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APPL.ICATIG .] FOR CtINSTRUCT _ JN PERMIT <br />CITY OF EVER[TT • PUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98209 • 259-8810 <br />❑ DENiOLITION p COMBINATIJN � BU�G ❑ MECHANICAL ❑ pLUMBING ❑ SIGN <br />PROJECT ADDRESS: ? ?, ) 7 � � y � <br />I�� r��oNE SfQEIILENSE• <br />MECIUNtCALCONTR�CTOR MqLADORE55 f.ltt ZIP PIIONE ST�iEULENSE� <br />PLUMBINGCONTR��TOR M�ILADDriE55 �IiY ZIP ?HONE STIITEUCENSE� <br />--�� '�'�'r-'�-�-�`�- <br />PiqP05EUU5� BUILDING � � � � <br />LEWLOE PTIpJ PPO Rttl WMBELOW AC <br />LOT �� BLOCK �_ Of L <br />��� q ' <br />PMCEL TN( I D. NU BER <br />��9/ �ls'i� Od % DC <br />GONSTRUGTIONLOANLENUER,ADDRES TEIEPHONENUMBFR <br />NO. TYPE OF <br />WATER CLOSET� <br />BATHTUB <br />SHOWEH <br />KITCHEN <br />LAUNDRYTFAV <br />CLOTHES WASHER <br />URINAL <br />FLOOR DRAIN <br />8<.CKFLOW PREV <br />SINK (SERVICE — <br />ITEM <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />� I IIEREBY CERTIFY THAT I HAVE fiEAO AND EXAMINED TH�S <br />APPLICATION AND KNOW THE SAME TO BE TRUE AWD COiiRECT ALl <br />µ PAOVISIONS OF LAWS AND OHDINANCES GOVERNING THIS TYPE OF <br />W6RK WILL uE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OH CANCEL THE PRGVISION OF AlrY <br />O7HEA STATE OR LOCAL LAW REGULATING CGNSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOqIZED dY THE <br />OWNER OF THIS PROPERTY TO PERFORM TNE WORK FOR WHICH <br />APPIICATION IS MADE AND 1 COMPLY WITH THE S7ATE <br />CONT T S lAW iB.27 RCW AN 96200 WAC. <br />X ' 4 r: <br />SIGN�TUR OAIE <br />Cltt NUSiNESS LiCENS[ N0. <br />FEE NO. 1YPEOFEQUIPMENT <br />' A/C—MiNDLG UNfTS <br />; FORCED AIR SYSTEMS <br />� HEAT PUMP <br />CLOTHES DRYERS <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />i GASRANGE <br />'�) GAS PIPI�lG <br />' IXHAUST FAN <br />i <br />� <br />SUB TOTAL S ; SUB TOTAL S <br />PERMIT S � PEFMIT S <br />TOTAL FEE E � TOTAL FEE E <br />FOR nFFICE USE ONLY: <br />FRONT SEi[iAL� � pEM SETBAL � <br />USE ZONE � �pUBEA <br />Y � <br />HEIGHi LIMITATION� NO Of DWEII�NG <br />'f ./ UNIIS <br />L/ (� <br />OCCUPANGY Iq(%SIONiFS OCCUP�NIl0�0 <br />GROVP � <br />FIiiESPRINHLEliREO'� RF�SON <br />HEO'� <br />— N I n.rE <br />$IDESETBSCIt PUHCIIECRNUn10ff1 fEf REf.fIPTNO <br />��� � �-- <br />V�C�Nt SIfE PEES <br />❑res ❑ �o ouuou+r. <br />S12E OF BIDGRI <br />3�� r1111A�ING <br />B�SEMENI MECH�NICAL <br />❑YE$ NO — <br />AOUi IIO�UL PI �N Cl�f CN <br />Ob�Ell <br />ST�IE BUIIDMG SIIRCHRIiGE <br />CITYOFEVERETT ruoiir,wonKs <br />IOCAL SALES - <br />TAX CODE1S3105 TOTAL <br />� <br />