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cc1��L f3t�s r� �' ; �� ,:_ <br />APIPLIICAT�ON FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT • 6�ILDING DIVISION <br />32U0 CEDAR STREET • E��F,n,�T7, WA 9�201 • 259•8810 <br />❑ DEMOLITION ( i COMBINATION lit BUILbING fc] MECHANICAL kl PLUMBINO ❑ SIRN <br />PROJECTAbUqESS �/n� ' 1�� �`� n� <br />l,/ Q� <br />oweien �enanopnrss cnv zm p110NE <br />.S[�lFv� ur.r.�g�c._j,?¢l�. 8t:,11 Ave. l+l Nll-20�-�YQJCL��s_�"1 '' <br />IENANt M�IIAbUIlESS ci�r . 21�209 r2o'��],3-9006 _ <br />AfICI11TECtONUESI�NER MNLnDbItE55 CIIY 21n p1tON'c ' <br />OF.NERALGONIfV1CTOR /ApIL.1D011c5S CIIY Zlp PIIONE SIAIEUCENSE� <br />S�J.f�t�tiunes,_ .ir�l�sti a h AvP w un- R�_ ��Pr�t_�, 4�e2n9�oFi/st�-9nor, SFr.�.rrriinra� <br />MECNAN�CAICOMBACIOfi M41lGbOtlE55 CIfY ZIP PIIONE SIDIELICENSE� <br />PLUMBIN�CONIRRCIIXI IANL40URE55 CItV 21P pIiONE STAtELICENSE� <br />Pfi�pr. pR <br />UESGRIeE WORK I1N0 SOVME F007AOE INVO�VEU <br />Construction of one sinale �,mily residence <br />loT ✓-� OLOCK <br />Arbpr C1 n <br />PAqCEL7AC1.0.NUMBEf1 <br />CONSIRUCIIONLOM7LENOER.AyOqE59. <br />L�rt.a,wa.Kl / <br />ii�� I �.1 is' " ,�l . SW <br />PLUMBINO <br />NO. TYPE OF FIXTU <br />a ' � WATER CLO5ET (iOILE <br />DRINKINO FOUNTAIN <br />FLOOR DRAIN <br />SINK (SERVICE — <br />EPIIQNF. NUAt0El5 <br />i/"'—T_✓y �7i���' <br />L_ <br />/.tall�t��i4([P <br />OR ITEM —� <br />SUB 70TAL E <br />PERMIT $ <br />FOR OFFICE USE ONLY: <br />FRONTSE7BACK �EAliSE1B6CN � <br />26 r r7 ,. <br />c.s' <br />U9E 20N LOT �REA <br />' � fi !t-\ �� <br />IIEI011� LIM�yytO(( I NO.OF UWELLINO <br />•� v . UNI�9 ' <br />/`� V <br />FIRE SP�II Y.lEil R <br />�� � <br />TYPE OF CONSl. <br />. � <br />SIOE <br />U/d �.P <br />FEE <br />VACnN�t "AE <br />�f.lYES p NO <br />or etoort.i <br />o <c Lnn��4 t <br />[IYE9 C7H0 <br />HEATINR S`; STEM: 6G GAS O ELECT'r11C ❑ <br />COHtACI Pcry50N �ND PIIONE NO. <br />I H[REBY CERTIFY THAT I HAVF READ AND EXAMINED THIS <br />APPIICATION AND KNOW THE SAME �O BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES OOVERNINO THIS TYPE OF <br />WORK WILI BE COMPLIED WI7H WHE7HER 3PECIFIED HEREIN OH <br />NOT. TNE OaANTINO OF A PERMIT DOES NOT PRESUME TO OIVE <br />AUTHOqItY TO VIOLATE OR CANCEL THE PPOVISION OF ANY <br />OTHER STATE JR LOCAI LAW FiEOULAT�NO CONSTRUCTION OR THE <br />PERFOHMANCE OF CONSTFUCTION. THAT I AM AUTHORIZE� BY THE <br />OWNEq OF THI9 PHOPERTY 70 PERFORM THE WORK �OR WHICH <br />APPLICATION 19 MADE AND I COMPLY WITH THE 3TAtE <br />CONiRAC70RS lAW 1827 FlCW AN� 288200 WAC. <br />Select nes, Inc. <br />X �—�a�rP �� G���/�i^ <br />SIONI11011E OM1IE ��%— <br />CITY BUSINESS LICENSE NO. <br />Mr:cF�nNicn� <br />DIO. TYPE OF FI%TURE Of1 ITEM FEE <br />NC — AMN�LO UN1T5 — H.P. � <br />.1 FOflCE� AIR SYSTEMS — B.T.U. M E.A. � <br />HEA7 PUMP �— <br />tINITt1FATFpS—RT11. M i <br />FiANOE HOOD <br />WATER HEATER <br />WOOD S70VE <br />QAS FIREPLACE <br />OAS RANOE <br />FAN <br />� <br />FEE $ <br />PUNCIIECKNUMOF FEE �ECEIPTNO. <br />�/�% � C� <br />auaoi�+a <br />pLUM01N0 <br />b�ECl111NIC�L <br />�ObIIIDNAI PIAN C��ECN <br />OillEfi <br />S7�tE tlU1LbINQ SUIlqinflOE <br />CITY OF EVERETT puoucwonKs <br />LOCALSALES <br />TAX CUDE IS 3105 lOtAl <br />