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APPLICATII.r�I FOR CONSTRU�T�ON PERMIT <br />CITY OF EVERET7, • BUILDING DIVISION <br />, 3200 CEDAR S7REET • EVERETT, WA 98201 • 259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILQING J� MECIlANICAL O PLUMBING ❑ SIGN <br />PROJECT ADDRESS: �( :�, �C � � - ;��,� .�, � �{� � � `1 <br />� <br />OWNER MNL�OORE55 <br />� I I . .- CITY IIP PNON[ <br />`? �G�,; :n) (- ,. I�/+„i /� -�`,- , , i ,/ ,a- .� � -••f � <br />T¢w�nT - uui.u�oncss \� r.n � . .. �it�-� .- �V_-~-y =-'� "•.1 '7 �( i � i�u �� ` '1.. <br />nr rua+t <br />il��-'-, �'�, '��_� <br />MI �ULADpRE55 <br />Y�R J100RE55 <br />�un�w�crrP�:EOFWORI(�/ ' <br />i���L/ <br />UESCRIlE WdiN ANU SqJME FOOIAGE INVqVED <br />iYS. � ^ �' (-� ( , l �-1 Y <br />�ecK aesuhvrrow a eao� <br />�oT e�oac <br />CON51rM1CT10N lWN <br />BATHTUB <br />DISP <br />� LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKIN6 FOUNTAIN <br />FLOOfl DRAIN <br />eE�ow <br />] ' j- )� - <br />TELE011p1E NUMlER <br />0 <br />-- Ic'��(r ) � �� - �t i�< <br />'�� P�IONE Sf�TfIICEN$E• <br />� <br />I �j, c'... ,- c,: <br />��-1f:3=1��� I i I'� � 1�� 1 �ri It ; t� � <br />7�:• IIONE ST�TE IICENSE � <br />I�� P�E STATEIICEHS=• <br />HEATING SYSTEM: �GAS ❑ ELECTRIC ❑ <br />CONi�CTi`EfISONANOPIqNENp _ , <br />— -..> � - �} =� „ <br />I HEREBY CERTIFY THAT I HAVE READ AND L'XAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AN.1 CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNIN„ TIiIS TYPE OF <br />WORK WILI BE COMPLIED WITH WHEiHER SPECIFIED HEREIN OR <br />NOT. THE ORANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REODUTINO CONSTRUCTION Oq THE <br />PERfORMANCE OF CONSTRUCiION. THAT I AM AUTHpRIZED BY THE <br />OWNER OF THIS PROPEHTY TO ERFOHM TNE WOqK FOH WMK;N <br />APPLICATION IS E I MPLY WITH THE STATE <br />CONTRACTORS 18. 200 WAC. <br />x � 0� <br />510N�TIME �.. <br />IICENXlq <br />FEE NO. - T�'pE OF EOl! <br />� <br />_; A/C—NHNDL6UNITS <br />; FORCED AIR SYSTEMS <br />� HEAT PUMP <br />; UNIT HEATERS <br />� SUB TOTAL � <br />PERMIT f <br />TOTA�FEE S <br />FOR OFFICE USE ONLY: <br />:HOMT SETBACK RE�R SETBALK SIDE SETB�CN <br />USEIONE IOTAREA VACAN�SIIE <br />FIREPLACE NVOOD BL1RNiNG� I � <br />RANGE <br />PIPING <br />�UST FAN <br />PUNp1ECK^UMPfP/ � I fEF <br />__ ❑YE$ ❑ NO Ol11IDINf. <br />IIEIGHTIIMIT�TION NOOiDWELUNG SIZEC%BtDGRI - <br />UNITS PtUMpiN6 <br />GL�CWp NGY 1p (K SIONfS OCCUPANf LO�D BASEMENI MFbuNIC�I <br />❑YE$ ❑ NO --- <br />FIRESPRINKLERREO'0 RE�SQY �DOII0.V��.PI.1NG�f.CM <br />0111E11 <br />'IRE.4MMHE-0'D RE��ON <br />Si�1E IIU�IDMC SIIRC��MG[ <br />rvvear,orast Pl�NSAPPROVEDBY CITYOFEVERE7'T runnr.wonn•; <br />LOCALSALES <br />oeie TAX CODE IS ?10� TOTAL <br />SUB TOTAL S � <br />PERMIT S � <br />TOTALFEE S � <br />REGFIPt NO <br />