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BUILDING DEPARTMENT <br />259•8610 , <br />MAIL <br />MAI� <br />G�G <br />MAIL <br />�-�' ^ �"� ,TRUCT-' �N PERMIT <br />TOBECOMr-�c,tDi,.3LA�n,,,. -PLEASEPRINT � <br /><��— � — <br />HEATING S`lSTEM: ❑ GAS ' ELECTRIC ❑ <br />BINATION � I3UILDING � MECHANICR�L O PLUMBING ❑ SIGN <br />5 CITV ZIP <br />PHONE <br />t� F�n�.�wr�x� ,e.�. � I.�t'—c.iT i'VA�9s1�r z 3'iG �t9�/;( <br />S dTY <br />I�P pHONE <br />�J � ,7/jn GITY r�p <br />—C� .FT�� �r( �,OL13 PHONE <br />5 CITY �� �tt'L , �'U���-ir!✓A �I`�t � �3�,z II// <br />_, „ � _ . _ � P � PHONE STqTE UCENSE R <br />ADDRE55 <br />,.�����D <br />� <br />rnuroSED OSE OF BUILDING <br />/fi''+1''l, J'%y/f�U% <br />LECnI DESCRIPiION OF PROPERTY <br />LOi BLOCK — <br />PARCELTA%I.D.NVMOEP <br />/ � �2X04 —3 -On <br />GONSTRUCTION LOAN LENDEN. ADORE55 Tci caunuc uuuoco � <br />TYPE OF <br />WATERCLOSET� <br />BATHTUB <br />LAVATORY(WASF <br />SHOWER <br />iINK 8 DISP <br />1ER <br />TRAY <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS—RaiNi Fnr <br />ITEM <br />PERMIT <br />� TOTAL F <br />FOR OFFICE USE O Y: <br />FqONTSETBACK � EFq5ET9ACN 1 <br />I � <br />❑SEZONE LOTqREA <br />� I <br />tYPE Of CON57. N0. OF SIDFIES <br />�?- rz '3 <br />S2EOFBLDG FIRESPRINNLERSPE00 <br />� 5 � y N <br />OCCUPANCY�OAq�� FIPEPL�qA1RE00 <br />Y11 ".T�'/ <br />iNTpRE OV <br />PLANSPPPRGVEDBV <br />DAiE �M/i�/,/f.� <br />-�< <br />CITV <br />i,<j��y .S� L _ilc�lz <br />PHONE STATE LICENSE � <br />�Glrl �/� / �7 ��,, <br />PMONE STATE LiLENSE r <br />:J -/(� 9,�'' <br />�DAI C.Q <br />T PERSON AND PHONE AO. <br />��% 35b — 99P�2 <br />t HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />A?PLICATION qND KNOW THE SAME 1O BE TRUE AND CORRECL ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />VlORK WILL BC- COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHOqITY TO VIOLATE OR CANCEL ?HE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CON� 70FS LAW 18.27 RCW AND 296200 WAC. <br />FORCED AIR SYSTEMS—B <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />FANGEHOOD <br />HEAT PUMP <br />GAS PIPING <br />EXHAUST F/ <br />� <br />VACANi SIiE FEES <br />�ES �, NO pUILDING <br />acua�vn raa�nwuuxcuw�s <br />�LAWyyy <br />��� PLUMBING <br />3R5 MENT �/ <br />❑ YES /1 NO MECHANICAL <br />�EiGMiuMiT TioN ADDITIONALPLANCHECK <br />�' 3��%� C�1 OTHER � � n 1 <br />J��� STATE BUILOING SURCHARGE <br />CITY OF EVERETT PUBLIC WORKS <br />LOCALSALES _ <br />TAX COUE IS 31U5 rorn� <br />�r� <br />r <br />E.A. <br />$ <br />$ <br />$ <br />�l.�y� 2 <br />_ FE�_ <br />L l� ��.. it� ��.� <br />.�l' 1�'��.. <br />� '� i <br />�".'I,', J,.''J <br />