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APPLICATI�.A FOR COMSTRUC1.dN PERMIT <br />CITY OF EVERETT • BUILDING DINISION � <br />3200 CEDAR STREET • EVERETT, WA 98^c01 • 259-BB10 <br />Q DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECTADDRESS:�62� �;�i¢ST AVEIJC�� ^ ^ _ <br />r.tnr►��L muc, can�acf c�� hN, loler <br />GEHERAIGOMTR�CTOA MM DRE55 CitY 7�� Pi�ONE Sf�TEIICENSE• <br />i r-- -�- �^-- ..A <br />nr� �cnvw� - � �� <br />JELNMlICALCONTRIILTIXI M/,M,_lA00RE55 % ��T�' <br />i��� �i�rdM -�J i� ��/�'1� h!'O <br />vLUMNMGCONfRl1CT0ii / MAILl�Op�E55 ��T�' <br />u„�i,vuv� i�Gr ht° �Q-iH'/h�N,� <br />CONTIUCT PPoGE OF WORK <br />�s6r� '� �7 � = � <br />pESCIMeE Wq111 �ND SWARE FOOTAGE INVplVEO � <br />Q ��':� S� / j��rsl �/L��� .(/�%aC,l <br />D <br />v�a.��voseo use oF auaar+c <br />LE�fil��pESLRIPT10N RTY(51qVMBELOWORATTAGHTWOCOVIE51 <br />ior 11�_ eiocK�lzov �P r �r_ < <br />� � �'r r � � 2U0 P!� <br />p��TN;�n.M;rlER <br />,;p,5711UCTON IpAN lENOER. AOORESS. TElEG1qNE NUMBER ' <br />¢enw-/�l�as-47ic �� .s�h�o�� <br />300o bE w/Seco., l f/ccr - G�50 <br />-ata nc,r �c�+s oHcl s� � <br />PL IN6 <br />NO. TVPE OF flXTURE OR ITEM <br />'� WATER CLOSET (TOILE� <br />2 BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 6 DISP <br />DISHWASHER ,. �� <br />UUNDRY TRAY <br />CLOTHES WASHER � y; <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK (SERVICE — BAR. ETC.) <br />TOTAL S <br />ullT S <br />1L FEE f <br />FOR OFFICE USE ONLY: <br />iqONTSEiB�CN PEM SFTBAGR <br />�. 20 . <br />USE20NE lOi�nE� <br />fZ-1 /S oc�o <br />NEIGNTUMIT�TION MOOFOWEIIING <br />Zp � UNII$ / <br />U <br />�ONSL <br />_.#�– . J oFi[ /�/!�-. <br />� <br />S�DE SETB�CN <br />S <br />V�G�Ni S�LE <br />❑YES <br />nr <br />HEATING SVSTEM: �GAS ❑ ELECTRIC ❑ <br />fON1�f.T COPSONANO FNONE N0. <br />. <br />� <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE 511ME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW RE6UUTIN6 CONSTRUCT�ON OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTMORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPIICATION IS MAOE AND I COMPLY WITH THE STATE <br />CONTRACTORS LA 1827 RCW AND 296200 WAC. <br />X ���� w�� ��lz�/�,� <br />SIGNRVR� �TE <br />CITY BUS�NE55 LICENSC N0. <br />FORCED AIR SYSTEMS <br />HEAT PUMP _ <br />UNIT NEATERS <br />RANGE <br />WATER <br />� SUBTOTAL S — <br />PERMIT f <br />TOTA�FE�E/ t <br />l��(v.� H <br />rur+artc� Nuua[n fEF n[CEi�i NO <br />i � ; �' �'�v. ��n <br />_ _, <br />OUIlOiHG Z � � � � �: <br />3�y S, f F+vc�i✓ rinunir�c �� ' � d <br />� � G G6RAG�� <br />BASEA�ENI MECII�NIL�I <br />m� ❑ Ho <br />AOUillON�l rL�N GMCCK <br />omEn <br />srnic nunon+r, sunaunae <br />GTY OF EVERETT runuc won�s <br />LOCAL SALES �— <br />TAX CODE IS 7105 _ TOTAL <br />� <br />/� �_ 7 <br />% �/� -�-.�f.. <br />