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�� <br />a�+r <br />APPLiC/�►TIO.r FOR �ONSTRUCT e�l�i PERMIT <br />CITY OF EVERETT •• BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 90201 • 255-8810 <br />❑ DEMOLITIOI�L 7�[� COM8INATION p' BUILDING J MECHANICAL ❑ PLUMBING ❑ SIGN <br />I <br />PROJEC7'ADDRESS:� Lp�K��MC-IZ �'oP� �EI�;I n� �'��EL�� �v��rE'� <br />'�F FF S IJ�ri l�_ G ls LAl�EVIEW 2p 1#K yjdN���ooD Wr�% 9�u37 �?oi -�k7-693j�� <br />OWNEP MRR�DD�E55 Cltt S�� �HOHE <br />4AIl <br />jIF(i MAL ADORESS LIIV l�l` <br />_ //�E� � �/ ll^vL-�/«` f/��i��� �.ni[: <br />SZ <br />Ca� �ICON]AACTOi1 MMIA�DRE55 CIIV IIP PIIONE 5fR[IICGNSE• ,l'�SS' <br />-�� 8� �S S�, S�N-��i��v RA. <br />MECH�MpAICONTRAGiOR M�IIRDORF.55 CIiY 21P P��ONE STATELILENSE� <br />PIUMBING CONTRAC70R MAIL A�ORESS C11Y ZIP PIIOHE STATE LICF.NSE � <br />CONiRA�CjP-RiCE OF WOnN <br />'�� oOO. 0'O <br />Df5 RIBE WJRN Arvp SOUARE FOOTAGE INVOLVEO <br />_�a�„rr�a�ou Fol��.-5 9 y - /vJ��i � E ��m <br />�??onE i !1f �ia-7oo / ��X �,6 � <br />PqOPOSED� OF BUILDIN� <br />J/n��trLE G�ic,�/ /�on9� <br />LEG�LDESGRIPTIONOFPROPERtt�SNOWNBELOW ATUCHTWOCOPIES) <br />io, :iaK oF N�r�JE�+�, r <br />(,���,n�rs� JF?fL- 5�,��f.t�r C����:r�2 �� S�. <br />�'�"N1Ni/' z� Nni_-��,�RNeE� EhSt" <br />PARCELTAJf1.D.NUQM{BEP ' <br />/%'✓�l�j.-[f -(�Z,. <br />COHSTflUCTION IOAN LENOER AOORE55. TEIEPHONE NUMBEe <br />PLUMBING <br />NO. TYPE OF <br />WATER CLOSET <br />LAVATORY(WASH BA: <br />SHOWER <br />KITCHEN SINK 8 DISP <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />I'LOOR DRAIN <br />OR ITEM <br />SUBTOTAL 5 <br />PERMIT $ <br />TOTALFEE $ <br />FOR OFFICE USE ONLY: <br />FItONT5GY0ALN FcnOSETb/•LN <br />ZS � 2 S"' <br />USEZbNE lOieREA <br />_%i- � S.�c <br />HEIGHTIIMITATION NO OF �WELLING <br />�n UNIIG / <br />fh <br />'' M 0' SfONlFS OGCUPRi <br />L4 — <br />LERFEO'0 Rfs50N <br />PEO'D RE��ON <br />INSi �'LANSA <br />- 1.� o:av D <br />FEE <br />� eiUE S6�bn�i• <br />� J <br />MCANt SRE <br />❑res ,g�+o <br />cue oF o�ocrt� <br />BASEM�NI �� <br />❑T[5 {!NO <br />HEATING SYSTEM: ❑ GAS <br />CONT�CT PF.RSON AND PNONE HO <br />r.n <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLIGATION AND KNOW T4E SAME TO BE TFUE AND CORfiECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILI BE COMPLIED WITH WHETHER SPECIFIED HEFEIN OR <br />NOT. TNE GRANTING OF A PERMIT DOES NOT PRESUMF TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOC�L LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNEF OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION :S MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />x �' ��// l�.,% ...�� 9��/ ��' <br />sic � uae�L�2� � oa <br />CIiY OUSIYESS LICENSC NO <br />N0. TYPE OF E�UIPMENT __ � FEE <br />FOFCED AIR SYSTEMS <br />HEAT PUMP <br />WAT[R HEATER <br />WOOD STOVE <br />MEfAL FIREPLACE � <br />FIREPLACEINSERT <br />GAS <br />0 <br />SUB T0T.1L S <br />PERI�IIT E <br />TOTAL FEE E <br />�-�.+.c,�e.:nauM��.�y, —�ree �ncr.cmr::o <br />owiou�r, �> � <br />rw�+mNc / 1 — <br />nooiuor+ei. rinr� a¢ck <br />an+en <br />SiniE nUIIDMG SUfIC11MGE <br />CITY OP EVERETT rum�r.wnrKs <br />LOCAL SALES <br />TAX CODE IS 3105 TOTAL <br />