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/vlf� P�. L -� �� j � � �o� �- <br />AP�LIICQ.TION FOR CUNSTRUCTION PEF�MIT <br />CITY Of EVEFlEIT � BUI�DING DIVISION <br />3200 CEDAR 57REE1' • EVERET7, WA 9p201 • 259•8810 <br />CI DEMOLITION f I COMBINATION lit BUILDIN(i kJ MECHANICAL kl PLUMBINR ❑ SIQN <br />P6iOJECT ADDqESS � � / �e� A � �/ ^ r <br />i���u 1 YJ <br />owrren MN��U�f1E55 air zir mwue �� <br />Ralarl- unma rnc�_�2,{�1� 8t11 AVe W N71-201 V r <br />IENANT MnILA�UttE55 �—e���—�"�-���Q�-�9��3=9�06 <br />���Y . z!r PIIOtIE <br />MiCIIItECfOR0E510NEf1 N4ILAUUI1E55 CIIY 21P p1101�E <br />OENEfin�CONtp4C10A MNLAOUIIESS CIIY 71P PIIOqE SIntEUCENSE� <br />S�J.eFt ��a,�,�, Tn�,�i at, avP_ w,�n-?OJ.�v.�reL-L•,��n 9� A7 4 70.6IS1 �-9flflfi SFr�.c-rn inrcr� <br />MECIUIPoCALCOHIR4ClOf1 M�I�AUUftE55 CIIY ZIP piIONE SIAIELICENSE� <br />PLUMBW�CONIRACiIXi MAI�AOUPGSS CIfY ZIP pIIONE SUfEUCENSEI <br />OF YlOOK <br />utsceieE wunK nN� SOVME FOOIAOE INVOLVEO <br />Construction of one ingle famiiy resi nce <br />Sinctle familv dwellinct <br />lEOAL DESCRIPiIIXJ OF PIIOPERIY �5116NM BEIOW Of�... <br />tot �e�ock ar <br />LOAN <br />(oS�s 7�l$n S�. SW. <br />PLUMBINa <br />NU619ER <br />�i� - <br />TYPE OF FIXTURE OR ITEM <br />WATER CIOSET ITOILETI <br />FOUNTAIN <br />PERMIi $ <br />TOIAL FEE E <br />FOR OFFICE USE ONLY: <br />FPONTSETBACN _ J t1EAp5E1dACR <br />USE20N� lOTA11� <br />� <br />NEIOIITUMIfNiql{T 7 NO.OFOWELLINO <br />G� UNI19 <br />OCCUPANCY NOAFSIONE9 OCCUPANILOAb <br />� <br />�SL PL/�NSAPPfI VE[IOY <br />. �� <br />-h/ uniE �7/l�z/9j" <br />�NT StlE <br />❑YES CI NO <br />❑YE9 L�iNO <br />HEATINC7 SYSTEM: 6�1 GAS I� ELECTRIC ❑ <br />CON1ACi pEn50NANU PItOHE I70. <br />Beverly King 206/513-9006 <br />� HEREBY CERTIFY TF1AT I HAVE qEAD AP1D E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCE5 OOVERNINO THIS TYPE OF <br />WOI1K WILL 6E COMPLIED WITN WHEtHER SPECIFIED HEREIN OR <br />NOT. THE ORAIaTIMO OF A PEFiMIT DOES NOT PRESUME TO OIVE <br />AUTHOFiITY TO VIOI.ATE OR CANCEL THE PqOVISION OF ANY <br />O7HER STATE OR LOCAI LAW REOULATINO CONSTRUCTIDN OR THE <br />PERFORNANCE OF CONSiRUCTION. THAT i AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY ?O PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AN� I COMPLY WITH THE STATE <br />CONTqqC10RS LAW 1827 RCW AND 298.200 WAC. <br />Select anes, In^c,� ��%� <br />xgi'e. w-`."" !�`T(j�+.� (p/y(o��(S <br />SIONAIUIIE Un1E � <br />Citt BUSINE55 LICENSE NO. <br />NO. � TYPE OF FIXTURE OR ITEM <br />I NC �— NliNOLO UNITS — H.P. <br />E.A. <br />— B.T.U. M <br />METAL FIREPIACE I <br />FIREPLACE INSERT <br />OAS <br />PERMtt 5 <br />TOTAL FEE E <br />PUNC��ECNflUMOEfI I FEE <br />�-i 6 7 �� �� � , <br />OUILOINQ �m � C� . �� � <br />rwMoiNA <br />MECIIANICAL ) <br />A001I IONnL PLAN CI IECR <br />OIIIEfI � <br />S7NE OUILOR70 SUfiC11Atl(lE <br />CITY OF EVERETT vuoucwonns <br />lOCAL SALES <br />TAX CODE IS 3105 101AL <br />C�J <br />