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APPLICATi�..�l FOR CONSTRUC7.JN PERMIT <br />CITY OF EVERETT • BUILDINC DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259•8810 <br />❑ OEMOLITION �Ij�COMBINATION ��UILDING f 1 MECHANICAL f l PLUMBING fl SIGN <br />0%i (r � t/cT/Z <br />MPIL nDORESS <br />MRILApORE55 <br />rm <br />]IP <br />zm <br />. <br />zir ' r��or+e <br />4�!/-G <br />-ao G 3 <br />�pi�5onJ 41A.= s:.:s.-.l��a.� _�'�-�- Yc�rr <br />CONTRACi PRICE OF WORN <br />�%7�c 17s4rµ t2cn.�S �, r-.�^��C �'S NEATING SYSTEM: I AS Cl ELECTRIC ❑ <br />pE5CRI6E WORK ANp SOURRE FOOTPGE INVOLYc'D . CONTRCT PERSON ANC PIION[ N0. <br />LEGRL OESCPIPT101j'OF PROPERTV ISMONTI BELO� <br />lOi BLOCK _ O'�. <br />PARCELTR%I.U.NUMBEH <br />CONSTAUCPONLOANLENDEA.�DORESS.TEIEPNONE NUMBER <br />TYPE OF <br />CLOSETi <br />8 DISP <br />ORINKING FOUNL <br />FLOOR DRAIN <br />BACKFLOW PREV <br />SINK (SERVICE — <br />FOR OFFICE USE ONLY: <br />FRONTSElBRCN PFnR SEIOPLK <br />USE ZONE LOTAREA <br />HEIGHTUMIiATION UO'OfDWFLLING <br />OCCUPPNCV NO OPSi0RiE5 OCCUPANTLOAU <br />GRDUP <br />FlRE ALARM RE00 �EASON <br />FIRF SPRINRIER PEO'D REASON <br />coNsr <br />DATE <br />TOTAL 5 <br />MIT S <br />ALFEE S <br />I HEREBY CERTIFI' THAT 1 HAVE READ 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 OR <br />NOT. THF GRANTING OF A PERMIT DOES NOT PRESUME 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 1 AM AUTHORRED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS JIl DE AND I COMPLY WITH THE STATE <br />CONTR TO 1 27 RCW AND 296200 WAC. <br />x on /, 4 � <br />SI FS <br />C BUSME55 LICENSE N0. <br />MECHANICAL <br />N0. TYPE OF FIXTURE OR ITEM _ FEE <br />' A/C — A/HNDLG UNITS — H.P. ' <br />FORCEDA�RSYSTEMS—B.T.U. M E.A. � <br />HEAT PUMP ' <br />UNIT HEATERS — B.T.U. M ' <br />CLOTHES DRYERS � <br />VENTILATION FAN ' <br />RANGEHOOD � <br />WATER HEATER ' <br />WOOD STOVE � <br />METAL FIREPLACE (WOOD BURNING) � <br />FIREPLACE INSERT (WOOD BURNING) ' <br />GAS FIREPLACE � <br />GAS RANCaE <br />GAS PIPING <br />EXHAUSTFAN ' <br />�IDE 5[TBPCN PV N CH[C rvUmu�:�� <br />7� � <br />vacnr+r sn e FEES <br />f7YE5 fl NO pUIIDING <br />SSE OI BLOGrtI. <br />PWMBING <br />BASEMENi MGCH4NICAL <br />f�YES fl NO <br />ADDIt10NAL PI.AN GHECK <br />orr+m <br />STATE OUR�ING SUP.GIIRRGE <br />CITY OF EVERETT ruoucwo�Ks <br />LOCALSALES <br />i TAX CODE IS 3105 TOTAL <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />F[E � RECEIPTNO. <br />