KITCHEN SINK & DIt <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINP.L <br />DRINKING FOUNTAI <br />fLOOR DRAIN <br />SUB TOTAL 5 <br />PEPMIT S <br />TOTALFEE 5 <br />FOR OFFICE USE ONLY: <br />FRONTSETBPGK REAR SETDACK <br />USE ZONE 1.0T AREA <br />41EIGlITIIMITATION UNITOFOWELLING <br />OCCUPANCY NO.Of SIDRIES OCCUPANT LOAO <br />an <br />S��E SETBA': K <br />yAGANT SITE <br />fl NO <br />STRTE <br />21P <br />HEATING SYSTEM: NGAS ❑ FLECTRIC ❑ <br />CONT�CTPERSONRNDPHONENO p _ A � <br />I HEREBY CERTIFY THP` � HAVE READ AND E•XAMINED THIS <br />APPLICATION AND KNOW T:IE :'AME TO B� TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND �JP,i:INANCES GOVERNING THIS TYPE OF <br />NiORK WILL BE COMPLIED "�-�H WHETHER SPECIFIED HEREIIJ OR <br />NOT THE GR^NTING OF A PE:4MIT DOES NOT PRESUME TO GIVE <br />AUT� iORITY TO VIOLATE UR CANCEL iHE PROVISION OF ANY <br />OTHER STATE OR LOCAL :AW REGULAT�NG CONSTRUCTION OR l'HE <br />PERFORMANCE OF CGNSTRUCTION. ?HAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPEP.TY TO PGPFORM THE WORK FOR WHICH <br />APPLICATIGN IS MAOE AND PLY WITH THE STATE <br />CONTRACTORS L . :J D 620�C. ��i ��� <br />CIN dUSINESS UCENSE ND. <br />AECHANICAL <br />N0. TYPE OF Fi%TURE OR <br />A/C — NHNDLG UNITS — H.P. <br />FORCED AIR SYSTEMS — B.T <br />HEAT PUMP <br />I INIT HEATERS — B.T.U. M <br />pIAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METALFIRFPLACE(W� <br />FIREPLACE INSERT (N <br />GAS FIREPLHCE <br />GAS RANCaE <br />recPlPWf !)/ <br />flYES B�1ILOING <br />SIZE OF 6LDGlTI. <br />PWN�ING <br />BIISEMENT MECNANICAL <br />�— pYES f7 NO <br />q�DITiONnL'lA�� CNECK <br />OTHER <br />STPTE �UILOJ. i SURCHARGE <br />iGITY OF EVERETT nuaucwoaKs — <br />.00 1L SA�_ES <br />TAX CODE IS 31G5 TOTAL <br />FEE <br />M <br />TOTAL 5 <br />MIT S <br />4L FEE S <br />RECEIPi NO. <br />