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! <br />APPLICATIV�I FOR CON!�TRUCT�dN PERMIT� <br />CITY OF EVERETT • BUILDIN3 biVISION <br />3200 CEDAf� STREET • EVERETf, WA 90201 • 259-881 C <br />❑ DEeAOLITION CI COMBINAT�ON ��BUILDING LI MECHANICAL ❑ PLUMBING ❑ SIGN <br />��� � S� <br />PROJECT ADDRESS: 5! XX ,So:fL 7/.-��' 3` Li:-, cn / � — <br />TEN�NT <br />cnv <br />_�/i� �1 o/7�i 7 ��(� 7/Oy-S'Sr=��, <br />riior�e <br />RRCHRECTORDESIGHER 1AulAC0�E55 GrtY li�' PIiOHE <br />��i�,_ c��,�� �o �,: cz��� � ww_w _�� �i) Z��-s�a <br />GENERQf.ONtMCiOq MMLeO�PESS Cilv � JU' �� PnONf: SfAtELICEHSE� <br />AIECHANIC�ICONIRACTOf1 AInIlA00RE55 Cltt lll' � PIIONE Si�TEUCENSE� <br />Pl11MBINGCONTfiA�TOR MMI�UDRES$ CIIY i�i' PI�ONE 3TNEUGENSE� <br />OESCRIBE WORM. <br />rROPpSEo u5E oF BUILOINc <br />ISIIOWN OEIOW OR ATiAGII <br />LOT BLOCK <br />PMCELTN(I.D.N �7� .� _ O ./J`�VD�� <br />(I.�-Z ��a <br />C(NISTRUGTION 10�N LcNDEfi, ADOf1ESS. TF.lEP110NE NU.IOEf1 <br />PLUMBING <br />NO. TYPE OI <br />WATER CLOSET <br />BATHTUB <br />SHOWER <br />KITCHEN SINK & DISP <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINKIRFRVICF—faAR Fi <br />OR ITEM <br />SUB �iOTAL S <br />F`ER!AIT S <br />TOTAL FF.F 5 <br />FEE <br />IiEATING S /STEM: ❑ GAS ❑ ELECTRIC ❑ <br />comnri rrnsou nrm ruaie uo <br />I li[f1E0Y CERTIFY THAT I HAVE READ AN� EXAMINED THIS <br />APPLICP.i ION AND KNOW THE SAME TO BE TF�UE AND CORREC7 ALL <br />PROVISIONS OF LAWS AND ORDIPlANCES GOVEFNING THIS TYPE OF <br />WORK INILL �E COMPLIED WITH WHETHER SPECIFIED HEREIN Jfl <br />NOT. 7fiE Gf1ANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AU i IiORIT� TO VIOLATE OR CANCEL THE PROVISIOIJ OF hlvY <br />OTHER STAfE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFOi7MANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWt�ER Of THIS PROPEflTV TO PERFORM THE WORK FOR �NHICH <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTOf15 LAW 10.27 RCW AND 296200 WAC. <br />/ -� <br />x���� � ��-�% <br />SIGNqUf F— DAiE <br />�.-_ <br />CI IY ppSINESSI ICf.NSE NO <br />NO. I TYFE OF E�UIPMENT � FEE <br />i_ _ NC —M�NDLG UP <br />� fORCED AIR SYSTI <br />�— Nf_AT PUMP <br />� � UI�JIf IIEATERS <br />; / CLOTHES �RYERS <br />�— R�NGEHOOD <br />! / WA1[R I IFJQER <br />FOR OFFICE USE ONI_Y: <br />fRONTSETB�CN �f:�pSFTBACN SIDESEiO�Ck <br />� ?o <br />_. <br />usE zo� l-7 tor nnEn vncANt 9�G <br />` C �/ � � C> O �' .1NE5 ❑ NO <br />NEIGHi LIMITATION � HO OF DWELUNG S�ZE OF OLDGrtI <br />Z� �N�« 3 65 So� 5 <br />OCCl1PANCY NO(%SIOR�[5 �CUPRNILO�U OA MENi <br />❑YES pD NO <br />iYPEOFf,ONST rtnNsen�novena• � CITYOFEVERETi <br />� /� LOCALSALES <br />i�q�Eq,��t� TAX CODE IS 3105 <br />�!— 7_ ___ <br />Mf IAI. <br />INSERT(WOOD <br />G�5 PIPING <br />exiinusT �nN <br />SUB TOTAL E <br />PEFfAIT 5 <br />TOT?,L FEE S <br />PIANCIICCNNIIIAIIfII fFF RFLF:IPINO <br />�<//v/ � — <br />OlI�l01N0 <br />riuunwr. � " , <br />'.__ ____.. _ . _-__ �—_ -_ <br />61F�a1nwr.N �� � � ; <br />_..__'.__ � i__'_ <br />�OUIII[11:AI PI ANI:IIff.N <br />—___ �—_ <br />I <br />onRn <br />—�— <br />--'__ —' �''— <br />Slnil° IIUIIIIttIt:51111C11nf10E . , <br />Pllpllf WO(IN : j� ;' '� <br />O_I�� <br />— � L _.i <br />—'- - --.._�-�---- <br />i „ <br />TOTAI ��. ,' .' �: <br />1 <br />