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APPLICATIOrI FOR CONSTRUCT�JN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • E�ERETT, WA 98201 • 259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ h9ECHANICAL O PIUMBING ,�SIGN <br />FHOJECT ADDRESS: '�y( $1 `� /%t�/ ,¢Ve , E� e.,�,� w',4 9�'�d l <br />i Ruckuv-26 ,Z730 /lA-�C'tiisc� bve,viY c.J� 9<;z'? ��OG1 25"Z-OG�Y'/ <br />OwNER MeiUWRF.55 C�TY 21r I�peC <br />�i�r�9a 6suz��s� �;� 2��Sf��f�uP C�-�P2,U� t�A �i4:d� (ZCG) 33y— �OoY <br />TEN�Nr ' u1�1 A-11UI1C55 � C,IIr 7m rnnNc <br />r <br />r' _ <br />�RC 'O(I OE IGNffi M�II �nOp[55 C11Y )IP PIIONF <br />C�o.��-/iv2a...,-. /nl2/.�.uonc�oQ-,�Gt�A�; G�ien.�/,�yd 95<�ot�/ �+,1.:135'i--%(73 L�A-I�1S�_L/_n42ir/! <br />rl�w�c�� <br />MECII�NI�/��ON/R4CT0� M�IL�ODAE55 <br />PLUMBINGGON7R�C10R IA�IL�DORESS <br />DESCFI9E <br />OF <br />NonK ^. _ <br />�J � <br />SOII�HE FOOTAf�E �NVOIVEi <br />3�`�X� `� %�2i:� v[� <br />i� <br />LEG�L DESGRIP110N OF PROPERTY (SHOWN BEI O� <br />ior e/i/p1�{.K or. <br />'rJNNC� � O'�` %%�j ��UZ <br />c�. �tiJ ,ai/ L� f Y.9-Y-,4 �� <br />/.,i)ii)-c../.S-oa3- 0202 <br />CONSTNIIGTION LO�N LENDER,IIGORESS, iELEPHONE NlIMBER <br />NO. TYPE OF FI%TURIE OR <br />WATER CLOSET(TOILET} <br />BATHTUB <br />LAVATORY (WASH 9ASIP1) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTE <br />SINK ISERVICE — BAR, <br />n <br />� <br />TWO COPIoS) <br />arv nr ri�or+e s�ni�nc[rvse� <br />f.ITY 21P i`IIONE Si�IE LICENSE � <br />GIiY ZIP PN�NE SIAIELICENSE� <br />� HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />ONT�CTPf.f15qNANOPMpNF.NO <br />.� I ...Il.., //l...�_.� 2C'7-4/>"� <br />0 <br />_� PERMIT 5 � <br />TOTALFFE S <br />FOR OFFICE USE ONLY: <br />FRONTSETPACN PE�P SFTBACR SIDESETO�CR <br />USEIONE 1O1M1FA VeCrNt511E <br />❑YFS ❑ NU <br />��.�. — ✓r ' /� K/!9/T _ <br />I HEP.EBY CEflTIFY THAT 1 FiAVE READ AND EXAMINED THIS <br />�APPLICATION AND KNOW THE SAk1E TO BE TRUE AND CORRECT ALL <br />PqOVISIONS OF LAWS AND ORDI�7�\NCES GOVEFiNING TfiIS TYPE OF <br />WQRK WILL BE COMPLIED WITH V�HETHER SPECIFIEO HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES N07� PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OH CAN�CEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PtRFORMANCE OF CONSTRUCTIGN. THAT I AM AUTHORIZEO BV THE <br />OWNEH OF THIS PROPERTV TO PERf"ORM THE WORK FOR WNICH <br />APPLICATION IS MADE AND I COMPiY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 29G.200 WAC. <br />.� <br />� > _ /iG�� i � .�.,.. 1/_/9_ iL <br />;� n �?zl7 —s�k• t <br />❑Y BUSINESS LICENSC NO <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT <br />A/C — MiNDLG UNITS <br />FORCED AIR SYSTEM3 <br />HEAT PUMP <br />UNIT NEATEi7S <br />CLOTHES ORVERS <br />RANGEHO00 <br />WATER HEATER <br />WOOD STOVE <br />GAS FIREPLACE <br />GAS RANGE <br />ruH a¢cK r+uunrn <br />IIUIInIN(1 <br />IIEIGIII LIMIT1TIOrv NO OF UWCLIING E12E O� OLOGrtI <br />UNIIS FIUMpIN(i <br />OCCUP�NCv NO Ot 9(�[5 OCQIP�NI IO�D BASEUENI IAECNSNIUI <br />FIRE SPR�NKLER RE <br />fIRE NARM REO'0 <br />PlANS <br />n�ie <br />OYES ❑ NO <br />�OOOIONM. Pt AN G11CGM <br />O1��ER <br />Siq[ BUIIDINC SIIOCIURC•E <br />CITY OF EVERETT runnr.wonKs <br />LOCALSALES — <br />7( TAX CODE• IS 3105 70TaI_ <br />SUBTOTAL E <br />PERMIT E <br />TO7qL FFF S <br />rcc ntcnri r�0 <br />-� ,2� <br />� —�' � <br />FEE <br />0 <br />0 <br />0 <br />/�'% <br />