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APPLICATI�.A FOR CONSTRUCT�ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />fl DEMOUTION I-1 COMBINATION (l BUILDING f-1 MECHANICAL � l pLUMBING f 1 SIGN <br />PROJECT ADDRESS <br />OYMER MRIUpDRE55 CITY ZIP PIION[ <br />��'(I.L HILLKQ '1�2 l�O�J�� Mlhtk� �� 9jj-Z7/ G 2 9 7 <br />TEN�NT MRILADORF.SS CIIY 71P �ONE � <br />PLUMBINGLONIRaCTOR MAILR�DRESS CIIY zIP pHONE STAIEUCENSE• <br />RND SOUaRE FOOT�GE INVOWED <br />USE OF <br />LEG�L OESCRIPTION OF PROPI <br />toT e�ocK <br />PARCELTN(IA. <br />CONSTRUCPON LO�N I.ENDER. �ODRE55, iELEPNONE NUMBER <br />NO. <br />iy[.i.�:i <br />69I:1:1 <br />— BAR, <br />FOR OFFICE USE ONLY: <br />fRONTSFTPACK REMSF.TBRCN <br />USEZONE IIO�RREA <br />IIEIGNi I.�MIT�710N NO OF OWF.LUNG <br />UNIIg <br />���c N;Y NO 04 i inn�[S �G�1Ntliqp <br />�) .� � 4 <br />rme nunM neo�o nrnsou <br />�� S <br />nnesrmHKicniaeo�n ncn�om <br />� <br />ITEM <br />q5 <br />$ <br />SIOE SETBACk <br />HEATING SYSTEM: � GAS �l ELECTRIC f l <br />LONJACT PF.PSON ANp PIIONF NO <br />I HFREBY CERTIFY THAT I HAVE 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 TVPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF A4Y <br />OTHER STATE OR LOCAL LAW REGULATIN6 CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BV 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 296.200 WAC. <br />��N���''� �Z —.f'Qi <br />�TII DATE <br />o2sy91s <br />Cltt BUSINESS UCENSG NO. <br />FEE NO. 7YPE OF EOUIPMENT FEE <br />' A/C—A/HNDLGUNITS—H.P. <br />; FORCEDAIRSYSTEMS—B.T.U. M E./,. <br />� HEAT PUMP <br />; UNIT HEATERS — B.T.U. M <br />� CLOTHES DRYERS <br />VENTILATION FAN <br />i RANGEHOOD <br />WATER HEATER <br />' WOOD STOVE <br />i METAL FIREPLACE (WOOD BURNING) <br />FIREPLACE INSERT (WOOD BURNING) <br />I GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />i E%HAUST FAN <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />Pl�NC11ECNNUMfI[R � f[G � RFCfIPRJO <br />VRCRNI SIIF. <br />IIYES !�NU AIIitDINfi <br />srzeoreiocm — <br />� � " O PLUAIOING <br />ASE ENT M[C�IRNICA� <br />i ncs i✓o <br />nnoniovni. rta�.vc��er,K <br />� ou�en <br />srnie nmioimc sunr.unn�e <br />CITY OF EVERETT runi�r,wonas <br />LOCAL SALES — <br />TAl( CODE IS 3105 TOTAL , <br />�.�� ;:. �!7�=1u4. <br />