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�`.PPLICATIO" FOR CONSTRUCTr"►N PERiV11T <br />GiTY OF E�': Rf fT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259•BB10 <br />❑ DEMOLITION ❑ COM8INATION ❑ BUILDING ❑ MECHANICAL O PLUMBING ❑ SIGN <br />PRO'FCTADDRESS: _�aS I0��0 PI.A�. S�E. �yrR���� <br />MTi�xR00K ASSOC LLC l0120 7TH AVE SE EVERETT 98208 347-4657 <br />ON+�ER M�Il�D011E55 L�TY IiP PI�ONE ' <br />'°^^^' Y�11l�ODPF.55 f.ItY )�v PNONE <br />ARCNRCCTOROEbGNF.R M�p�00�E55 GIiV )ii• o��ONF <br />YA7 <br />fiENEOH CONIMCtpt N�q �WOF55 Glr � ��� �ip PUDqf 54I[ �ICEHSE � <br />MECNANICQ:pNIP��TOR M41�00RE55 CI:Y )IP PIONE Si.lf[ULENSE� <br />PIUUBINGCONTO�f,t0i1 uuLwOUtiE55 C��Y !n� � � p�pNE SGtEl10EM5E• <br />GONIRA�f VP��E OF WORN — _ <br />HEATING S`";TEM: C7 GAS ❑ ELECTRIC ❑ <br />OESCRIBE WORR AND SOU�RE iOplAOE IMVpWED CONI�('.I PCn50N�NO PIIONF HO 1! <br />_ MIKE GARLAND 3N%-"II�S% <br />u <br />P�Oi'0lED VSE OF BUIlO�NO <br />LE WL DESCRiPtION Oi PqOPF11 <br />LOI BLOCK _ <br />SITE � � I <br />., <br />, MII.LBROOK TOWNHOUSES <br />PMGEI TIV! 10. NUMBER <br />CONi1RUGiIp/ IOAN IEHDER. �'JORE59. 1ElEAHONE NUMBEII <br />PLUMBIHO <br />N0. TYPE OF FIIRUHE OH <br />Z WATER CLOSET (TOILET) <br />�ATHTUB <br />LAVATORY ',JVASH BASIN � <br />SHOWEP <br />KI7CHEN SINK 6 DIEP <br />UUNDRY TPAY <br />CLOTHES WASHEP, <br />URINAL <br />OAINKIN6 FOUNTAIN <br />FLOOR DRAIN <br />BACY,FLOW PREVENI <br />— BAR, ETC <br />FOR OFFICE USE ONLY: <br />InONf5ET0ALN REeq SEIB�CN <br />USE SONE <br />NE�G117 <br />vF� <br />rrne o� <br />V - �✓ <br />PERMIT <br />TOTALF <br />IUTAPEA <br />NO OFDWEIUN( <br />urn15 <br />occuv�Niioeo <br />0 /C b <br />oinNs�� novenor <br />� �i <br />, <br />�.�E 1 n��- S <br />FEE <br />I HERE01 CERTIFY THAT I hAVE REAO AND EXAMINED THIS <br />APPLICAiION AND NNOW THE S4ME TO BE TRUF AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WOf1K WILL (iE COMPLIED WI?H WHETHER SPECIFIEO HEFIEIN OR <br />NOT. i{IE GRANTIN� OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTIIORITY TO VIOUTE OR CANCEL THE PROVISION OF ANV <br />OTHER STATE OR LOCAL LAW REGULATINa CONSTRUCTION OR THE <br />�ERPORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY Th1E <br />OWNER OF THIS PROPEfiTY TO PERFORM THE WORK FO� WHICH <br />APPLICAT!ON IS MADE ANO I COMPLV WITH THE STATE <br />CONTRACTOFl AW 1827 RCW AND 296.200 WAC. <br />x���'�'�`� CPA�K� � 7- 9 7 <br />S��N� u0. U�tE <br />CIIY IIUSIH(SS LICENSE NO <br />_ TYPE OF EOUIPMENT I FEE <br />A/C —MiNOLG UNITS <br />FOIICEDAIR SYSTEM5 <br />NEAT PUMP <br />UNIi HEATERS <br />WOODSfOVE <br />METAL.FlREPL <br />RANGE <br />yt1�l <br />S <br />f <br />$�Of$Fi9�CN IPI�II(IIf.CNN11M111'll <br />VA��NI 511( rees <br />❑ves ❑ �a ounwnn <br />SRE Of OIUG//I u -- <br />5 S � l' I'1114111N(t <br />BASEMENI �.IFI;II�NIf.�I <br />❑YES � ----- <br />•Il�iliONq M�NI:��ff.M <br />�nurn---" <br />Suq n�nl luna SUnf.lunOE <br />CITY OF EVERETT runur. won.s <br />LOCAL SALES <br />TAX CODE IS 9105 TOTA� <br />(WOOD BURNINGI � <br />SUB TOTAL f <br />PERMIT f <br />TOTAI FEE f <br />fl`��� �/ I11EfE1PIN0 <br />;�D <br />