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,� �. <br />. <br />APPLICATION fOR CONSTRUCTIOrI PERMIT <br />CITY UF EVERETT • BUILDING DIVISION <br />.' 3200 CEDAR STREET • EVERETT, WA 98201 • 259•8810 <br />f� DEMOUTION fl COMBINATION fl BUILDING f-1 MECHANICAL I1 PLUMBING f I SIGN <br />PROJECT ADU/RESS S E Ere�t rr W/�I 98Zo8 �9833Z ZOT� AYE S E <br />ow�+en u�n.�oonEss SUITf 20lo cm zir miowe <br />SJL�IEr?WOO� �• p iz7n0 NEi�yTN sT l�/RKU1N11 l✓f! 9803y zom -�zz-v��y <br />�Fnua M�ILRDOf1E55 r.nv rm rnorue <br />N/A <br />DESIGNEA ���1 <br />CO. l�/C. /2700 <br />M�IIADORE55 p/A/ <br />CONIMCT FRICE OF WORR <br />DFSCt11pF YIORK �NO SOUME FOOT�OE INVOLVE� <br />SI�.VERWOOD L.P. LoT � ZS <br />• D Mi�r.S7'oNE BASIC# <br />PnO�O5E0 USE OF 9UILUIN(i <br />(5110NT1 BEIOW OR A7TAL11 <br />LOi BLOCK <br />CONSTRUCT70N LO�N IENDER. �OORE55. TELEPHONE NUMAER <br />PLUMBING <br />NO. TVPE OF flXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />� BATHTU9 <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRY THAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK (SERVICE — BAR. ETC.1 <br />SUB TOTAL S <br />PERMIT $ <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />[RONiSETBFCK REM SETBRCK <br />USE ZONE LOtAnEA <br />��E�GIIttIMI7pTION NO.O�UWELUI:f <br />UtllfS <br />OCGUP�N(;Y Np0iS10atf5 OCCUi'ANiL"JO.p <br />fIRF <br />Pn�� <br />]IP PI10NF. <br />"�� r7�.v/��p hl�c 98d�y �o�o ��e <br />CIIV IIP P�IONF �(e� StRIF.11LFN5F.� <br />sT KRKu,vo G✓� 98a�y szz-Yi�Y CAa�icc � <br />CIP! 21P Qf�j7 PIIONF. ZQ(p� STATELICENVE/ <br />HEATING SYSTEM: DQ GAS f I ELECTRIC f l <br />CONiACT PEtl50N �NO PIIONF. NO <br />KobeaT �o�les 338- Z197 <br />7 I HEREBY CER'.IFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND HNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PfiOVISI0N5 OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK W�LL BE COMPLIE� WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE 6RANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AU7HORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTIIORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM tHE WORK FOR WHICH <br />APPLICATI N IS MADE AND I COMPLY WITH THE STATE <br />CONIRA S LAW 182 CW AND 296200 WAC. ' <br />7( Y/ �� <br />SIC A E ��tE <br />O2�Sg9'7 -- - <br />QTY BUSINESS LICENSE N0. <br />FEE NO. TYFE OF EOUIPMENT FEE <br />�— <br />' A/C—AMNDLGUNR5—H.P. <br />; FUr7CEDAIRSYSTEMS—B.T.U. M E.A. <br />� HEAT PUMP <br />' UNIT HEATERS — B.T.U. M <br />� CLOTHES DRYERS <br />� VENTILATION FAN <br />; RANGEHOOD <br />� WATER HEATER <br />' WOOD STpVE <br />� METAL FIREPLACE (WOOD BURNING) <br />� FIREPLACE INSERT (WOOD BURNING) <br />; GAS FIREPLACE <br />� GAS RANGE <br />' GAS PIPING <br />i LL EXHAUSTFAN <br />SIDE SETB�CN PIAN CIIECK NUMBFIt <br />�� ��� <br />��CANf SIiF. FEES <br />IIYE$ fl NO <br />fl1111.01Nf. <br />If BLIX;rt� — <br />� sF. �W/A! pIVMflINC <br />6 S.'F. ARR�E _ <br />PRSEMENT � � MEC11nNICM. <br />IIYES F1ND — <br />nOf11110NAI PInNG��f.CN <br />9tI1Fn <br />$T�iE f7�111 OMG $Uf1f,I1MGE <br />CITY UF EVERETT runur.wonKs <br />LOCAL SALES ----- <br />TAX C��F_ IS 3105 TGTAL <br />SUB TOTAL S <br />PERMIT S <br />TOTAL FE'c S <br />fEF I f1Ff.FIPT NO <br />�� <br />O <br />� <br />— ---'-- - <br />