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APPLICATIG^J FOR CONSTRUC�N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � r <br />3200 CEDAR STREET • EVERETT, WA 99201 • 258-8810 <br />❑ DEMOUTION ❑ COMBINATION ❑ BUIIDIN(i ❑ MECHANICAL � PLUMBING ❑ SKiN <br />'��ROJECTADDRESS: �� �6 S'Po�.�„1� n� S� I <br />�v � <br />;"n� A n ,J 4WLMONE55 CITY 11P p�E � <br />r" �R'f `Scra7?L PR%�l]UL�i 30f 7�1CtQGAI• %�.a f2.—....�..�a.., oo»c (s...��ls���s�.� � <br />11RCM1ECTpi0E51GNER MA11110DRE55 CITY ZIP PNpNE <br />6EAEMLCpITMGTpi MNL�DD11E55 dfY Ii� P110NE Si�iELICENSE• <br />Mc�r�rvtt:�L CONT1UGTp1 M�IL <br />��XPLU4lRMaCpJTR�CTOq M�IL <br />F�u��Uea P��,�a��: <br />G,�s� MNRK AND SOU�RE FOOf/iGE NVOlVEO <br />�'� 9'RpuiOt > TN577L1C �a7n�C 6TE' P� a mG <br />�� � ._ _ 2 <br />-� �/ S T /� n� " <br />PHOPOSEO USE OF BUIpN(i <br />� coro�m,N� u <br />�uK oescaw�ar+a w�orEnn �s <br />tor e�opc _ <br />iARLEL D111 I.D. MlA1BER <br />CONSiR11CT10N ION/ lFN0ER.110011E55. TElEP110NE M161EEP <br />OR ITEM <br />BATHTUB <br />� UVATORV(WAS <br />SHOWER <br />S KITCHEN SINK 8 <br />S DISHWASHER <br />LAUNORY TRAY <br />S <br />FOR OFFICE USE ONLY: <br />FRONTSETBKA( pEARSETBACK <br />USE 20NE <br />HEIGNT LIMPATION <br />� <br />IOT�REA <br />PNONE ST�TE LICENSE • <br />. <br />• Neu�nrby,o�n w� 9g�6 • 6?6-l��y <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />corrucr vensou,wo vrar� ra <br />I HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAAIE TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF UWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIEO WITH V�HETHER SPECIFIED H�REIN OR <br />NOT. THE �RANTINCi OF A PERMIT DOES NOT PRESUME TO OIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW RE6UUTINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. TMAT I AM AUTHpRIZED BY THE <br />OWNER OF TkIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CAMRACTORS LAW 18.27 RCW AND 298200 WAC. <br />"��,E���rs� Z-Z�.-96 <br />��T� � D�TE <br />qTY BUSINESS IICENSE NO. <br />PLACEINSERT <br />FIREPLACE <br />RANGE <br />PIPING <br />SUB TOTAL f <br />C1IECNNUMBF.R��y I�EF I�CEIPTNO <br />❑YES O � I BUItDINf, <br />NOOFOWEWNG SIZEOFBIOCRI <br />UNItS pL11MBING <br />OCCUPANfIO�D B�SEMENT MECM�NIGM <br />OYES ❑ NO <br />RE�SON �DDIIIONAL PUN CHfGN <br />OtNER <br />RE�SOY <br />ST�IE BUIIDMG SIIRCIUIIFE <br />PL�NS MPRpyEO BY CITY OF EVERETT �IIfl� If, WORNS <br />LOCAL SALES <br />o�iF TAX CODE IS �105 TOTAL <br />FEE <br />av <br />