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APPLICATIG^J FOR CONSTF�UCT: JN PERIIAIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />❑ DEMOLITION ❑ CQMBINATION Q BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: � �U % �O<,KC � ���� <br />b U�. Cfi ,�-�SiCUS�aI H.O, /��� ��" � --, � <br />EP ��i� F����� r.�,.- 9Y>>F �•3�� �_o�-s�r-7-�zz� <br />MMl ApUNESS <br />Na u �, <br />cor+Trucr raice ov wonK <br />�nbJc�\- �y �S <br />OESCRIBE YNNN AND SOU�RE PO <br />F'lL,1 24 ' x e <br />C�:i <br />wr <br />� <br />�� �V <br />INVOIVED <br />••••• ur <br />cin rir <br />cirv — lir <br />r.m zm <br />CIIY Z�p <br />PNONE <br />SurE IICtNSE � <br />STAfE UCENSE • <br />STALE LICENSE � <br />HEATING SVSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />CONi��T PEfi50N �ND PHpNE NO <br />�,J � unxsTc�1:1N �<��. �->-, . <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />P �f.r�,NA� (p�% PROVISIONS OF LAWS AND ORGINANCES GOVEflNING THIS TYPE OF <br />WORK WILL BE COMPLiED WITH WHETHEfl SPECIFIED HEREIN OR <br />S�NOWN�7BELOWOR�TTALNTWO oriesl NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />r�,c „ ' AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATIN6 CONSI RUCTION OR THE <br />_ FERFOFMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTY O RFORM THE WORK FOR WHICH <br />)� — APPUCATJON IS MADE/ I COMPLV WITH THE STATE <br />CONTRgL`T�RS LAW i�.z;/RC AND 296.200 WAC. <br />LONSTRUCTKn. LOIW LENOER. AUWiESS. TELEPHONE NUMBER <br />�011 �. <br />PLUMBIN(i <br />NO. TYPE OF FI%T <br />WATER CLOSET(TOIL <br />BATHTUB <br />LAVATORY (WASH BA: <br />SHOWER <br />KITCHEN SINK d DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />UFINAL <br />DRINKING FOUNTAIN <br />FIOOR OfiAIN <br />OR ITEM <br />SUB TOTAL f <br />PERMIT S <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />�PONISETflALIf PEARSETB�CN <br />use zor�� � ) iot nnen � <br />MEIGHT LIMITATION NO OF DWELLING <br />z � ��,« <br />DR�P�NCY tq p{ S�MiFS IX;CUPAN� LO�D <br />'IRESPOINKLERPEO'0 RFASON <br />'IREAIARMREO'D AE��(N+ <br />�„' I DAIE <br />FEE <br />0 <br />0 <br />ci i i OU5irvt55lIGENSE NO <br />IECHANICAL <br />NO. TYPE OP <br />NC — FVHNDLG UI <br />FORCED AIR SYST <br />HEATPUMP <br />UNI'i HEATERS <br />CLOTHES DIiYERS <br />RANGEHOOU <br />WATER HEATER <br />WOOD STOVE <br />GAS FIREPL <br />GAS RANGE <br />GAS PIPING <br />� /�*IJO.C�IIICL'LC. —' <br />SIDESETB�CK PUNCIIEGNNUM'B[/B <br />� ��y ��� <br />V�CANI SIfE FEES <br />❑VES ❑ NO <br />OUIL�ING <br />SIZE Of BIDGR I <br />576 s,F ruiuoiNa <br />BASEMEHi � MECH�NIC�I <br />❑VES p'Np <br />40D1710N�I. Pl AN CIIf LN <br />oumn <br />STRI[ pl1�lDMG SIIItC11AfiGE <br />CITY OF EVERETT ri�n� �r. wonKs <br />LOCALSALES -- <br />TAl( CODE iS �105 Toial <br />SUBTOTAL E <br />PERM�T E <br />TOTAL FEE S <br />EF' Rff.[If'T NO <br />�p,�S'� - <br />FEE <br />� <br />G <br />tl <br />