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A�PLICATI�..1 F�R CON�TI�UC;7.JN1 PERMiT <br />CITY OF E�'ERETT • BUILDING DIVISION � <br />32U0 CEDAR $TREET • EVERETT, WA 98201 • 259-8810 � <br />O OEMOUTION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL � PLIiMBING ❑ SIGN <br />PROJECT ADDRESS: 4—n i Q I(.....� 1�� )�' <br />MAII ADDRE55 <br />k S�-,�` S Wiiin� <br />arv <br />CITY i1P <br />CITY ZIP <br />FnONE <br />PNONE <br />GENERAL CONTflALTOii MAIUDOPE55 _ LIIY :IP P��ONE SfRLE UCENSE � <br />���— <br />E1ECH�NIC�LG NTR�GTOR M�ILpODRE55 Cltt ZIP P1�ONE ST�iEIILENSC� <br />PLUM6INGCONTR�GTOR MIILADDRESS CIIY 21P PIIOVE STATf�ICt�NSE� <br />_�� l�Q � -I�IP IPv�-� �C . <br />DESGR19E WO K AND 50! ARE FOOTAG[ INVOLVED <br />VLeI/�l O Ci�e � � In VLP� X 11 �O � <br />0 � 5' e.X' �� <br />PM7POSEUUSEOFB111lDING %�[,A,�Qyyi/� CS�/�-' <br />v�c{c.Wrr��cyr <br />LEGAL OESCRIPTION OF PROPERtt �SNOWN BEIOW Ofi ATTACN TWO COPIESI <br />l0T _ BLOCN OF <br />PARCFITWfID.NUMBER <br />' //3 -bl2 -G� y lxb3 <br />CONSTflUCT10N LOIJI LENOER. ADDHE55. TEIEPNONE NUMBER <br />PLURIBING <br />NO. TYPE OF flXTURE OR ITEM FEE <br />WATER CLOSET (TOILE� <br />BATHTUB <br />LAVATORV(WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOfl DRAIN <br />BACKFLOW PREVENTERS <br />SINK ISERVICE — DAR, El <br />SUB TO <br />PERMIT <br />TOTAL F <br />FOR OFFICE USE ONLY: <br />FRONTSEiPAC� / PERf1��P��CN) � <br />G�V <br />❑SEIONE t�y 'DT�REA <br />�� 1 <br />NEIGNT LIMIT�TIONy�/y� � NO Of DWELUNG <br />Z/V / UIIIIS I <br />Q'.CUPANCY NO Of $ION6 OCCUPNIi LO�O <br />cnour Z <br />(IRESPfliNKLERREO'D RfA$q! <br />FIREPU�pMREO'0 F'.EACpN <br />TYPE OF f,ONSi PlANS ��'�'�OVED BV <br />— IV I onre <br />a <br />SIDE SETB�CN / <br />� <br />VALANT SITE <br />❑VES ❑ NO <br />S12E OF OLDGRI <br />�Xi� 1 �y <br />BASEAIENT <br />❑YES N� <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS 3105 <br />HEATING SYSTEM: ❑ GAS I�I ELECTRIC ❑ <br />CONTALT PERSON ANO PNONE NO <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINeD THIS <br />APPLICATION AND KNOW THE SAME TO BE TFUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINAN(:ES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHEfl SPECIFIED HEREIN OR <br />NOT. THE GRANTIIJG OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE Ofl CANGEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW fiEGULATING CONSTRUCTION OR THE <br />PEHFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORN FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />x1y.�.i�_�. 1/ �^-�""""`-__' Z— �� '" �l F' <br />SltyanWHE O�Tk <br />� � <br />CITY BUSINE55lICENSE NO <br />NO. TYPE OF E�UIPMENT FEE <br />A/C —lJHNOLG UNRS <br />FORCED AIR SYSTEMS <br />UNIT HEA <br />CLOTHES <br />MEfAL FIPEPLACE IWOOD I <br />FIREPLACE INSERT (WOOD <br />GAS FIREPLACE <br />GAS RAN3E <br />���. <br />rur+ciiECK <br />OUIl01Nf, <br />vwuowc <br />MECN�NIL�I <br />RDDIIIONRI. PIAN CNECN <br />OIHEfi <br />$TAIE OOIIDING 51'RCIURGE <br />i`IIBI If,1Y0i1K5 <br />TOTAL <br />fEf <br />SUATOTAL $ <br />PERMIT S <br />TOTAL FEE S <br />NO <br />