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�� APPLICATIC .J FOR CONSTRUC7 _JN PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPARTMENT HEATING SYSTEM: ❑ GAS �ELECTRIC ❑ <br />259-8810 <br />DEMOLITION � I COMBINATION XX BUILDING I AIlECHANICAL ! PLUMBING i I SIGN <br />OWNER MALACDRE55 GTV 21P PHONE <br />A7ARIf iu/�u�►u �{i3 7slh Sj�[�+�G S1FF�7r 9f.'Zo3 �s� -27Za <br />TFNANT MAILADDRE55 dTY ilP FMONE <br />ARCHfiECTORDESIGNER M�ILADDflE55 CITY ZIP PNONE <br />GENERAL CONTRACRJR M�IL �DDRE55 CITY 21P PNONE STRTE LICENSE t <br />CL ENPERPRISES, INC. 8732 242nd Street SS9 F.dmonds 98026 771-6641 CLFNfI*088N0 <br />MECHANIL/iICONiPAGTOR MIIILADDRE55 CITV ZIP PNONE ST�TELICENSEI <br />KUMBINGCONTRACTOR M�ILAOORESS CITY IIP PNONG STAiEIILENSEI <br />�X NEW i � ADDITIO <br />.�t.t�—�� F SD <br />PROFOSED USE <br />I I ALTERATION <br />INVOLVED <br />REPAIR �' DEMOLITION �. �. WOODSTOVE/FRPL INSERT ,'�. BUILDING RELOCAT�ON <br />CONTACT VERSON ANO PHONE NO. <br />ft_ Lyle and Carla Elder <br />LEGAL DESCRIPTION OP PROPENTV �SHOYRI AELOW OR ATfACM FIXIF COPIES) <br />LOT __ _ BLOLK OF <br />Snohamish <br />ai�k oo� o-oo-n�i �rs s a � <br />PROJECTAODRESS <br />� South Third Avenue, Everett <br />SUBTOTAL <br />PERMIT <br />TOTAL FEF. <br />FOR OFFlCE USE ONLY: <br />FRONTSETB�CK FEARSETBACK <br />�� � , <br />USEZ E LOT�RER <br />� Z �k►U'• <br />IYPE Of CONTS. �LLOWAeIE ttPE OF CONST. AG7 <br />—N �N <br />BLDG KD.OFSTORIES <br />i SL -/ ' <br />r <br />1NCYlOAD FIRESPRNKLEflSREO'� <br />� No <br />1 FOR SPRMKLERS <br />6Y PLANS�PPROVEDBV <br />$ <br />$ <br />$ <br />771-6641 <br />i HEREBY CE�TIP�Y THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS C:F LAWS AND ORDINANCES GOVERNIN�i THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFItD HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLAT'c OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAI 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 MhDE AND I COMPLY WITH THE STATE <br />CONTR TORS LAW 18.27 RCW AND 296200 WAC. <br />December 16, 1992 <br />s r — onie — <br />403 822 <br />FEE NO. TYPE OF EOUIPMENT REE <br />� A/C�A/HNDLG UNITS—H.P. <br />/' FORCED AIR SYSTEMS—B.T.U. M E.A. � <br />/ � UNIT HEATERS—B.T.U. M <br />' 1 CLOTHES DRYERS / <br />/ VENTILATION FAN / <br />1 RANGE HOOD 1 �- <br />; 1 WATER HEATER J <br />� WOODSTOVE � <br />1 METAL FIPEPLACE & CHIMNEV � — <br />I FIREPLACE INSERT , <br />SIDE SET�ACN <br />S <br />V�CRNT SITF <br />OCLU�A4Cv�0 qbMFIIIMGOH115 <br />�aao3 1 <br />BASEMENT <br />NEIGNT LIMITRTION <br />2b � <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS 3105 <br />Pl AN GHELK NUMBER <br />BUILDING <br />PLUMBING <br />MECNANICAL <br />ADDITIONAL PLAN CNECK <br />STATE BUIL�ING SURCHAFGE <br />PUBLIC WORKS <br />TOTAL <br />SUB TOTAL $ _ yQ; � <br />PERMIT $ � <br />TOTAL FEE $ . <br />RECEIPi NO. <br />Q%�.f� ��/7 <br />