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.�. �` <br />APPLICATIUMI►� FOR CONSTRUCTION PERMIT <br />= C,'ITY OF EVERETT • BUILDING DIViSICIN "' <br />3200 CEDAR STREET • EVERETT WA 98201 • 259-8810 <br />Fe��va��ned ' � <br />f7 DEMOLITION fl COM8INATION fl BUILDING I1 MECHANICAL i 1 PLUMBING f 1 SIGN <br />�. ..-981/ ���0�'< AJB SE EUE�CETT W A. 9 g208 S/7� ��9 � <br />o�+++en M��IADDI1E55 SU/TE ZGlo r,irv �m M�ONF. <br />SILVERWOUD �• p�270D N£/2`/TN• ST• K�RKrrNd _/�_9903�_ 2om -8Z2-y»y _ <br />IENANT MML�OOt1FG5 f.liv ]IP fllllNF <br />N/A <br />— - - ---------- --- - -- -- - --- ---- - . _ -- - <br />e�1�iECTOR0E51GNEn M�qe00�E55 t'.nr )u� 1•nnn� <br />DesiuHu CoHsu�raurs_ 807 allo. Sr. MuK�crEo WA 98275 Zor�-348-9`183 <br />GE�+EMICONTMCTOn Mu��pppESS (-.i!v �)iP PIIONf ZO(�� cUIEIICFn[F� <br />CAR�1�� Co�✓srCc. l,vc. 12700 N. E. /2 "'• ST. KRKla�vo !�✓A 9_8Q?y 8t2-yl�y L'qQ�t iS�MN <br />�c�+uacKca+m�cron Meaeooness��p�., /7O . B g�ry [IC q�}7� ruoue ZQ(p- SiniEUCF.NSK. <br />MAI� <br />CIIY <br />-- _ _ . _--. .._. <br />/O/��72°—' <br />OESCMBEWORKANOSOUMEFOOTAOEINVOlVEO # <br />S��.vEzwcon L.P. Buir�leCf�.SC?E__.J9 _ <br />/ Y�OE C� - BECKENRidGE DnTien/ A 4 <br />� <br />l0T' B;OCN <br />CONSiiRICTON lOM! LENOER �DOIlESS, TELEPIIONE NUMDEfI <br />Ev�aErT N/uru.� <br />�707 [ocBY AvE Sd Ga0 EYERE� <br />PLUMBING <br />NO. TYPE OF flXTUR'E OR ITEM FEE <br />WATER CLOSET (TOILETj <br />BATHTUB — <br />LAVATORY (WASH BASIN) <br />► SHOWER <br />� KITCHEN SINK S DISP <br />1 DISHWASHER <br />�_ LAUNDRY TRAY <br />� CLOTHES WASHER <br />URINAI <br />�S DRINKINO FOUNTAIN <br />FOR OFFICE USF_ ONLY: <br />FitONT SETBALK � pEFR SETBACI( <br />USE20NE <br />IIEIGHT �IMITATION <br />� OANCY NO Oi Sf� <br />3 w L- <br />FIqE MARM REO�D <br />�f1E� <br />SUB TOTAL E <br />PERMIT S <br />TOTAL FEE S <br />SI�E SETBnCR <br />VACANi SIIE � <br />f1YES 1I1l0 <br />NO.OF OWELLING <br />UNI($ <br />n�ie <br />LOAO <br />f1YE5 N/Np <br />• )m PnOrvF 3/.Q $IhlEItt:FNSF• <br />ays��ccE tr'fL9_8.�7/_ �s� -b�,3� NoaTKPc o ssKB <br />HEATING SYSTEM: rQ GAS I I ELECTRIC f I _ <br />f.ON1Af.1 PFOSDN nllb PI If 1Nf� NO <br />.P_�1r CwRRo��. _ @2.2-4 i_7Y__ ---._-- - <br />Robear�owleS 338- Z197 <br />I HEREAY CERTIFV THAi I IIAVE REAC AND EXAMINED TFIIS <br />A{'F'LICATION AND KNOW TI1E SAMF. TO BE TRUE AND CORRECT �Ll. <br />PROVISi0N5 OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL 8E COMPLIED WITI; WIiETliER SF`ECIFIED HEREIN OR <br />NOi. TH[ GRANTMG OF A PERMIT P'�OES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOIATE OR CA��C'fL THE PROVISION OF ANY <br />O7fIEl7 STATE OR LOCAL LAW REOUL';i'NO CONSTRUCTIO�J OR THE <br />PERFORMANCE OF CONSTRUC'I':i�fl. LHr.T I AM AUTHORI2ED BY THE <br />OWNER OF THIS PftOPE�iTV TO F'ERFORM THE WORK FOR WHICFI <br />APPIICATION IS MADE AND 1 COMFLY WITH TfiE STATE <br />CONTRA RS LAW 18�,' qCW AND 29E.200 WAC. <br />x �1(.'•-'•/'� %��9i <br />sir.;�er E ZS� � � — fU1F <br />v <br />f,ITV flU9NE55 UCF.NSE NO <br />OF EOUIPMENT <br />I UNRS — H.P. <br />'STEMS — B.T.U. M E.A. <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />CLOTHESDqYERS <br />VENTILATION FAN <br />RANCEHOOD <br />WATEF HEATEF <br />WOODSTOVE <br />METAL FIREPLACE (WO00 I <br />FIFEPLACE INSERT (WOOD <br />GAS FIREPLACE <br />GAS PIPINO <br />ERNAUST R <br />ri nu cuecK <br />I1101bR1G <br />1'l 11N01NG <br />«�eciu�nr.nl -- <br />d0U�110N4L PI f�q Cuf (:K <br />ou�en <br />stniE t�m�ncir 5nnr,�mnaE <br />CITYOFEVERETT rurnir.wonea <br />LOCALSALES ---------�— <br />TAX CODE IS 3105 rarn� <br />----------- ------r---- <br />SUB TOTAI S � <br />PEPMIT S /_/7T_ <br />TOTAL FEE S t�� ' <br />rFF nrr.vmr rio <br />------- � � ��� <br />--- _ _ _ r _ . <br />� 9' <br />, <br />_ __ _._I�;- <br />