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APPLICATIG 7 FOR CONSTRUCT �N PERMIT �,�}� <br />CITY OF EVERETT • BUILDING DIVISION �� <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />��•_' - <br />❑ UEMOLITION f I COMBINATION I}p BUILDING a(I MECHANICAL IR PLUMBING ❑ SIGN <br />PROJECT ADDRESS �. /�j�� � �_� � 1 � �� <br />7 <br />AI�IL RODI' <br />INC 1 <br />rr <br />Af1C�11TCCTO11�E5�GNEt1 MMlA0URE55 GIIY 21P PIIONE <br />GENEfIRLCONiMCI0�1 MNlA0Df1E55 <br />CttV ZIP ���ONE SIATEUCENSE� <br />'--'— ".. __ ..... ............r..., �000n i�nc� 7a7_1729 OAKCRHI07�CW_ <br />CONfMCT P{IICE OF WOHK <br />OESCRIOE N'ORK AND SOU�f1E FWTAOE INVOLVEO <br />NEW SINGLE FAMILY ��7 <br />rnoroseo use oF euaoir+ca <br />S.F.R. <br />�Eou oEscmrnp+oF rnot'Entt (�wwH 9E�ow /o/�n �n/rTnc�! <br />LOT�BIOCN OF �"'� /! <br />�;g'3 �d —Ovv —0�9 —000c� <br />PMCEI T�% �.D. M1M9Efi <br />CONS711UCPON LON1 LEN�ER. ADDRESS.IELEP110NE NUMPEfi <br />PLUMBIN4 <br />un TYPE OF fl%TURE OR ITEM <br />SINK (SERVICE — BAR, <br />— SUB 70 <br />PERMIT <br />TOTALF <br />FOR CFFICE USE ONLY: <br />rnor+rsetencK nennseronck <br />%r� � 20 � <br />USE20Nf , LOt�REA <br />����� �� <br />❑EIGNTLIMIINION NO.OfUWEWNO <br />2 � uriits <br />pCCUPANt' M70�SIOPiES OCCUPANIlOGO <br />GROU � N /� <br />.3 M-� <br />Finen�nnMneoo nensorv <br />�� � <br />�f-- I� �_onie 7 /(a /Qt' S <br />ciTr zm <br />BO /L yoo–��a� .•,.,r,,.., <br />HEATING SYSTEM: 7C]{GAS ❑ ELECTRIC CJ <br />CONI�CTPER50N�NOPNONENO. � <br />cnnmm Mnnnrc 1'37_1979 — <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PHDVISIONS OF LAWS AND ORDINANCES GOVERNINO THIS TYPE OF <br />WORK WILL BE COMPl1ED Wlhi WHET�HER SPECIFIED HEREIN OR <br />NOT. THE ORANTINO OF A PERMIT DOES NOT PRESUME TO �IVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REOULATINO CONSTRUCTION OP THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WOHK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 HCW A�D 298.200 WAC. <br />}� _ . � _ � .2r��5 <br />�� � <br />si�?�n one O�TE <br />oa � s8� <br />CI1Y BUSNESS LICENSE NO. <br />Np, TYPE OF FIXTURE OR ITEM <br />A/C — AIHNDLO UNITS — H.P. <br />Tr..n..cn eio evcielJ4 _ ti Tll. <br />sioeseicncK �'�^������^^ i ' <br />� �/ � O % <br />vncnNt 5nE FEES <br />�iES n NO PUILf11Np <br />ore�oani <br />�(5 Sf �����u�+� rwnmwo <br />tiS SF HR�� <br />B�SEMEN MECIIANIC�L <br />I YES � <br />nouinor+nt rinrv cuecK <br />oaien <br />sinie ouaoir+c suncnnnce <br />CITY OF EVERETT ruaur.wonres <br />LOCAL SALES <br />TAX CODE IS 3105 70TAL _ <br />FEE I �ECEIPT N0. � <br />�J /Ic(ID� <br />