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0 <br />CG <br />� <br />yw ,�, <br />APPLICATIOrI FOR CONSTRUCT�ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />!-I DEMOLITION fl COMB'NATION fl BUILDING �MECHANICAL tl PLUMBING (1 SIGN <br />PROJECT ADDRESS „ „ a,., ` , i / _ . p <br />e�an nnoness <br />MAIL ADI]RESS <br />PWMBINGCONIRRf.TUR � <br />CONTMCT PRIGE OF WOfIK <br />�'c� <br />CESCPoBE WORI( ANO SOUA <br />BEIOW OR FTTRCH TN'0 COPIES� <br />LOi. BLOCK <br />r`3 -� � ���"�,� � ; <br />PMCELTN(IA.NUMBER <br />CONSTRUCTON IO�N IENDF.R.IDUPE55, TELEMIONE NUMAER <br />TYPE OF <br />CLOSET <br />d DISP <br />PREVENTERS <br />CE — BAF, ET <br />SUBTOTAL $ <br />PERMIT 5 <br />TOTAL FEE $ <br />FOR OFFICE USE ONLY: <br />PRONTSFTPRCK REA� $F.TB�CR <br />USE ZONF IOT RI1EA <br />NEIGIIT UMIUTION NO OF UWEIUNG <br />11Nli5 <br />OCCl1P�NCY NO 015tOPiES OCCUPAN7lOAD <br />f,RWP <br />FIRE AURM f1FOP RPRSOY <br />n <br />UP1E <br />:1 <br />att <br />r.uv <br />� <br />CIiV <br />� <br />CItY <br />Y <br />zm r�wr+e <br />-�' /�/0�/1�� %� G��c���� �'�.�-y� <br />��� �„oNE <br />�vsa - 9�i� <br />.m rHONF l <br />StAtE LICGNSE • <br />. .��/ ��r <br />ATE ULF.N$E • <br />21P PNONE STA1LLu'ENSE• <br />HEATING SYSTEM: �i GAS f 1 ELECTRIC �l <br />CONtAC1,���50N,NDPI�OM5N0 l ^ ^ � J�_ , <br />/ <br />� HEREBY CERTIFY THAT I HAVE READ AN� EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT AlL <br />PROVISIONS OF LAWS AND ORDINANCES GOVER�lING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT OOES NOT PPESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOR�ZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS lAW 18.27 RCW AND 296200 WAC. <br />9 <br />,i����.���/�i�ce i�i�r /-iG.�-9G. <br />S�O�vFj�IFE DAfE <br />dTY BUSME55 LILENS[ NO <br />MECHANICAL <br />NO. 7YPE OF EOUIPMENT FEE <br />A�C — NFiN�LG UNITS — H.P. ' <br />FORCEDAIRSYSTEM��E.A. ; <br />HEAT PUMP � <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRYERS � <br />VENTILATION FAN ' <br />RANGE HOOD <br />WATER HEATER <br />W000 STOVE ' <br />METAL FIREPLACE (WOOU BURNING) i <br />FIREPLACE IIJSERT (WOOD BURNING) ' <br />GAS FIREPLAC[ � <br />GAS RANCaE <br />GAS PIPING <br />E)(HAUST FAN <br />SIDESFIB�CM �l�NC11ECNNu40[P <br />C � i <br />vnca+t srte FEES <br />I IYES I1 NU 011lt[1MG <br />SIZE OP 9l�G�f I <br />PLIINOWG <br />BRSFMF.NT MECIIANIf.AL <br />f1YE5 11 NO <br />AODIIIANAI. PIPN CtlfCN <br />on�en <br />�iNE nUllOwb SURf.HnnCE <br />CITY OF EVERETT runnr, wonKc <br />LOCALSALES <br />TAX CODE IS 3105 TOTAL <br />SUB TOTAL $ <br />PERMIT S <br />TOTALFEE 5 <br />rcc I ��r.rmr ruo <br />r <br />