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APPLICAT14�1 FOR CONSTRUCT�ON PERMIIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8910 <br />fl DEMOLITION fl COMBINATION f� BUILDING fl MECHANICAL r 1 PLUMBING f l SIGN <br />PROJECT ADDRESS ` `. ' -+ <br />�' � C�t i-�Cr� � (' �� <br />�;!np MML�DDItE55 � Cm nr <br />�„r Jr'�Ff�/�^ri9Y•�' � � �-;/. �� ���o�� [ <br />IENANT �_! .F..+� J�/il�\�� /�J{�/ ��.J��I. �1":-["Il s—S�'�OI�Y <br />M��LAODRF.55 CIIV TIP 1'NONE — <br />ARCHITECTORDESIGNER MRII�DORE55 CiTv 71v nNONF <br />LGEN'EM�tCONiO�L�TOq �_ MRIlA01)I1E55 CIIV 71P P�IO4f: StAiEIICENSE� <br />ci�StY/I/In�in; �� ://r-.-ry��i/ �,� !�.s _. r i •..i,.._..- �... , , .i , , , , <br />. �.,.�i rmmeao T.It' PIIONE _ ' _ — ' <br />�Iry STAT[ LIC[NSE � <br />PLUM„INGCON1RAf,TOR MAILAODRE55 CIfY � ZIP PIIONE STAIGLICENSE• <br />��� 0�.0(% <br />DESCRIBE NOHN AND SOURRE FOOT�GE INVOLVED <br />�cv�i von�mrnurv ur vqpPERtt/ �SHOWN BI <br />LOT .r Sd�%�% BLOCK / ��) <br />.//JL��/E/ 'I/ <br />GONSTRUG11pNlO�NLCN�Eq,�DDRE55. <br />PLUMBING <br />NO. TVPE OF FlXTUI <br />WATER CLOSET (TOILE" <br />BATHTUB <br />LAVATORY (WASH BASIP <br />SHOWER <br />KITCHEN SINK 6 DISP <br />DISHWASHER <br />LIUNDRV TRAV <br />C_OTHES WASHER <br />URINAL <br />DRINKING FOUNT4IN <br />FLOOR ORAIN <br />BACKFLOW PREVENTEF <br />SINK (SERVICE — BAR. I <br />FOR OFFICE USE ONLY: <br />fPONiSF.TP�CN PE�R SETPACN <br />USE ZONE <br />NEIGIIT LIMITATION <br />NO <br />L <br />OR ITEM <br />f S <br />FEE $ <br />FEE <br />HEATING SYSTEM: f 1 GAS f"1 ELECTRIC f 1_ <br />CONTACL PERSON AN� PIIONF NO <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND COFRECT AlL <br />PROVISIONS OF LAWS AND ORDINAIJCES GOVERNING 7HIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEFEIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATIiVG CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPIICATION IS MADE AND ,I.l COMPLY WITH THE STATE <br />CONiW CTORS LAW 1827 CW ��Np�6200 WAC. <br />+�� / <br />/: i <br />/ ��, i 7 <br />. i <br />X � - 3/ 9� <br />SIGNA RE , �" Dr1TE <br />CITY BVSIYE55 UGENSC NO <br />NO. 7VPE OF 1 <br />SIDESETO�CR �PI�N <br />A/C — AMNDLG UNITS — H.P. <br />FORCEDAIRSYSTEMS—B.T.U. M E.A. <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL fIqEPLACE (WOOD BURNING) <br />FIREPLACE INSERT (WOOD BURNING) <br />GAS FIREPLACE <br />GASRANGE <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL $ <br />PERMIT S <br />TOTALFEE $ <br />If NUMO[R F[G RFCEIPT NO <br />IOt�REA VACANISIIF FEES <br />IiYES tt NO <br />nminiNc <br />NO OF OWEIUNG S12E Of BLOGR I <br />UNifS PIUMpMG <br />OCCUPANILORO 9ASEMENi M[O�ANI[4L <br />IIVES I NO <br />RFASON ApDI110NAL {'I �N C�ffCK <br />on�En <br />RPnFON <br />SiN[ OUIIDiNG SUf1Q1�f10E <br />ninvsarrnovenov CITYOFEVERETT runnr,wonKs <br />LOCALSALES <br />��q�F TAX CODE IS 3105 TOTAL <br />as <br />