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rjWH:CITY OF EUERETT BLDG r ' TO: 206389537E Mr` 13, 1996 10:54PM t1789 P.01 <br />APPLICATION FOR CONSTRUCtION PERMIT . <br />CITY OF EVERETT • BUILDING DIVISION <br />I. 3200 CEDAR STREET ° EVERETT, WA 98201 •259.8810 <br />(-IDEMOLITION O COMBINATION X BUILDING C7 MECHANICAL O PLUMBING O 51' <br />PROJE&'jIkWRESS:__�N(Ij 190" NG, Cte f-,volt"W�i o?,--:n <br />NIA; <br />ONINACTPgICECAWOTYI �- ;Tv� <br />HEATING SYSTEM. ' ❑GAS ELECTRIC O <br />UCAMIN K%N0I0UARE100TAOEINVOLMED <br />/ <br />ComucimnSOKANI)INOMI +� <br />j <br />f <br />`La2r(Jan L�VVILA - Ave,,(-P(,E, c <br />' <br />�' <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TFI'I°: <br />.f"T'✓ ' ` <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT AL. <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE IJ: <br />Ild' C0use �DSIminu�� <br />�,, r <br />I ` i {� <br />! 1411J - <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN d.; <br />NOT. THE GRANTING OF A PERMIT ODES NOT PRESUME TO 01'�I <br />EGAL OE9CMT10Nor AIIDVEATr (SIIOIMTBE:Dw OR ATTACH TYIO CONES) <br />rn BLOCK I$ <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF Alf' <br />lJ <br />OTHER STATE OR LOCAL LAW REGULATINO'CONSTRUCTION OR TO <br />1°• a (, t I w Ci <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY T14) <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WH!(:I <br />i <br />APPLICATION IS MADE AND I COMPLY WITH THE STA-•I <br />CO" <br />O " CTORS LAW 1827 R//CW AND 2982M WA1C. <br />.WILTAX ID,NWIEA <br />— OG(1 <br />7+6TNIx:1gN l6AN LENDER. NONE NUMBEN <br />tqDATE <br />CITY BUSINESS LICFNSE N0, i <br />i <br />'LUMBING ; <br />MECHANICAL .•i <br />NO. <br />TYPE OF RKTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOLHPMENT <br />FEE <br />WA ER CLOSET (TOILET) I A/C — NHNOLG UNITS <br />BATHtU9 ! <br />LAVATORY IWAS.4 SAS <br />Post•it• Fax Not 7671 DBu Iw°u�•� <br />' <br />' <br />Ntwm1ER <br />From <br />III EN SINK L DISP TO UAW <br />DIS ER fFag <br />LAUN R RAY onC A f Pnono IIES WER <br />URINAL B FraM ]DBURNING) <br />DRINKING FOUNTAI „•,,,..1. I.. BURNING) <br />F '' <br />FLOOh DRAIN <br />GAS FIREPLACE <br />BACK IOW PREVENTERS <br />GAS RANGE <br />_ <br />SINK (SERVICE — 8A(i• ETC.) <br />GAS PIPING <br />_ <br />' <br />EXHAUST FAN <br />i <br />I <br />I i <br />- <br />SUBTOTAL 9 <br />/%/ya$� SUBTOTAL S <br />ij <br />