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VA <br />A' <br />APPLICATICA FOR CONSTRUCTON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 •259-8610 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />P OdECTADDRESS: �✓�G' �' ��/�K=�irr. .�£. ✓EAee i i /c✓? �j,�,70 <br />/�./,A.� l.E�//�..•-./. e,= l�b.�.rr /%�iui' /�"'/?✓r .SE i'•,.rrfi !�H 9.Yaui <br />ENIIXI / wn MlYRii / „ 1' l <br />✓Rti �GI_AT1UI)/eAI ,�„2,1 fiy; L /lu/l o/n.�/ �A.1�u YZ J ?liy <br />uclErtellw DESIGNER wNl AomEs ^ ury ZIP "NON" <br />/ <br />VAT/:c:�/a< /✓.'_ �[)/V)aoD/.v,.,//! /vn°1.✓uiL '//�.3D99`i 3.73-OI.tJE-51 <br />YECNAMCAL rArRRAC1011 MAX ADDRXSS a" ZIP PNOME STATE LXXNSEA <br />RUMBNO CpI1RACi0n MAILADDIESS ON TIP PIKINE STAtELXD:NSEX <br />IrucrlNKrA Rf Y10T1X. <br />HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br />/DESCMENdIX AM)SWARE ipOIAOEINVOLYED <br />/- <br />L��LE S51i3 AiY 1PI Nh'J✓ Nc <br />CWIAL ON AND PIRNF�fNy/ <br />USAN I-l. /Lc �7RN � <br />�/ <br />XyEs7-Liu/c A)A)ATA✓ <br />''// <br />S <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 CONS TRUCTION. 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 />COLT P -ACTORS LA/W 11127�'R//G�//Y.� ANND/,/2� 9,6.200 WAC. <br />(JLXgi•✓ l/(_. .lCu/Y•�' �; /;"�L <br />SxNIMAi1Krt j DATE <br />u <br />/LEGALOESCTXPIID11 OF PIKIPERTY ISIDNN ULM DRATIALN rrg ESI <br />LOT / &aA OF <br />RWICEL TAX I D. NAreER <br />O)USIRUCTION LOAN TENDER. ADDEESS. TELERKINE NUMBER <br />CUY BU4tk55lICENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMFM <br />FEE <br />WATER CLOSET (TOILET) <br />A/C —A44NDLG UNITS <br />_ <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK X OISP <br />CLOTHES DRYE:IS <br />DISHWASHER <br />RANGE HOOD <br />_ <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />T- <br />URINAL <br />I 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 />T <br />EXHAUSTFAN <br />SUBTOTAL S <br />SUB TOTAL f <br />PERMIT $ <br />PERMIT f <br />_ <br />_ <br />TOTM.FEE f <br />TOTALFEE f <br />FOR OFFICE USE ONLY: <br />rnmISETRACK / <br />PEARSFIBACK <br />SIOESFTBAC <br />MANOW" MXAI[n <br />!FF <br />RFfFMt NO <br />USE IPYr <br />LOT AREA <br />IMOUIT VIE <br />FEES <br />VALUATION <br />FEE <br />SUIEMAn — <br />OYES O MD <br />NEIGr11 LIMITATION <br />0 <br />UNIT S [TATTLING <br />SUE Of BIDORI <br />/7 <br />r <br />�•J0 <br />57Ze4 / �/QA) <br />DING <br />Ru30✓ <br />`7�7 <br />DOLURANCY <br />WMSIDRES <br />OCLVPANI LOAD <br />BASEMENT <br />M[L CNANICA <br />I <br />I <br />/�I <br />� �ni/V <br />WILL; ONO <br />A[AIIIONµ RAN CNFLK <br />FIRESPRINKLERREGi1 <br />nrAsW <br />C OLEN <br />FULL MTIED D <br />At <br />REASON <br />I <br />STATE BUILDING SNKNAFE <br />— <br />�•/r/ <br />�� <br />TYPE OF fwSl <br />BANS ArTxwvm Gr <br />JM <br />CITY OF EVERETT <br />RNIIr. wElnKs <br />TOTAL <br />` ) <br />FATE q °j i1 <br />LOCAL <br />TAX CODE IS 3105 <br />