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APPLICATIG.� FOR CONSTRUCT.JN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259•8810 <br />f� DEMOLITION f 1 COMBINATION F� BUILDING f 7 MECHANICAL �� PLUMBING f� SIGN <br />PROJECTADDRESS `��� ���,LO.C� ,�(� <br />OWNER MPIUDDRE55 CRV iiP PRONE <br />��IUL LOui�LL ��O'�2� I/lYL6C' '�/� �vFJ2E11 IN/�l `iG2U3 35s �35Y <br />TENFNT MAILADORE55 CILY 21P PIIONE <br />RRCNITCCTORDESIGNEF MAIUD�RE55 LITV ]IP PHONE <br />GENEFaLCONmnLTOR M0.1LAp�RESS CIiV 21P PIIONE STATELICENSEi <br />Y"�c,r-,� G�c-s in+� l��(� C��ee� v� t.,,=��r�- w� �,az�i 2s�i-,3�i Q.u,r-c.,� oaa.�-,u <br />MECNANICALCONTR4CTOR MAILADDRE55 Cltt Z�P PIIONE SIATELIGENSE� <br />1'LUMBINGCONTRACTOR MaILADDPE55 CIiY ZIP p110NE STRiELICENSE� <br />CONiP�CT PPILE OF WOnN <br />i y, D,x� . co <br />DESCHiBE WORN AND SOUARF FOOTRGE INVOLVED <br />PPOPOSED USE OF BUILDING <br />C�A2A �F <br />LEGFL DESCRIPTION OP PROPERtt �SHOWN BEIOW OR RTfACN iVJO COPIES� <br />�oi � _PIOCK � oF 17.d2UN67t>N i <br />_ _ ' 'i <br />. �....__ ...�. 4/7D � O�Z� CnS-oi L�(.� <br />CONSiPUCTIONIO�NLENDER.�DDFESS.TElEV110NE NUMBER <br />PLUMBIN6 <br />NO. TYPE Of <br />WATER CLOSCT <br />UFINAL <br />SINK <br />HEATING SYSTIEM: �I�'FaAS fl ELECTRIC L7 <br />02 c� oc.s�-u <br />259 - 13// <br />I HEREBY CERTIFY THAT I HAVE REA.7 AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEI THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATINCa I.ONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY 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 1827 RCW AND 296200 WAC. <br />x ���'C�C'�t /�/?�%5y <br />SIGNPTURE �4TE <br />Cltt BUSINE55 UCENSE NO. <br />FEE NO. TYPE OF FI%TURE OR I7 <br />� A/C—A/FiNDLGUNITS—H.P. <br />! FORCED AIR SVSTEMS — B.T.U. <br />R ' UNITHEATERS—B.T.U. M <br />N SINK 8 DISP i CLOTHES DRYERS <br />�SHER VENTILATION FAN <br />9V TRAY RANGE ! 100D <br />ES WASHER WATER HEATER <br />WOOD STOVE <br />JG FOUNTAIN i METAL FIREPLAGE (WOOD <br />DRAIN � FIREPLACE INSERT (WOOD <br />.OW PREVENTERS ; GAS FIREPLACE <br />ERVICE — BAR. ETC.) GAS FANGE <br />� GAS PIPING <br />i EXHAUSTFqN <br />SUB TOTAI. $ <br />PERMIT 5 <br />TOTALFEE S <br />FOR OFFICE USE ONLY: <br />fROVTSETBACR � REnq SETAACK � <br />Z,s ZS <br />U<FlON .� LOiFRER <br />_ ^ $ 1 SU <br />MEiGHI LIMITATION NO.OF DWRLING <br />r a � UNITS � <br />V NO OF ItORiES I OCCUPRNT L/� <br />IPEO'D N[ASON� <br />V <br />KIERfiEOU REAEOY <br />� <br />)NST PLANS API'RpVE <br />' /J DAIE 1 �O. <br />SIOE SETB�CN� <br />VRCANI SIiE <br />n v�s <br />srzEOFa�acrti. <br />BRSEMENT � <br />❑YES fiTO <br />ouarnrvn <br />PlUMI11NG <br />MECHRNIGFL <br />RLDIiIONPL PLPN CHECK <br />OTHER <br />STqTE BUILDING SMCIIARGE <br />CITY OF EVERETT ruouc wonKs <br />LOCALSALES <br />TAX CODE IS 3105 TOTAL <br />rce <br />SUBTQTAI $ <br />PERMIT $ <br />TOTALFEE $ <br />S� <br />FEE <br />U <br />