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APPLICATiQ`' : FOR CONSTRUCT:�N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />O DEMOUTION ❑ j�COMBINATION ❑ BUILDING MECHANIC'AAL ❑ PLUMBING O SIGN <br />P'AJECTADDRES��G-�I"?i� Gt��'T+I.�G%L� -� �LoGIK� <br />OwNER � il; RE55 ��CC �7 1�/ Z'14-/—`�'R �/ ��1N� ' lOCJ �i 7 l� J�� d i�� <br />� 9� �R-o�r° ia z�,E �z� .�, T <br />TEN�NT T , ,'• AMQAl1.�ODAE55 CIIY 21> PNONE <br />U��� /1�� �W1v�� <br />ARCNREGT ON OESIGNER Mert �D�RE55 C�iV Zi�` PNONE <br />LOT <br />u�it, eooness <br />`� � �2..�. /9aQ..-- � � <br />MAII ADUf1E55 f.ltt 21P PIIONE ST�TE 4GI <br />t�ti �°.,Ac L7D. 2/00-�9��y T.ccv ti�E. /oi Ly,�w wo�9 ; <br />pMIADDRE55 , CIfY ZIP PNONE �( STATE �LI <br />,c, ,Q ---, G7Z-id94 t�rK � <br />� il! Q ��� HEATING SYSTEM: ❑ GAS ❑ ELECTRIC <br />Eiv V -Gv0 i�-�L <br />OF BUIIDING <br />�Vd� dl� <br />'ION OF PROPEPTY (SHOWN BELOW <br />"� BLOCK � OF_ <br />��A� 1,u UeC <br />CONSTNUCTION IOAN IENDER.A00f1E55, TELEPHONE NUMBER <br />PLUMBIN6 <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 6 OISP <br />DISHWASHER <br />UUNDRY TRAY <br />CLOTHES WASHER <br />URINAI <br />DRINKING FOUNTAIN <br />SUBTOTAL f <br />PERMIT f <br />TOTALFEE f <br />� <br />� <br />� <br />N <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILI BE COMPIIED WITH WHETHER SPECIFIED HEREIN 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 REGUUTING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT i AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOfl WHICH <br />APPIICATiON IS MAD� AND I COMPLY WITH THE S7ATE <br />CONTRACTORS �AW�tB,�7�ICW AND 296.200 WAC. <br />CITY BUSINESS UCENSE NO. <br />MECHANICAL <br />FEE NO. TYPEOFEQIJ <br />� Z A/C—A/HNDLGUNfTS <br />. FORCEDAIRSYSTEMS <br />UNIT HEATERS <br />CLOTHES DRYI <br />RANGEHOOD <br />WOOD STOVE <br />MEfAI FIREPLACE <br />GAS FIREPLA( <br />GASRANGE <br />GAS PIPING <br />EXHAUSTFAN <br />FOR OFFICE USE ONLY: <br />FRONTSETB�CK RE�RSETB�CK $IOESF1p+tN �UNCIIECNNUMO[R <br />USE 20NE <br />NEIGMT LIMI7ATION <br />p�oUPANLY NOO�$IOP�E$ <br />FIRE SPRINKLER RE�7'D <br />IOiAREA Y�CANISIiE hth5 <br />❑VES ❑ NO pUIIDING <br />NO. OF OwELLING S12E OF OLOGrtI <br />UNIf$ AlUM01NG <br />OCCUPANi lOAD BASE�EN7 1AEC11nNILAL <br />❑YES ❑ N7 <br />qE�S� �ODiIIONAt PUN C��f.CK <br />on�en <br />Rf�SQ4 <br />SiAIE OUR��Nf SVPCNAfif,E <br />PLnNS�PPnOVEDBv CITYOFEVERETT runur.wonKs <br />� IM LOCAL SAIES <br />,,.,� '���G'j� TAX CODE IS 3105 TOTAL <br />SUB TOTAL S ; � <br />PERMIT S � <br />TOTALPEE f ' <br />FEF FECEIPT NO <br />