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APPLICATIO�I FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />I 7 DEMOLITION i I COMBINATION I 1 BUILDING � MECHANICAL i l PLUMBING rl SIGN <br />PROJECT ADDRESS CJ I�O � Y� 5E� �C�Y�'Q- <br />OWNER MAILADD�E55 CiTY ZiP i'110NE <br />/�A.e�,i /)7.e m. rzv s .� i� o��,.✓s E r,( N" Ev -x�E7r 9�?.�0 3 � sa - 9��7- a- <br />TENANi MNLRDDR[55 Cltt 21P PIIONE <br />RRGHIYEGTORDESIGNER MAILRDDRE55 CITY IiP PMONE <br />GENERALCOY7MC70R MARADDRESS CIiY ]IP PHONE STqTELICENSE� <br />MECN�NICALCONiRACT0t7 MAllAODtiE55 CITV 21P f'MONE STATLUCENSE� <br />_�E// <br />PLUM9INGCONTRACTOR MAIL�D�RESS dtY 21P PHONE STATEUGENSE� <br />DESCRI9E WORK PNO SOOARE FOOTAGE INVOLVEU <br />LEG�L DESCRIPTION OF PROPEFtt �SHOWN AELOW ON ATTPCH T1Y0 <br />ioT aiocK or <br />PpRGELTA%ID.NUMBEP <br />�l�tM y7�! U— U O o— D U/- <br />CONSiRUCT10N LO�N IEN�ER. RODfiESS. TELEPHONE NUMBEA <br />NO. <br />BATHTUB <br />LAVATORY(WASH BA'. <br />SHOWER <br />KITCHEN SINK & DISP <br />TRAY <br />WASHER <br />OR !TEM <br />FOR OFFICE USE ONLY: <br />FRONTSETOnCN R[nn SETPACN <br />USE ZON[ <br />HEIGHT LIMITATION <br />OCGUPANCY NO C <br />GROUP <br />FIRE ALARM REOD <br />LOTAREA <br />n i� <br />SUBTOTAL 5 <br />PERMIT 5 <br />TOTAL F�;2 S _ <br />SIOE SET04CK <br />NO.OF OWEILING <br />UNIiS <br />OCWPANT LOAO <br />DFTE <br />VACPNTSRE <br />n ves n uo <br />9ZF. OF OLDG�TI. <br />BASEMENi <br />flVES fl NO <br />HEATING SYSTEM: f l GAS I� ELECTRIC Cl <br />CONTACT PERSON AND FIIOVE NO <br />}C ie � FiP /I/C� S o�✓ <br />� I s� - a'3 i S_ <br />I HEREBY CERTIFY THA7 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 WILI BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT FRESUME TO GIVE <br />AUTHORITY TO VIOIATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT � AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 7827 RCW AND 296200 WAC. <br />x � .��%u�s�.n-�G— 3 ' � o '9S <br />sicr+ une Ua� 7/.S"/ onre <br />C17Y DUSME55 LICENSE N0. <br />MECHANICAL <br />NO. TYPE OF FIICTURE OR �TEM FEE <br />A/C — AMNDLG UNITS — H.P. � <br />FORCED AIR SVSTEMS — B.T.U. M E.A. � <br />T <br />HEAT PUMP � <br />UN!T NcA?ERS — B.T.U. M ' <br />CLOTHESDRYERS � <br />VENTILATION FAN ;_ <br />METAL <br />GAS FIREPL <br />GASRANGE <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />t'lANC11EC.NIJUMQ6A i�// IFEE IAECEIPTNO. <br />OUILOING — <br />PWA1F11NG <br />MECHpMCAI <br />PDDI l l. '.nl PLAN G�1[CK <br />OiH[q <br />ST�T[ OWlOING SURQIARG[ <br />CITY OF EVERETT nueur.wunrcs <br />LOCALSALES <br />TAX CODE IS 3105 TOTAL <br />