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APPLICATI0% FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT E BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT. WA 982G N (425) 257-8810 OL <br />❑ DEMOLITION ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT AODRESS: 2732 .:i77/ �7D.cF r a o Ina ga�lni <br />iENANr <br />MAN ADDRESS <br />Ury <br />7W <br />pIKNI[ <br />G'H2l5 LADY - <br />x4VV7IE5 - 3/01 <br />rEnm �A <br />y <br />7l �I4 <br />257 -GS897 <br />ARCMTECT OR OEyGNER <br />MAILd1ESS <br />CMY <br />)Ir <br />PrgNp <br />CONTRACT LANCE Or / nn <br />O�/6 <br />NEATING SYSTEM: O GAS ❑ ELECTRIC ❑ <br />Df$CNBF W.IRI(1ND SGMARE FOOIAGF NVGIVED <br />Cmi11:f PERSm AM`PHICNE NG <br />t <br />/ <br />5 - 88`i <br />1`1101POWD WE OF Buawno <br />—�•F r. <br />LEGAL DES TAPTIM Of PlgRR" lW?VYN BELOW OR ATTACH mo COpES <br />LOT BLOCK OF <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1 27 qCW D 0 WAC. <br />296 20 <br />S1A/y� p p <br />IGFI M�E <br />IwICEL m I O ruuern <br />CONSIRIIL ^IOAN IENOFR. ADMEBB. iEIFpImENWBFR <br />���wrz <br />CRY BUSHES$ LICENSE Np <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FlXTURE OR REIA <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AAC—A/HNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK S DISP <br />CLOTHES DRYERS <br />DISH WASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />EXHAUSTFAN <br />I <br />SUBTOTAL S <br />SUB TOTAL S <br />PERMIT S <br />PERMIT S <br />TOTAL FEE 31 <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />FRO"IT TpALN <br />pFW SETBACK <br />SIDES IWI, <br />MANCNECKNNMRrp <br />rEF <br />PFfrN'rw <br />ZD 9 <br />USE 7mF <br />IOT AREA <br />vACANF WE <br />FEES <br />VALUATION <br />FEE <br />_ <br />DYES —Ow <br />RUI11H1. <br />_ <br />.EIGHT IRA'Al" <br />NO OF OwELONO SQE Or BL 1 CM <br />nuupnn <br />ImNS C`� <br />OCCIRAMCY NJM1SIMIS <br />IX'.CUpANI IDAp BVASF MI <br />MFLXAMN'AI <br />6 OYES <br />FRE5PNINNLEPPEOV <br />40 <br />RFA. �y� <br /><gCl+V <br />AMIRHAI. RANOIFCK <br />GRIFp <br />RPL.RMRED'O <br />ETANm <br />STAI[BIXIOHG Sp1ClurgiE <br />!iT <br /><,300o <br />TYPE or fmAt <br />PLANp AP%Iovro BY <br />CITY OF EVERETT <br />HI9I N:wm+Kp <br />LOCAL SALEB <br />TOTAL <br />TAX CODE IS 310S <br />y <br />