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APPLICATI�.N FOR CONSTRUCI �ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, Wq g8201 • 259-8810 <br />❑ DEMOLITION �l COMBINATION (� BUILDING <br />�PROJECT ADDRESS /� �� MECHANICAL fl PLUMBING fl SIGN <br />1 <br />,c <br />,� <br />ARCNITECTOF�ESIGNER MpILA�ORE55 <br />��TM Z�P PNONE <br />c m�nn nrvu SOUARE FOOTAGE <br />�-n U! ; i�� <br />���� <br />� <br />ED 'E OF BUILDIN� <br />1 � . <br />LJT BLOCK OF <br />PAPCEL TIJf I D. NUMBER/��/� <br />���!1/.��/�/ �J/���//[''�j[���(/J�� <br />CONSTRUCTIONLOANLENUEp,ApppEsg•7��Ep" N�NEN�MBER <br />- � I PLUMBINO <br />. ' NO. TYPE OF flXTURE Op ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WqSH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />, CLOTHES WASHEF <br />URINAL <br />FOR OFFICE USE ONLY: <br />FRONTSETBR�K REAq SETBR�N <br />USE ZONE <br />HEIGMT LIMITATION <br />OF <br />SUB TOTAL <br />PERMIT <br />S <br />$ <br />HEATING SYSTEM: <br />GAS ❑ ELECTRIC ❑ <br />I HEREBY CERTIFY THAT I HA��E READ AND EXAMINED THIS <br />PROV S ONS OF L�qWS AND ORDI AN ES GOVERNING TH SRT PE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED NEREIN OR <br />NO7. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY 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 COMPLV WITH THE STP.Tc <br />CONTf2ACTOR�L�AW-i@,27 RCW AND 296.200 Y.'AC. _ <br />) <br />BUSMESS LICENSE N0. <br />TYPE OF FUCTURE OR Il <br />-AMNDLG UNITS — H.P. <br />ED AIR SYSTEMS — B.T.U. <br />PUMP <br />�EATERS—B.T.U. M <br />iES DRYERS <br />LATIOM FAN <br />WATER HEATE <br />WOOD STOVE <br />GAS FIREPL <br />GAS RANGE <br />SIDESETBRCN PLAN�IIECK <br />INSERT <br />LOTqPEA _ r i/ % / V <br />�ACRNT SITE FEES <br />f1YE5 ❑ IJO <br />NO OF DWEILING OUIIDING <br />UNITS SIZE OF BI�GRI. � <br />PWM9ING <br />�CCUPANT�OAD BASEMENT <br />MECIIANICAL <br />❑VES C7 NO <br />P.EASON AD�ITIONAL PLAN CMECK <br />REn50Y OTHER <br />STATE OUILDING SURCHAqGE <br />'LANSAPPROVEO BV CITY OF EVERETT PUBLIC WOfiNS <br />LOCAL SALES <br />�nre TAX CODE IS 3105 TOTAL <br />FEE <br />E.A. <br />SUB TOTAL $ <br />PERMIT $ <br />TOTALFEE $ <br />RECEIPT NO. <br />