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,�-. <br />APPLICATIG � FOR CONSTRUCTIt1N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259•8810 <br />f-1 DEMOUTION fl COMBINATION I-1 BUILDING '�MECHANICAL �l PLUMBING fl SIGN <br />PROJECT ADDRESS <br />y9y3 Dc��N AuF _ <br />ONMER MaILADUHESS Cltt 2iP P11oY[ <br />&cc rla.�s� �1y3 GC��IN /'i� Ei�-r- 982cr� 3Y7- ��38 <br />TENANT MAl1.pODfiE55 CITY IIP f110NE <br />ARCHrtCCT OR UESIGN[R MRII <br />PHONE <br />GENEf1ALCONi(IACTIXi M�ILAODftE55 CItY LP PIIONE S��TGIICGNSE� <br />ME/CH�RNILALCONTRACTOR M�ILAODRE55 CIN 71C PIIONE STATEUCf.NSE� <br />i7 Z- <br />PLUMBINGCONTR�CTOP M4ILROURE55 CII\' 21P PHONE LfATELICENSE� <br />150U�RE <br />� ��� <br />f1G✓T � <br />LEGAL DESCRIPTIIXJ OF PROPERTY <br />LpT BLOGK _ <br />CONSTIIlICT10N LO�N LENOER. �DDRE55. TEIEPXONE NUMBER <br />L`� <br />WATER CLOSET <br />BATHTUB <br />KITCHEN SINK 6 DII <br />DISHWASHER <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />Ai1JK IRFLiVICF _ RAG F7 <br />OR ITEM <br />FEE <br />SUB TOTAL S <br />PERMIT S <br />TOTALFEE 5 <br />FOR OFFICE USE ONLY: <br />FRONTSFTPRCN RE�R SFTP�GK <br />USE ZONE <br />IIEIGIIT LIMITATION <br />OCCUPANCY NO 0� <br />f.ROUP <br />FIPE PLARM REOD <br />flPF. SPRINKI FR RF.( <br />IAT�REA <br />NO OF UWELLING <br />IINIIS <br />SIDE SET9PCN <br />VACRNf SITE <br />IIVES fl NO <br />SIZE Of BIIX;RI <br />HEATING SYSTEM: �GAS �l ELECTRIC �l <br />GONTACT PEPSON �NO PIIONE � <br />�N Z.SZ S//�{ <br />I HEREBY CERTIFV THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO B[ TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORI: WILL BE COMPLIED WITH WHETHER SPECIFIED HERE�N OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STHTE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT � AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WNICH <br />APPLICATION IS MA�E AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />X rL �� ) , � /Z -l- 5'S_ <br />SICsNAf RE OR1E <br />CITV PUSINF55 UCF.NS[ NO <br />A/C — AIHNDLG UNRS — H.P. <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />HEAT PUMP __ <br />UNIT HEATERS — B.T.U. M <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />GAS FIREPLACE <br />GAS RANGE <br />FAN <br />SUBTOTAL $ <br />PERMIT $ <br />TOTALFEE S <br />PL�NCIIF.CNNUMBf:fl � rrr � Rff.FlPTNO <br />OUIl01NG <br />PUIMOING <br />M[CNnNICAI <br />II\ES II NO � <br />RPA50Y A�DIIIONN. PLAN G�ifCK <br />on�en <br />RF4c04 <br />STAI[ OIIi1�MG SUPCHI.RCE <br />� l �NS AP{'POVED PY <br />D41E <br />CITYOFEVERFTT ruoiir.won�s <br />LOCAL SALES <br />TAX CODE IS 3105 TOTAL <br />