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�. — <br />ARPl.ICATIOl. �Oi� CONSTRUCTI�N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING O MECHANICAl. ❑ PLUMBING �SIGN <br />PROJECTADDREgS: �'�Z,O �i/�{LG�R.�N WT}�J <br />- �n--- <br />MML �UUfif 55 <br />MAII AODRE55 <br />2f <br />r�wne j <br />9 �'1.01? I.COb� Syb-O/ 2 / <br />_— ruor+e <br />)p� PnONE tiUTEUCENSE� <br />i�wC 9$.�7/ Edo)L-sz-s8zy APouN�n�f�foD _ <br />� JiP � PuONE ST�TE UCENSE • <br />PLUMBINGCONTRACTOR MMUDCPESS CIIY 21P PIIONE STATELICENSE� <br />�� 2�0 �'o <br />NiN �NO $W�RE lOO1�GE INVOLVED <br />Ov� 2 NON �n;�r <br />BUILD'N(3 <br />LEW� �DEySC'R�IP110N OF FROf CRTY ISHOWH et <br />LOT �`iZ� BLOCK � <br />�n�cHTwo <br />CONSTRUC710N LOAN LENOER, ADORE55. TELEYNUIIE NUMBER <br />NO. TY <br />WATER CL <br />BATHTUB <br />LAVATORY <br />OF flXTURE OR ITEM <br />KITCHEN SINK 8 <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAI <br />FLOOF DRAIN <br />— BAR. ETC.) <br />SUB TOTAL S <br />PERMIT S <br />TOTALFEE E <br />IiEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />CONfRCiPfll QII�NDPNOHLND <br />_�� �� M Gl+�y � f Af'o uo i1�'Si�v ! uc <br />�"N n1 /_ c -� . ZQ7 u <br />I HEREUY CERTIFY Ti1AT I HAVE flEAD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF lAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OP <br />NOT. THE GRANTING OF A PEP'd1T DOES NOT FRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHEfl S.T.�TE OR LOCAL LAW REGULATINli CONSTRUCTION OR THE <br />PEHFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTY TO PEHFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STAT[ <br />CONTRA , ORS LAW 1827 W AN 96200 WAC. <br />X "✓V\ �/S�9% <br />SICN�TU E 03/ 2► L DA71' <br />CI7Y OIISINE55 UCENSE NO <br />FEE NO. TYPE OF ECUIPMENT FEE <br />�— A/C —MiNULG UNITS <br />; FOf10EDAIRSYSTEMS <br />� HEAT PUMP <br />� UNIf HEATERS <br />; CLOTHES DRYERS <br />FOR OFFICE USE ONLY: <br />ipONT SETB�CK l,� AEaF SFTBALK S��E SETB�CN <br />Iv ^J/� �� <br />USEZONE A V�L�Nf9fH <br />❑YES O <br />HT LIMITATION UNI � DWEI �� I(G SRE O� 9LDGR1 <br />'"L(I� y�J. � <br />OCCUPANCY NO Oi5I0NIF5 CCGUP�NTLO�D B�SCMENT <br />GROUP <br />❑YES ❑ NO <br />FIRESPflVKLERREO'D �•fASUN <br />riny, rrnoveoor ,,�TY OF EVERETT <br />�j� LOCAL SALES <br />,>ArE f� -/ 5, q � TAX CODE IS 3105 <br />WOOU STOVE I _! <br />INSERT <br />RANGE <br />EXHAUST <br />SUB TOTAL E <br />FERMIT S <br />TOTAL FEE S <br />PIANCIIf.C��MO��� I�EF/��(,/I�ECEIPiNO <br />7J <br />U111L�ING <br />ri,�Nninr. <br />N[ C114NIL�l <br />�O�IIIOVM. P� �N Cllf CM <br />omen <br />srnte nunoir+r„unr.unnce <br />rum ir. wonKr. <br />TOT�L <br />�� <br />S Z? <br />