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� � <br />APPLICATIOrI FOR CONSTRUCTION PERiNIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />I-1 DEMOLITION fl COMBINATION f I BUILDING I-1 MECHANICAL ��iJPLUM8ING f l SIGN <br />PROJECTADDRESS �a�J I.�GI II �• � � � � � SO�� �� <br />v �,!o, Pp �n^n � � <br />♦RCNITF.CT <br />-/���.-�� � � iL f-'%/�.�' Y �/7� - <br />CITv nv m�n� �i <br />�m <br />PLUMBINGCONIRnCTOR^ MAILADURE55 CIfY zIV P110NE STAIEUCENSE� <br />� <br />PROPOSED USE OF puILDINCJ <br />LEG�L DESCRIPTI[NJ OF PHOPI <br />LOT 9LOCK <br />INVOLVED <br />CONSiRUCT10N IO�N LENDER. A�D11E55. TEIEPHONE NOMpER <br />OR ITEM <br />SINK d DISP <br />TRAV <br />WASHER <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK lSFRVICF — BAR Fl <br />HEATING SYSTEM: f I GAS �l ELECTRIC f � <br />CONT�CT PERSON AND PHONE NO <br />1 HEREBY CERTIFY THAT I NAVE READ AND E%AMINED 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 OR <br />NOT. THE GRANTING OF A PEiiM1T DOEo NOT PRESUME TO GIVE <br />AUTHORITV TO V�OLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAI_ LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCI�ION. THAT I AM AUTHOFIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />X I-lI-95 <br />SIGNRi�� � DAiG <br />CITV BUSMESS LICENSE NO. <br />TYPE OF ECUIPMENI' FEE <br />A/C — NHNDLG UNRS — H.P. <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRYERS <br />V[NTILAT�ON FAN <br />RANG: HOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE (WOOD BUR��NG) <br />FIREPLACE INSERT (WOOD BURNING) <br />GAS FIREPLACE <br />GAS RANG� <br />GAS ?IPINC <br />EXHAUSTFAN <br />SUBTOTAL S <br />PERMIT S <br />TOTAL FEE $ <br />FOR OFFICE USE ONLY: <br />fRONTSFTPACI( RF.�OSF.TPACK SIDGSETURCN Pt4NC11ECKtJUhlpFq fF[ RECFIPiNO <br />usezoNe iornnea vncA.;sire FEES VALUATION <br />_ t1VEi f1N0 p111L�ING <br />IIEIGIIT LIMIT�TION NO OP DW[LLING SIZEOf OIIXirtI <br />UN11G <br />pt 51pRii5 <br />ivre or r.orusr <br />UAIL <br />CU1MpIVG <br />ASEMENT MECIIRNICAI <br />fIYES r�NO <br />Appl I IONAI_ V'1 �N CII[f,N <br />on�rn <br />sr�vc oumm�r, sunr.unace <br />GTY OF EVERETT rur+nr, wonKs <br />LOCALSALES — <br />TA% CODE IS 3105 TOTAL <br />