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APPLICATIA FOR CONSTRUC&H PERMIT <br />CITY OF EV'RETT A BUILDING DIVISION <br />3200 CEDAR STRE:T A EVERETT. WA 98201 •257-8810 <br />1 DEMOLITION COMBINATION BUILDING K MECHANICAL X LALUNImna am6n <br />PROJ C UA DRESS ZO <br />..,.,�.� M.'I ADDREss nTY Zw "ADNEE H <br />MAT 17'MAPC0 490E Oa4Pa &VFRE/l iBlO 4 N'Gs III) L94'T334 <br />TENANT MML Ap'WE56 CITY IMP PNOME <br />or"G\►� <br />.RLIIITECT OP RESIGNER MAIL ADDRESS LILY Iw DRONE <br />NLwle ou-m3HL <br />GENERAL CONTnR MMLADDRESS CITY SDI PRONE s4i[lK[v5U <br />4TD <br />MECnANKAL LONTRAL:ON MAIL AOp1CS5 CIY IM' PIgNE STATE LKLNSE- <br />ELDIAl CONTRACTOR MMUDb1E55 CITY pm IONE STATE LKENSEA <br />LOHTRACT PPKE OF v/DIIK 9yo <br />HEATING SYSTEM: 1-1 GAS F1 ELECTRIC X <br />USCRIRE 1Y(NIN AND SO, i00TAGE INVOLVED <br />OawLOAJV &Y/Sa7) Ao.*6 <br />CONTACT PLRSON.NORROW NO <br />Aura A! A&ovIF _ <br />107"D Yi4£0 SZ PT 4./4/aG— <br />A <br />�F <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AJTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 10.27 RCW AND 295200 WAC <br />X <br />PROPOSED USE OF BUILDING <br />LEGAL M,,AW ION OR PROPERTY ISIroreN SEEM Ew ATTACH INTO ODDIL51 <br />LOT BLOCK a <br />Y <br />wxEE TAfNUM�T <br />j7l S � f OOO/ <br />CONSTROCTgN LOAN LLICER. ADDRESS TE1EP1gNE RETURN <br />slGwlwlE DATE <br />am ousnrcss LeENSE rK __ <br />PLUMBING <br />MECHANICAL. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />I <br />WATER CLOSET (TOILET) <br />ABC—A'HNOLG UNITS <br />FORCED AIR SYSTEMSY <br />!WASH BASIN( <br />NFAT PUMPUNITHEATERS <br />SINK 6 DISP <br />CLOTHES DRYERSSHER <br />WM <br />RANGE FOOD <br />Y TRAY <br />WATER HEATER <br />S WASHER <br />WOOD STOVE <br />I <br />METAL FIREPLACE (WOOD BURNING)G <br />FOUNTAIN <br />FIREPLACE INSERT (WOOD BJRNINGI <br />FLOOR DRAIN <br />I <br />GAS FIREPLACE <br />13ACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC) <br />GAS PIPING <br />EXHAUSTFAN <br />i <br />SUBTOTAL <br />SUBTOTAL S <br />I <br />PERMIT <br />PERMIT 5 <br />TOTALFEE S <br />TOTALFEE $ <br />FOR OFFICE USE ONLY: <br />MORE SCTBACY. <br />LAY SETBACK <br />6�IOE SETBACK <br />PIAN_CRELR R <br />CE% <br />PECEIPT NO <br />�! <br />G <br />uRE E <br />LOT <br />VACANT SRI <br />FEES <br />VALUATION <br />PEE <br />_ <br />WILDING <br />DYCG 'T NO <br />.Ell r�LATCN <br />DOE VNELLINy <br />6VE CE BLPlT1 <br />PLUMBING <br />_ <br />YII NOP'TOXES <br />OLLWANT COAU <br />ON RCNT <br />MECNANKAL <br />„YE6 NO <br />OECNAIPIAN pIELN <br />TIRE SPPMIILER REOU <br />OTHER <br />FIREALAPMREOD <br />PEA$ON <br />STATE I UU)MG SURCHULGE <br />TYPEOECCNST <br />PLANSAI'PROVEDBY CITY OF EVERETT <br />PUBLK NGRKS <br />-I-� <br />LOCAL SALES <br />.Y - N <br />DATE %� C7iD TAX CODE IS 3105 <br />TOTAL <br />