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APpLICATIC�I FOR CONSTRUCT �N PERMIT/ <br />CITY OF EVERETT • BUILDING DIVISION yC�%��� <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-BB10 � �t <br />❑ DEMOLITION p COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBIN(3 ❑ SIGN <br />Pi!OJECT ADDHESS: �O �J I (� �r� � I� �^_y`/ '' f ^ � + �ic �� <br />-oJwr,in SG4�r_ ZC.1'_S� '.1.�?�I() I�c��_1 i�+<,H?Ip�(Vtl�l� �i�U� 7.Df_n �';� �i2C)0 <br />M�tl ADd1E6g--__ f.lrv br - rHONE <br />�FN�NT ".-"Mm� �pU11f55'____'_. ' _ _' r. 1,_ ____'___"'n. _'_ P�IONE <br />rc. �; i_•� I—. nlr�i I? �,,.�-�-- I P9/S l�12n�1 Are Nt S��(p0��tlourl'nvi�le ZOL ��.�5 �190(7 <br />M1LMT[LTp10ESipNEH MAII A[IDf1E55 C�rv 7��' PNpryE <br />.JV'(�d,- �� � � I��orv�c_, ? 21 O Ilc. �; �,1..�1 -`r" I�pr� { `)�d / .7(1G, �S9y� OU SuNmnNi.OS1 <br />aFNEMI cONIMc(di Mul �upnfss �1 �'L <br />�,, r.i�v im mane � r[ uttr+se <br />Or�z c�`'1._!"L��4—_-'a); _�,: 5,�, nnulooc{ %t'�;% i Eoo ��nl ,�30�oR��H1137D1I <br />MFCN�NICKCONiRA�TCM Mbl4t�1E55 � �Ip PIIONE 51/f(l ICENSE • <br />�� � ���.L.�.i�a�h�m��h . o0o Mii I C�a�k_CS(y�rl�rl (,.�9��i c-0�'�9/No�n�%n ov8� R <br />MUMBI1pC4NIR��ION 4�IL110d1E55 1;IIY )m P� � SIAIEIIGlNSE� <br />C(M1IR�Cf iIMCE Oi VIpf1K — ---- <br />f se.) COr��4ruc; �r��l. - I rj(, ,';9,�:, �q,/� HEATINGSYSTEM: �GAS ❑ELECTRIC ❑ <br />UESCRItlEYqqNAlq��qEfOO�ApEWVOtVEp �t� fONtACiI`11151N��NfJP11bNEN0 <br />� _ � 117 � + ��n� ,...r{� � .' ��� <br />re ��r��r�-+i <br />P110POSED USE OF ENIpNO <br />•��� � r.mr i iVn w rnarEnrY �910wH eElow rn �n�cN nvo � <br />ioT � eioc� —� or��i, <br />— � � � .L��.� 4' �U��-r� <br />P�-hm.. �� # 3q 70 - o00 - c <br />U MJMBFR <br />��nnu�o��, t � or= �� -Q}�_ <br />CONS a1CTIdIIONIlENOEq.�MMESS.TElE17fMIEli�YNfn . <br />� <br />TYPE OF FIIRURE <br />WATER CLOSET (TOILET) <br />d 1THTUB <br />LAVATORV(WASH BASIN) <br />SHOWEFl <br />UUNDRY TRAV <br />CLOTHES WASHER <br />URINAL <br />SINIf <br />� <br />__ 1 1 I�(1 ( I 1 <br />� ��LV` ��_l.�/�150�_ %i)i0 ' ��ij2�� _ <br />I HENEOY CERTIFV 7�HAT I MIAVE READ AND E%AMINED THIS <br />— APPUCATION AN'�� kNOW THE SAME TO BE TRUE AND CORRECT qLl <br />; Z PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE Of <br />WORH WILL BE COMPLIEO WITH WHETHER SPECIFIED HEREIN Oii <br />NOT. THE ORANTINO OF A PEFlMIT DOES NOT PRESUME TO GIVE <br />�UTHORI'(V TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTVIER STATE OR LOCAL LAW RE4ULATINO CONSTRUCTION OR TME <br />�U . FEFFORMANCE OF CONSTFUCTION. THAT I AM AUTHORI2ED BY iHE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOA WFIICH <br />2� APPIIC IS MADE ANO I COMPLV WITH TNE S7ATE <br />CO ACTO L/�W'i).T,7-RGIQ�AND 298.200 WAC. <br />_o n c�� <br />I ICENSC NO <br />%_!,;���_� A,': —NF1NDl0UNR6 <br />� i00 fORCED AIR SYSTEMS <br />1 i 0� HEAT PUMP <br />f7 ;0,� UNIT HEATF{1S <br />% �O � i CLOTHES ORYERS <br />� � fL1NQE HOOD <br />� �� WATER HEATEfi <br />�(; WOOD STOVE <br />; METALFIREPLACEfWOC <br />INSERT (WOOD <br />GAS RANGf_ <br />OAS PIPINQ <br />EXNAUSTFAN <br />SUB TOTAL f <br />PER!AIT f <br />TOTALFEE S <br />FOR OFFICE USE ONLY: <br />ft10NI5FTB�CN pf.�115E1811LN <br />� U f-� � <br />USE 70NE I Oi ul <br />�r ' � �q �, i<' <br />IIE�OIIf 1IM11�110 NO Of OWEILING <br />� � uNrts � <br />OCCUP�NGY 1q (% SR�fS OCCUPANILO�O <br />FRIEBPRINKIERRkO'D �IF�Sd1 <br />qOENAPMREO'p Rf�Hk1 <br />�rrcar.a+si PIeN5�PP00VfD0Y <br />� /v ou� ��5�5 � <br />SIpE SFIB1 CM 7 �`" I PI�N <br />J -i1-(7 � Jp <br />V�C�Nf SIIF <br />cs ❑ Na mn�nwa <br />sit[oreia3n� ---�-- — <br />1`11140MG <br />Z Sr. _._ __ <br />B�SEMENI MP:���Mf.M <br />i[s ❑ Hn ------�— <br />— - •OU�Iinwel r��NC�RCe <br />nn�cn �� <br />SlelE �uilOW(1 SUflf.ueflnE <br />CITYOPEVERETT runi¢wnnn•. <br />� LOCAL SALES ----- <br />TAX CODE IS J105 Toial __ <br />SUB TOTAL f � <br />PERMIT f � <br />TO1AL FEE f � <br />fCF 11(CFIPINO <br />�� <br />VALUATION FEE <br />� <br />_� �y� __�U� �L_ <br />------- � i, � <br />� <br />xn !c � <br />� � <br />._` _ <br />--- — — -- �L�- -i L <br />4t <br />