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� ,-�. <br />APPLICATItird FOR CONSTRUC7 �ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />f� DEMOUTION �T COMBINATION fl BUILDING fl MECHANICAL rl PLUMBING fl SIGN <br />PROJECT ADDRESS <br />�7��2- Rb��cE�E�..Z� �.UT ����� <br />OWNER MAR�D�RESS CITV pIP P110NE <br />c�,��,�` ��-w��N cN����+ �.�02 ��K. ��- zsZ- �z.�c <br />TENANT MRILRUURFSS CITY ZIP PIIONE <br />ti R��- <br />PRCHITCCTOR�ES�GNER MAILAOORE55 LI1Y 71P PHONF. <br />1��Rati �. g�T�e��� 193i �.,��uo F�r 981-oi Z.S�L–goi S <br />GENERnLCONI �C10R MAILPUOf1E55 CIIv ZiP PI10N[ StATEIICGNSE� <br />�Av�NANSONI�`i�✓•t'�1RkOR E��. %$�-03 �.Sy-�9� PRuENcHD7�K9 <br />MECHANICA�CONTR�CTOR MAILA�DRESS GITV 7.IP PIIONF. ST�TELILGNSE• <br />�/� <br />PLUMBIN CON7RACTOR MAILADDRESS CItY ZIP PHONE STATELIC[NSE� <br />�.,,.,..��,�..,��..�..,,,,� „�9 soo_ <br />UESCPIBE WORK Ay0$OUARE FOOUf.E I VOLVED <br />!�� i� <br />Q�� Lo�a��, W�,5 ; Eu<ay � cou E <br />��� �X\STI <br />CNuRi <br />LEGA� DESCRIPTION OF PIIOPERTY (SNOWN <br />LOT BLDCK <br />PARCELT�XID.NUMBER <br />w <br />I.�oRSH�P <br />IXi qRACH TWp COPIES� <br />IOANIEN�ER.ADORESS.TEIEPHONENUMBER <br />PLUMBINa <br />NO. TYPE OF FlXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY IWASH BASIN) <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />CLOTHES <br />URINAL <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />CINK fRFRVICF — RAR FT <br />FEE <br />SUB TOTAL $ <br />PERMIT a <br />TOTAL FEE $ <br />FOR OFFICE USE ONLY: <br />PRONTSETPAGN REAR SF.TB�CK SIDESETB0.CH <br />USE ZON� <br />IIEIGHT LIMIT�TION <br />OCCUPANGY NO O�Si <br />f.NOU�O � <br />v <br />Fiae n�nr,n� neo n <br />� <br />FIRF. $PRINNI ER RGO'fl <br />�Q <br />I VPF. OF CONST <br />� — % �if� <br />IpTAREA <br />NO OF DWELIING <br />llNliG <br />I)AIE <br />Vr1C�N1 $IiF. <br />IIVES <br />512E Of f1lOG/f I _ <br />�Y[5 I1 NO <br />HEATING SYSTEM: I l GAS nfELECTRIC f� <br />C N7ACT PERSON PND PIION NO <br />A��p G. �ANSo� 7-59-�9 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPIICATION AND KNOW THE S4ME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GUVERNING THIS TYPE OF <br />WOFK WILL BE COMPLIED WITIi WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRAP�TING OF A PERMIT DO[S NOT PRESUME TO G�VE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGVI qTING CONSTRUCTION OR THE <br />PEFiFORMANCE OF CONSTRUCTION. THAt' I TM AUTHOR2ED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOFi WHICH <br />APPLICATION IS MADE AND I COMPI.Y WITH THE FTATE <br />CONT ACTORS lAW 1827 RCW AND 296.200 WAC. <br />x l�U��.�M.�.e� �-B-9G <br />SIGN�7U�E DRTE <br />CITY BUSINE55 UCENSE NO <br />NO. TVPE OF EQUIPMENT <br />A/C —A/HNDLG UNITS — H.P. <br />FORCED AIR SYSTEMS — B.T.U. <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WOOD STOVE <br />METAL FIREPLACE ( <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />PL�N CHECK NOAIAf:R <br />OUILOMG <br />PLUM.IiMfi <br />MECHnNIC4L <br />noomor+ni. rinru c��r.r,K <br />O1HER <br />SiNE OUII�INC SURCI�4RGE <br />CITY OF EVERETT runi �c �vro�Ks <br />LOCALSALES — <br />TAX CODE IS 3105 70TAL <br />FEE <br />SUB TOTAL $ <br />PEFMIT $ <br />TOTAL F[E S <br />r�F /� necEirrNo <br />7— <br />VAWATION FEE <br />�J ) i 'Y�l <br />