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APPLICATII.�� FOR CONSTRUCI _JN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />i] DEMOLITION ❑ COMBINATION p BUILDING �MECHAI�ICAL ❑ PLUMBING ❑ SIGN <br />PROJECTADDRESS: �-��� �-�;��) �- (� l (�(� `����i') <br />ICn�nl /' � MNLIIGORE55 CIIY 71!' <br />l�l V � 1� <br />11HLNTEGTOROESIGNER M�II�DONE55 CIfV II�' <br />MuI�ODNE55 <br />l�� ��(� — <br />oescnee won� •rm sou.ue raoi�ce ir�vaveo <br />�. 1,( <br />MIOPOSED VSE OF �ULpNO <br />1E6111 OESCRIPTION OF NIpM <br />iot e�ocK <br />PNICEL T/Jt I.D. M/MlER <br />� <br />CONSTRIIGTIpI IONI LEN0�11 <br />UVATOqY <br />TEIEAqNE MIMDEII <br />PqEVENTERS <br />CE — BAR, El <br />ITEM <br />SUB TOTAL f <br />� h J <br />- �P -"�' P�IONG $fAEll ISE• <br />--7i����/1������oae7�l'�70e.eii/��% �.f�l�lU.,�l�r <br />�'1 "�- <br />CItY !IP <br />'OR OFFICE USE ONLY: <br />": NIT SETBAC1c REAR SETBACIt SIDE SETB�C� <br />USF <br />IOT�PE� <br />IIEIOMTUMIT�TIOH NOOFOWELUNG <br />UNlfp <br />OGCqC��NLY Iq Of SIptlES OCCUPANi 10�0 <br />FIRESPRINKIERNEO'0 Rf�50N <br />FIREMAIIMREO'D FE�:fN� <br />TYVEOFf,ONST rinrus�rrnovEnor <br />WGNi SIIC <br />OYES <br />SIZE OF BLOGrtI <br />PIqNE STALEIICENSE� <br />IiEATING SYSTEM: � GAS ❑ ELECTRIC ❑ <br />cor�uc�rnisousrmr�rorvervo ) \/ . � L1 :�. , .— <br />_.---- % �i 1 — �� �� U <br />I HEREOY CEHTIFY THAT I MAVE READ AND E%AMINED THIS <br />APPLICATIDN AND NNOW THE SAME TO 8E TRUE AND CORNECT ALL <br />PROVISIONS OF LAWS AND ORUINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. TfIE OHANTIN6 OF A PERMIT DOES NOt PRESUME TO 61VE <br />AUTI�IORiTY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OH LOCAL LAW REGUUTIN6 CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUiHORIZED BY TME <br />OWNER OF THIS PROPERTY TO PEHFORM TME WORK FOR WHICH <br />APPLICATION IS M E AND � COMPLY WITH THE STATE <br />CONTRACTORS 18.27 RCW AND 296.200 WAC. <br />x — Z. �— <br />$ICN�II �TE <br />CItY0V51N.. 'FNSENO <br />IiEAT PUMP <br />UNIT HEATERS <br />CLOiHESORYERS <br />MN6E HOOD <br />WAiER HEATER <br />WOOD STOVE <br />MFTAL FIREPUCE ( <br />FIREPLACEINSERT <br />CAS FIRBPLACE <br />GASRANGE <br />EXHAUST FAN <br />� <br />; --- <br />SUBTOTAL f <br />PERMIT S <br />� TOTALFEE S <br />PI�NLIICC.RNIIMpfl1 fEF AECEIPINO <br />_ � <br />FEES VALUATION <br />❑ NO OIIRfIMG <br />PIIIMOM6 <br />�SEMENI Mff,11�H'C�I -'�-�_—_ <br />❑YE$ ❑ NO — <br />�OUIIIONAI �I �N Cllf CN <br />Ob�Cn —'-- <br />SUIF OiIIlU1N(:911tf.1U110E <br />CITV OF EVERETT rum m, wrnin�• <br />�ocn� sa�es --- - ---- <br />TAX CODE IS 3105 Toi�� <br />FEE <br />