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APPLICATI� i FOR CONSTRUCT►�N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT. WA 98201 • 259-8810 ���� <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ]� PLUWIBING ❑ SHiN <br />PROJECTADDRESS: '� /1 <br />�'28y -S',�� ��� D� 3 <br />�RCNfEGTpi0E51GNEH M�IIMORE55 CITY 71P PNONE <br />GENE1UlfANTR�GIOR MutA0diE55 C17Y IIP Pi�ONE SGTEULENSF� <br />MECN�VMCKCONTRM;Tqi MNLI100RE55 f.ITY IR' VMOHE 5TIITELICENSE� <br />PIUMBMGCONTRACTOR MMI�DORESS Qtt 2�P VMONE ST�TELICENSE� <br />NdiN �!q SOU�RE FOOTA6E INVOWED <br />DViA� � SNs77?-�� Ce„�P�E.`Tt� Pe.u.w <br />-SYsTET - t(/o�/ -E'rZ' <br />PROPOSED USE OF MLpNO <br />l�-nllb IrJiN� f�lm <br />lE6�l OESCRIPTION OF PROPERTY (SIIOWp BELOW OR ATTACN TMq CORE5) <br />LOT BIOp( OF <br />PMLEL Tl1%1 D. MMlER <br />CONSTINICTION LOM! LENDEP.I100RE55. iEIEPIqHE NU\�KR <br />�V��� <br />NO. TYPE OF FlIfTUHE OR REN FEE <br />UVATORY (WASH 8 <br />— SHOWER <br />3 KITCHEN SINK 8 DII <br />� dSHWASHER <br />LAUNORYTRAY <br />3 CLOTHES WASHER <br />SUB TOTAL f <br />PERMIT S <br />FOR OFFlCE USE ONLY: <br />f110NT5ETBl1dc RE�PSET9ACK <br />USE 20NE <br />IIEI6NT IIMIT�TIq/ <br />OCCIIP�NCY NO C <br />6R01N <br />FIRE SPRINKIFR REI <br />FlRE AURM REO'0 <br />IOT�RFA <br />No a owewr/c <br />UNI15 <br />RF�SON <br />51DE SETB�Ck <br />V�C�NT SITE <br />❑YES ❑ NO <br />size or a�ocru <br />❑YES ❑ NO <br />HEATING SYSTEM: ❑ GAS ❑ EIECTRIC ❑ <br />CONT�Ci VERSON N10 P11d1E !q <br />I HEREBY CEFTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPIICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT ALl <br />PROVISIONS OF UWS AND OROINANCES GOVERNING THIS TYPE OF <br />WORK WIIL BE CAMPLIED WITH NMETHER SPECIFIED HEREIN OR <br />NOT. THE ORAMTINO OF A PERMIT DOES NOT PRESUME T� GIVE <br />AUTHORITY TO VIOUTE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REODUTINO CONSTRUCTION OR iT1E <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTMORIZED BV THF <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR MMM,�1 <br />APPLICATION IS MADE AND I COMPLY WITH THE S7ATE <br />CONTRACTORS LAW iB27 RCW AND 296200 WAC. <br />X 2 �-�-�' - <br />SIONATURE DI1TE <br />CITY BUSNESS LICENS[ NO -- <br />MEfAL FIREPLACE (WOOD <br />FIREPLACE INSERT (WOOD <br />GAS FIREPLACE <br />GASRANGE <br />�UB TOTAL f <br />PL'RMIT f <br />TOTAL FEE S <br />M�NCUELNNUMBER/ i♦ I�EF �RECF.IPTNO <br />BUIlDIN6 <br />FLUMBiNG <br />MECN�N!CM <br />�DOIiIONAI �UN CNF.CN <br />OtHEP <br />$TAIE BUIlOINC SURLH�RGE <br />CITY OF EVERETT rueuc woeKx <br />LOCALSALES <br />TAX CODE IS 3105 TOTAL <br />