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APPLICATIL A FOR CONSTRUCI.ON PERMIT <br />�* <br />CITY OF EERETT • BUILDING DIVISION <br />32C3 CE!'il,F? STREET • EVERETT, WA 98201 •259-8810 <br />❑ DEMOLITION COMBINATION ❑ BUILDING ❑ MECHANICAL <br />PROJECT ADDRESS: IL) c7�cn El PLJMBING ❑ SIGN <br />/. ^ clry tIr <br />GENCRALCONTRACipt II ME SS 1/F 7"SOs,Nf.Un /fA 4�z_C7;� Z I <br />MAIL ADORE CITY J✓ <br />CHANiCk <br />C�1ORN�AII ADORE 55 <br />fltt ZIP - P19NE ELCSibV <br />N' STALE LICENSE E <br />INUMBWG C(wIRAC`pN MAll A00nE55—rL �r 9K,� �q�-.� <br />JLI LIP 'IgNE—___---�'— <br />"^'•�� InCF/J6 '3�� �T9tE1 �- N STAtELKFNSE� <br />caNTnAcr PRICE OE WpLIN �-V11�>rr'�fy,,: (�$�_�i lr✓i dY �n <br />ooCC�,,�cyynL�--'-+F waLIL ANosaARI Foo—Tq_Lj. HEATING SYSTEM: S ❑ELECTRIC ❑_ <br />Y.i..1/FRS AN0pHONE.j / <br />m <br />LOT-. BLOCK <br />CONSTRUCTION lOAN LENDER, ADORES. ELEPWINE"AIR <br />OnINKING <br />6 <br />TRAY <br />PFEVENTERS <br />I HEREBY CERTIF THAT I HN.lE REA AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORUINANCES 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 LOCAI. LAW REGULATING CONSTRUCTION OR THE <br />PERFORIAANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERF.nnM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />�ONiRACTOR5_LAW 16.27 RCW AND 296.200 WAC <br />A/C -• A/HNDLG UNRS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEA------TERS <br />_CLOTHES DRYERS <br />RWOE HOOD <br />WATER HEATER <br />WOOD STOV <br />MEAL FIREI .ACE (WOOD BL <br />FIREPLACE IN RTES—(WpOp �L <br />GAS FIREPLACE <br />GAS RANGE — <br />GAS PIPING <br />aHAUST FAN <br />n <br />SUO TOTAL <br />t <br />PERMIT <br />s --1'— <br />I- <br />SUB TOTAL <br />s <br />- <br />TATAI <br />PERMIT <br />S <br />FOR OFFICE USE <br />ONLY: <br />— <br />TOTAAL FEE <br />s <br />FRONT SETBACII <br />/ <br />�_ <br />RE An SFTBACk <br />/ <br />�i� <br />SIDE SETB4:A <br />, <br />PI AN CHECK NUMBER <br />TIFF <br />RELFIPI EIO <br />-. • -� <br />15E LONE <br />LOTAnEA <br />__� <br />ACANT LIE <br />�/ <br />J <br />^ <br />76 <br />OYES D ND <br />FEES <br />VALUATION <br />_ <br />EE <br />HEC4T LIMITATION <br />, <br />Z� <br />NO GOT DWELLING SIZE Of Ik <br />UNITS <br />LwHJ4N} <br />BUILDING <br />/ <br />l <br />Z �12 <br />S. <br />G�MpANCY MO OFS'MIS <br />OCCUPANT <br />PLUMBING <br />I <br />00 <br />LOAD <br />BASEMENI <br />O <br />/ <br />MECHANICAL <br />" �-" <br />❑YES Of✓NO <br />'� <br />TIRE SPRINKLER RED <br />REASON <br />ADP DONAL PU AN CUE CU <br />I <br />FIRE ALARM AEG <br />RF ACDN <br />OIHEn <br />TYPE OF CONSI <br />STALE BUILDING SIIRCHATIGE <br />PLANS APPROVED BY <br />JIB <br />CITY OF EVER <br />runs Wones <br />J <br />LOCAL SALES <br />DATE IJ Z.' <br />TAY CODE LI 3105 <br />TOTA, <br />----... <br />_ <br />/J q (r 1 4" . <br />