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—� <br />APPLICATION FOR CONSTRUCT�ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETf, WA 98201 • 259•8810 <br />�l DEMOLITION fl COMBINATION I-1 BUILDING fJiMECHANICAL �j�'�PLUMBING fl SIGN <br />PROJECT ADDRESS �' / '� �P-l�n � I Q /L <br />�'7`0 � �.,; <br />:u� <br />�„� <br />��� <br />zir r��o�ve <br />I�c�OG,'1�17 <br />347-32 z-� <br />PRCHITECTOROESIGNER MAl1A�DtiE55 CIiV Zip PNONF <br />GENER4lCONTR�CIOR MAILADORESS CIIY 21P PHONC STAtFtICGNSE• <br />MECHANIOj,I�INifipCiD�uD4aaILAD�pE55 CITV 71C PIIONG STATFIICF.NSE� <br />�i a <br />�AS o�/.�cv�n�S 3 3�^-�-/37v <br />PWMBINGCONiRnCTOR MAILAOORE55 CITY ZIP PNONE STATEUCENSE• <br />OF <br />DESCRIBE WORMAN� SOUAFE FOOTAGE INVOLVEO <br />� iNsccr �.�.sn�n�n. <br />3G0 �FIEATING SYSTEM: f l GAS <br />q CONTACT PFRSON ANO PHONF NO <br />. c,.� vTo� Ck2rSrcNu-✓ <br />.V 4��. 7�t{Fy l-tq, An�'J _F i/LC�p/A� <br />� <br />1 u 5�", wP.cv.. N�src<.-- Ca n�.xnsw� -��'4+.�. <br />A'OSEO VSE OF �UILUING <br />Zes �.kJ.Kz <br />LEGAI DESGRIPTION OF PfiOPF <br />LOi BLOCK <br />uxio. <br />/ (SHOWN BELOW OR RTI <br />oF_ <br />� L. Awu.� <br />7w 2 � � <br />CONSTRUCTION lOr1N LENDER ADl1RE55. TELEPHONE NUMBER <br />PLUMBING <br />NO. TVPE OF FIXTURE OR ITEM <br />_ WATER CLOSET (TOILET) <br />BATHTUB <br />SHOWER <br />KITCHEN SINK & <br />LAUNDRY TRA1' <br />CLOTHES WASHER <br />UHINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />FUR OFFICE USE ONLY: <br />fRONTSFTf1ACK REARSF.TMCK <br />UCE ZON[ <br />MEIGIIT LIMI7ATION <br />occurnNcv Noc <br />cnour <br />FlRE ALARM fiE00 <br />FIRF Sf RINNI ER RF <br />TYPE OP f.ONSi <br />SUB TO' <br />PERMIT <br />TOTALF <br />FEE <br />S <br />S <br />$ <br />nc n <br />izzv <br />I HEREBY CEFTIFY THAT I HAVE READ AND EXAMINED TH�S <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORqECT 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 TH[ PROVISION OF ANV <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OF THE <br />PERFORMANCE OF CONSTRUCTION. TH T I AM AUTHORIZED BY THE <br />OWNER OF THIS P OPER7Y TO PER M THE WORK FOR WHICH <br />APPIICATION MADE AND I C MPLY WITH THE STATE <br />CONTRACT W 1827 RCW N 29 .200 WAC. <br />X �` �' /- � �'� <br />SIGNAIURE O�iE <br />r <br />CITY OUSM[SS LICENSE NO. <br />TYPE OF EQUIPMEN7 <br />A/C — MiNDLG UNITS — H.P. <br />FORCED A�R SYSTEMS — B.T.U. <br />HEAT PUMo <br />UNIT HEATERS — B.T.U. M <br />CLOTHES GRYEPS <br />VENTILATIOV FAN <br />RANGEHOGD <br />WATER HEA–ER <br />WOOD STOVE <br />METAL FIREF'LACE (WOOU BURI <br />FIREPLACE IVSERT (WOOD BUR <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />SIOESETBnCN � PL4NCn[CNNUMO[R � f[E <br />tornnEn vncnNrsire FEES <br />f i Y[5 f 1 t:0 pUILDirlG <br />N00('OWELLING SIZEOFBLIX;rtI <br />UNIIS <br />rwu,nn+c <br />SIOFIES OCCUPANTLOI.O BASEMENT MECII�NIf,FL <br />IIVES ii NO <br />Rf450N /�OiilON�l. PIAN CHf.CN <br />OiHER <br />�0 RE/�ON <br />SiN[ BUILDINC SURCHqqGE <br />rin�usnrvnoveom CITVOFEVERETT runiicwonKs <br />LOCAL SALES <br />unte TAX CODE IS 3105 7o7A1 <br />E.A. <br />SUB TOTAL S <br />PERMIT S <br />TOTAL FEE S <br />R[CEIPi NO <br />FEE <br />