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APPLICATI�,.� FOR CONSTRUCT.�1N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />,: <br />G DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL C�3 PLUMBING ❑ SI(ik <br />PROJECTADDRESS_�221 S�RItyLI �'T. EVF�Z�.TT �Jp..q$71j3 <br />OMII/ER M1u11100RE55 ptt 21P p�q�yE <br />�In�w���.ln� nt„ lcZZl irlLN � cr F�KeE�- �,.la �S1v 3u�_y.BZco <br />TENNIT YMLMp1E5S [ITY 2�P p110NE -� <br />•RCNIEGTdi0E51(iNER MNl�W11E55 �ITV )IP VNONE <br />GENEPhICONiMGTOR 4NL110fME55 qiY IIP P��ONE GGTEIICENSE� <br />MELMI1M�GlCONTP��7p{i MAq��+pRE55 f.ITY ZI{' FIIONE STREL'CENSE� <br />PIUIlNGCpH�q11CTd1 M�ILApORE55 G7Y 21P P110NE ST�TEIICENSE� <br />LOT p�p(�� <br />CdN57iMICT10N tOAN IENOER. Md1E55. TEtER10l1E NUL1lER <br />��� <br />NO. � TVPE OF FlIfTURE d11TEM <br />WATER CLOSET (TOILEn <br />BATFiTUB <br />LAVATOqY (WA$H BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKINO FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK (SERVICE - BAR, ETC.) <br />i S <br />FEE f <br />FOR OFFICE USE ONLY: <br />FRONT SE7IIILN RE�R SET&1CN SIDE SEiB�tk <br />USE Ip.E <br />NEM.M7 LIMIT�TION <br />RE�'D <br />IOTAREA <br />NO 0: DM'EILING <br />UNIfG <br />OLCUP�NT10110 <br />RF�SON <br />� HEATING SYSTEM: C�FAS ❑ EIECTRIC ❑ <br />I CONT�GT PERSON AN� P11d1E Np <br />4 r <br />V�C�NT SIfE <br />❑YES ❑ NO <br />OFBtOpRI <br />BASEMENT <br />OVES ❑NO <br />I HEHEBV CERTIFV THAT I HAVE READ AND EXAMINED 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 WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE ORANTINO OF A PERMIT DOES NOT PRESUME TO OIVE <br />AUTIIORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOGLL LAW RE6ULATINO CONSTRUCTION OR THE <br />PERFORM.ANCE OF CONSTRUCTION. THAT 1 AM AUTMORIZEO BV TME <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR NMICH <br />APPLICATION IS MADE AND I COMHLY WITH THE STATE <br />CONTRA TORS LAW 1827 RCW AND 296200 WAC. <br />� �1M=T-1= �A p'�—`o e <br />CITY BUSINE55 tICENSE NO <br />r� <br />METAL FIREPLACE <br />FIREPLACE INSERI <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />IXHAUST FAN <br />PLAN CIIECR NUM6F.N <br />Bl11LDMG <br />PlUM91YG <br />MECH�NIC�L <br />ADOI110N�1. Pl �N CN(.CN <br />O111ER <br />SI�IE BUIIDING SIIfICN�1IGE <br />CITY OF EVERETT �1191if. WORNS <br />LOCALSALES <br />TAX CODE IS 7105 TOTAL <br />SUBTOTAI f <br />fEE I ��EIPTNO <br />� <br />