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� � <br /> APPLICATII.N FOR CONSTRUCI .ON PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION �C� <br /> 3200 CEDAR STAEET• EVERETT, WA 98201 •259-8810 <br /> �57, DEMOLITION f 1 CC9IBIIJATION f�( BUILDING I l MECHANICAL I l PLUMBING I� SIGN <br /> PqOJECT ADDRESS �� 1 ��r ���'�� � <br /> OWVER MPILPODPE55 �c�rr zir rHONE <br /> LUCY`e�'�- f.n+� �<Ync. 61 (�Ucin,nu�lUr �V. �51bi 3 �.�5 -9y£ ? - <br /> IENPNT MMl �RF.55 CIiY TiP PIIONF. � <br /> S t��rl -E <br /> PRC11 ORDES ER MRIIADOPE55 Citt ZIP P110NE <br /> _ e!� � n�n� , �6/ Lc�<�mar� �ve. L v 9��a� 3 k8 -9��� ? <br /> GENERPy�tl MCtOR MPIL ODPE55 CIIY ]iP PHON[ S1A1[UG[NSE� <br /> / A1IIlF ��� <br /> MECN A CONTRnCTOR MAILADDRE55 CITY 71P PNONE SiATEUCENSE• <br /> PWMBINGCONTRACTON NnILADDPE55 CITY ZIP Pf10NE STAIELICENSE� <br /> CONTR�CT PRICE OF WORK <br /> Z� .� � k �'�' HEATING SYSTEM: I I GAS Cl ELECTRIC I l <br /> DESCRIpE WORN ND SOU RE POOTAGE INVO E� � CONTACI N ANp PIIO NO <br /> i <br /> ) <br /> ! .'3�S j�} � HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> cao EO USE OF BUIIDING , APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> ,,Gy� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF � <br /> _�fT i G4 L� P-C(� �U(` I h. U L d1-S WpRK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEG�LOESLRIPTIONOFPROPEFtt�SMO BELOWORAT7ACNTWOLOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �OT e�ocK oF AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> f OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TNE <br /> ' 1'!�l ��C) 1 / PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERfORM THE WORK FOR WHICH <br /> APFLICATION MADE AND I COMPLY WITH THE STATE <br /> PARCELTn%I.D.NUMBER CONTRAC RS LAW 1827 RCW AND 296.200 WAC. <br /> CONSTRUCTIDNLO�NLENpER,FD�RE55.TELEPMONENUMPER x �,{�•4t y�i//v <br /> SIGNATI iE pA1E �^� <br /> CITV BUSMESS LICENS@ ri0 <br /> PLUMBIN� MECHANICAL <br /> NO. TYPE OF FlXTURE OR ITEM FEE NO. TVPE OF FIXTURE OR ITEM FEE <br /> , WATER CLOSET(TOILET) � A/C—AlHNDLG UNITS—H P. i <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.��. M E.A. � <br /> LAVATORY(WASH BASIN) I1EAT PUMP i <br /> SHOWER � UNITHEATERS—O.T.U. M <br /> KITCHEN SINK 8 DISP CLOTHES DRYERS i <br /> DISHWASHER � VENTILATION FAN <br /> LAUNDRV TRAY RANGE HOOD � <br /> CLOTHES WASHER WATERHEATEP � <br /> URINAI WOOD STOVE <br /> DRINKING FOUNTAIN METAL FIREPLACE(WOOD BURNING) <br /> F�OOR DPAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTERS ; GASFIREPLACE ; <br /> SINK(SERVICE—BAR.ETQ) GAS RANGE <br /> GAS PIPING <br /> EXHAUSTFAN <br /> i <br /> � i <br /> SUBTOTAL S � SUBTOTAL S � <br /> PERMIT S i PERMIT 5 � <br /> TOTALFEE S � TOTALFEE 5 � <br /> FOR OFFICE USE ONLY: <br /> fRONT5EIBACK fiEAqSETAACN SIDGSETBACK PLANCII[CKNUU9fR i"f:E RECEIPTNO'. / <br /> �J�. 1S �� 7�J <br /> usezoNe ioranEa vneAHrsire FEES VALUATION FEE <br /> nvr:s n No ouuowc 3 C L 3 � — <br /> � <br /> HEIGMTLIMITRTION NO.OFDW[WNG 512EOF�lOGR1 i <br /> UNiTS fq�.� T1 PWN�tAG � <br /> L. <br /> OCCUPANCY NO OFStOVdES OCCUPPNiLOAO BFSEMENT ti��C11nNICAL +— <br /> GROUP <br /> 2 � �,I � �,� ll\'ES r�N� ppDliIONALPLANGIi[CN ! <br /> FlRE qLARM NEO'D PEASON <br /> •�`� OTH[R <br /> i <br /> FIRESPRINKI.[RPEO'D RE450Y i <br /> � STAiE DIIILOtNG SURCHNIGE / i/l <br /> TVPEOFCONST PLANSFPPROVEOOV CITYOFEVERETT �'U9LICWOfiKS � <br /> � JM LOCAL SALES � <br /> oATE . TAX CODE IS 3105 TOTAL 1/_ '%�/ <br />