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APpLICATI�..i FOR CONSTRUC7.JN PERMIT <br />CITY OF EVEREI7 • BUILDING DIVISION <br />' 3200 CEDAR STREET • EVERETT, WA 98201 • 259•8810 <br />❑ DEMOLITION ❑ COMBINATION � BUILDINGR j p MrECIIANICAL , ❑ PLUMBI�G ❑ SIGN <br />PROJECT i^•'1RESS: / 3� 1(n M L.�I� i I��U J) IVCI , G- VL' � C�i� <br />OWNER MLnDOnEsS ` � I Cltt 1llr l 1`noN[ <br />����r�^.��� 9����1 130f� ��� I(,�f�n �i�r� . �- �i��RP 1�—�l�i�� �.<bL-, - a.�.:l - 7oZ� 3 _ <br />tEN�Nr u�a�n�ines; cnr fr nioNE <br />Cri ��nr, .� <br />�RCHIIECTORDES�GNER MAl1AD0�ES5 Cltt /IV PIIONE <br />GENERAL CONiRACiqi M�IL�DDOE55 f.1iY iiP PnUNG $IAi[ IICENSE � <br />wonK <br />=' - i� � 2 8 't' <br />�, � <br />�SOU�RE FOOTAGEINVOIVED <br />�.k �. I�,.,.�•., _ ;;7. <br />c � �.�' ' <br />-l�i�,QrnN� � t�_ylyr_ C�. �n <br />LEG�l0E5LR1PTI0N Of P{101`EPT'! �SNOWN AElO�: � <br />LOT _ BLIX:K OF_ <br />PANCEL TAII I.D. NUMBER <br />�n�'J-1�00"iJ03 -i <br />CONSTRUC710N lON! IENDER. �00{1E55. <br />NO. TYPE OF <br />WATER CLOaET <br />BATHTUB <br />UVATORY(WAS <br />SHOWER <br />KITCHEN SINK A <br />DISHWASHEH <br />UUNDRY TRAY <br />CLOTHES WASF <br />NUMPEA <br />OR ITEM I FEE <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK (SERVICE — BAR, ETC <br />SUB TOTAL S ; <br />PERMIT E --r <br />TOTAI FEE E _ _ _i _ <br />FOR OFFICE USE ONLY: <br />FRONTSETflACK AEAR SFTBACK <br />, �� <br />USEZONE IOT�REA <br />_ - v 79Oo + <br />NEIGIIT LINITATION NO OF UwEILING <br />2 � UNIIS <br />p��PANCY Iq Of SIONC$ OCCUP�Ni LO�D <br />�.� ��_� 1 <br />E; <br />J <br />�I�C� J��/!/Md�S su'uc N�A.� <br />IIP HONE $TAIE UCENSE • <br />l�s r � <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC I� NO�� <br />C0111�CT PCIi50N �NI) PIIONE NO <br />I HEREBY CEFiTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORHECT 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 />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIO�J OF ANY <br />OTHER STAfE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WhC. <br />I <br />x� x�.n-Q.�P�r,vr�; .��-9 -9� <br />516N�tU0E ��T� <br />CITY Bh5MG55lIC&NSf. NO <br />MECHANICAL <br />TYPE OF EOUIPMENT <br />A/C — AMNDLG UNRS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNI7 HEATERS <br />CLOTHES DRYERS <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLAC[ (WOOD BURG <br />FIREPLACE INSERT (YVOOD BURI <br />GAS FlREPI.ACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL E i <br />PERMIT E � <br />TOTALFEE E . <br />--� ---- �— - �-- --�'Y. <br />SI�ESE78�CN �IANCIIFGNNIIAIOfR <br />5� � SICn� �!' <br />vec�nrsne FEES <br />❑res �e�+6 nunn��+r. '� C'� <br />sue or oior,rt i — <br />3 ��f' i F. ��w� /7uoN 1'IIIAIOINC -- <br />pASEMENT �� MFCII�41f.A1 <br />❑YES CY�+� '-- <br />npO�LOMI 1'laq Gul Gn <br />owcn <br />srnic ouiwu�c snnr,un�ce <br />CITY OF EVERETT rumicwon�s <br />LOCAI SALES --- <br />'� AX CODE IS 3105 TOTA� <br />r[F necFlrrHo <br />�bo. iv <br />ve��N FEE <br />� <br />;� 7 <br />