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APPLICAT16.d FdR COI�STRUCT dN PERMIT <br />CITY OF EVERETT • BUILDING OIVISION <br />3200 CEDAR STREET, • EVERETT, WA 98201 � 259-8810 <br />� � - . � . � ,.;, <br />C] DEMOLITION COMBINATION fl BUILDING ❑ MECHANICAL f'l PLUMBING fl SI(iN <br />PROJECT ADDRESS ��� �- i,.W� c1 S�V • ��v� Q,U.Q��"� <br />�»� � Jf <br />DWNER Ml1'_ADDiIESS <br />_ O . � � . _ . .. _ _ �. .. .. . CITV ZIP _ . PHONE . <br />7ENANi MAIL /�OIXiESS � CIT, 7� 1'l I U V1 0' p1JW ��I L9 �(�b� (� I ' ... <br />ZIP P IXJE <br />. �.. . . i .. � <br />AFCHITECTORDESIGNER M�ILJIDORE55 CITY ZIP VHONE <br />I <br />�iENERALCONTMCTOR MAIL�I�ORESS CITY 21P PNONE <br />�� ( a�� ��x 1 STATE LICENSE r <br />MECNANIC�L COIlTqA TOF MNL wwPE55 ' � � � � � � � , � <br />CITV ZIP PHONE STATE LICENSE � <br />3dctB�_i�, �.�� 17iii( ��i0 i�c �i 1�i0 �rfinl �%���.'� 22U /iii� �:� �-+� �-ir �� ,r+•_ , <br />LOT" <br />� <br />i OF WO.^.n <br />J <br />ANOSpUAREFOOTnG <br />IICSI(l. An( i <br />;l�rf�'L'� � �� <br />IF LDII�(i � � <br />nv <br />i <br />HEATING SYSTEM: <br />CONJ4IGT PERSON AN� PHONE <br />f� ELECTRIC �I <br />� <br />I U'- u l.�'r ..El�c�l . <br />'�: ��. '' I HEREBY'CERTIFY �7HAT I HAVE REAb AND'EXAMINEb THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />' � PROV <br />� � ISION3 OF LAWS AND ORDINANCE9��OVERNINO THIS TYPE OF <br />'PROPERTY(SHOWNBELOWpRATTA Twocoaies) WORK WIV. 3E COMPLIED WITH WHETHL'R SPECIFIED HEREIN OR <br />�'�� NOL'THE OHANTINO OF A PERMIT DOES NOT PRESUME'TO QIVE <br />e��K — oP L' AUTHORITY TO VIOLATE OR, CANCEL 7HE PqOVISION ,OF ANY <br />Lti�e�?,� �p � /' OTHER STATE OR LOCAL LAW REQULATINO CONStRUCfIdN OR'�THE <br />S � '� � u Ky(C �7 PERFORMANCE OF CONSTRUCTION. THpT I AM AUTHORIZED,BY THE <br />, , � .. OWNER OF THIS PROPERTY TO PEPFORM THE WORK FOR WHICH <br />� APPLICATION IS MAD <br />E ANCi I COMPLY WITH 7HE STATE <br />PMCEITA% I.D. NUMBEq �(� ��(`� CONTRACTORS LAW 1827 RCW AND 298200 WAC. <br />�%� / V � 0-D'-V;J$ � D�� __J5�'� � c�� <br />CONSTIilIC710N LOAN I.ENDER. �ODRE59, IELEPHONE NVMBER <br />x �SIONAT E pq - <br />NO. TYPE OF FU(TUqE <br />WATER CLOSET (TOILEn <br />AATKfUB <br />TRAY <br />DRINKINO <br />SINK <br />SUB TOTAL $ <br />PERMIT S <br />TOTALFEE S <br />POR OFFICE USE ONLY: <br />FRON' SET� ' � REAR SETB�LK <br />v ,� / <br />I1SE ZOHE � Z LOT �REA <br />GJ <br />HEIOHTLIMIT�IIOb / NO.OFDWELLIN6 <br />//s%Y �N!�5 <br />REASON <br />CITV BUSINESu LICENSE NO. <br />MECHANICAL <br />NO� osEeuioueur «� <br />FORCED AIR SYSTEMS — D. <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />��'+� HAN6EHOOD <br />WATER HEATER <br />WOODSTOVE <br />' I' °" METAL FIREPLAi <br />F!AEPLACE INSF <br />OAS FIREPLACE <br />EXHAUSTFAN <br />SI'J� ACK / P�AN C41L'CN�O {� <br />i <br />�-� S� �J <br />V�CANT SIT FEES <br />fIYES fl NO BUILO�NG <br />38Sl�.fLlVlp1� PLUMBIN6 <br />' S.F GARP�.._ <br />BASEMENT MECNANIC�I <br />fIYES NO <br />ADUITION�I PLAN CHECK <br />_ OTNER <br />' STATE BUIL�ING SURCHAqGE <br />CI7Y OF EVERETT Puour, woaKs <br />LOCAL SALES <br />TAX CODE IS 3105 I 1'oTAL <br />FEE <br />E.A. <br />SUB TOTAL� S <br />PERMIT S <br />TOTAL FEE S <br />/• <br />0 <br />