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�APPLICATIOrJ FOR CONSiRUCT�O� PERMIT <br />CITY OF EVERETT • BUILDING OIVISION � <br />3200 CEDAR STREET • EVERETI, WA 90201 • 259-8810 <br />❑ CEMOLI710N ❑ COMBINATION � BUILDING L�( MECHANICAL [rj�PLUMBING ❑ SIGN <br />PROJECTADDAESS: Gi� ,.Gii��:e% �'L <br />_�h�e%�1:.<.,./�—.-r— c� <br />M41� <br />TEN�NT uNIADORF.55 f.IIY il� p110NE <br />y,l.—.� .��� 7�S—��Z�3 <br />APCHrtECT080E5iG1:CR M�IIADOR[55 cin --- -' �h� ��"- ���ioNe L�flYzYSL�t <br />� <br />��(_'ros� C',o�,� l�'o%�c �zy� �„r�_.�i z/vz3�'13 GAlZl-1.�31F/X(,�117 <br />GEN /�ICOM1��P�Ci�fl MAILAppR[55 f.I1V )II' PIIpNf: $I�iELICFNSE� <br />�� -- --- %�� - �'7 <br />MECHANI[AICONTRAG70R u�qaD�nE55 f.IfV 711` � PIIONE STAiEUCENSE� <br />PWMBINGLON11Uf,10� MnIIADORE55 CIII' Ili' PIIONE ST�TEUCENSE� <br />GONfR�GT P910E OF N'OPN -- ---...-" <br />�/� j%'D IiEATING SYSTEM: ❑ GAS ,�1 ELECTIi1C ❑. <br />OESCRIBE N+DRK AAD SOl1�nE FOOUGE INVOIVED f.OlrtM:l P!'IiSOH RIO PI�ONE ND <br />� �Y� /��l% �i-�i1.. d: <br />, <br />P{IOPOSED USE OF BUIL laC <br />� I�� !�..,,._ . <br />LEGAI��,E.�S'G�RIP�TI�c/y OF Pl10P�ER Y �51f N flELOW IXI ATT�GII Tv�a L9P11 <br />�oT � oiocn 3`� or�'%�-� <br />� �V ��^- /!JlCi.P �/ <br />PMCEI TN! I D. NUM q <br />5'7b�`�- 03 -v�o�-orolo <br />CONSTRUCIION LOAN lENOER. �DfIDE55, iFl[PIIONE NU�OEfI <br />NO. TYPE OF <br />�/ WATER GLOSET� <br />� BATHTUB <br />SHOWER <br />KITCHEN SINK 8 DISP <br />LAUN�flYTF9Y <br />CLOTHES WASHER <br />URINAL <br />CRINKING FOUNTAIN <br />FLUOR DRAIN <br />BA�KFLOW PREVENTk:RS <br />SINi< (SER!!ICE - BAR, ET <br />ITEM <br />FEE <br />SUB70TAL S <br />PERMIT S <br />TOTAI FEE S <br />FOR OFFiCE U:iE qNLY: <br />FRONTSETBACK PF.AR SFTO�CN <br />� � d�5 C` <br />USEZONE� lO1�REA <br />� � _ <br />HEIGHi LIMIiAT10N NO Of OWf.IUNG <br />UNIf$ <br />OGGUP�NCY NO Of5�0AiE5 OCGUP�N:l0A0 <br />GROV <br />2-3 J-� 2. <br />FIFEAURM <br />OFf,ONSr PInNSenpnOVEnaI�( <br />U� <br />� �-- — o,��F �, f Z�;��' `i �-- <br />GCE <br />VA�ANI SIIC <br />�]VE$ ❑ NO <br />SIZE OF OlIX'i/f I <br />���37 s F <br />B�5 M'Ni <br />❑YE$ NO <br />------ -- �lo -��;�i � <br />I HERE[3Y CERTIFY 7HAT I HAVE READ AND EXAMINED THIS <br />APPLICA7lON AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIOMS OF LAWS .iND ORDINANCES GOVERNING Tf11S TYPE OF <br />WORK WIIL OE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />P!DT. TIiE GRANTING Of A PERMIT DOES NOT PRESUME 70 GIVE <br />AUTI�fORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />GTHER ST��E OFi LOCAL LAW REGULATING CONSTRUCTION OH THE <br />PERFORMANi,E OF CONSTRUCTION. THAT I AM AUTHORIZEO BY THE <br />OWNER OF THIS PfiOPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMP�Y WITH THE STATE <br />CONTRACTOFiS LAW 10.27 qCW AND 296200 WAC. <br />x L/a f� <br />sirnnt onie <br />CIIY OIISwf:55 LICENSE NO <br />MCCNANICAL <br />NO. TYPEOFEQUI�MENT FEE <br />NC --MiNDLG UNITS <br />FOf10ED A!R SYSTBMS <br />ii6AT PUMP <br />UWIf IIEATEFS <br />CLOTIIES DRYERS <br />RANGE hI00D <br />WATER IIEA7ER <br />WOOD STOVE <br />PIREPLACE INSERT <br />GAS PiR[PLACE <br />GAS RANGE <br />SUB TOTAL S ' <br />P[RMIT E � <br />_ T07AL FEF S <br />S�l�. .'�J <br />�YAIICIif.f.6N�u�f1� I(EF_��/ �.� �Ff.EIPiNO <br />� � � <br />S'r o„ <br />91111UiNf. � �� ��� i% �,�� � ) ) <br />_� <br />rivunu+r. �.� ;(��7 <br />MFCII�NIf,Pi �a-O �' YJ ; � <br />—y— i <br />nooninr+ni ri nr� ua crc I :-i :- <br />qNF�� <br />SiNF 11UIIIIRRV $IIIIf11nI1GE --" -'�-' <br />qTY OF EVEAETT rumic wone•, .�� �� <br />LOCALSALES ----._. .. .--- - ' --'-- <br />TAX CODE I^ " t05 TOTAI J. J! �'-. . <br />