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APPLICATION FOR CONSTRUCT�ON PERMIT/ <br />CITY O� EVERETT • BUILDING DIVISION yc����� <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 � <br />fl DEMOLITION ; l COMBINATION f� BUILDING �� MECHANICAL ' PLUMBING `� SIGN <br />cirv zir r�+oaE <br />KrrrHunt� i7Jiu,�nrns 3��4 Novr AvE. EVEwe�t.wn, �18?�� �i-3i�8 <br />TENqryT ( M41�AODRF55 f.liY lIP PIIONE <br />WaM�s Cua�e 3�Di4 NoVT A�E tV��r NJn, a82a1 2hq •3i48 <br />ARCNrtF.GTOR0E51GhER MPIIAppRE55 CI1Y � ]i� �HOM1f <br />GEN[f1ALCONTRpCTOfi MAIIAD�R[55 [IfY jIP PIIUI�[ $IN[IIC[NSE� <br />(3�WZV IJECnI C.Q, f.0.f�x 526�1 Lv��nlu(r.nn uln �1R(rbi, ti�i.. Raz�� d�„�,,�,.,.�,�„�.. <br />�TATF. UCFNSE � <br />PLUMBINGCONTRAC70R M/IL�ODRE55 CILV ZIP PHONE STAIELICENSE� <br />�ot <br />e <br />! OF WOnN <br />I�: <br />ANp SOl1ARE FOOTAGE INVOLVEO <br />OF PqOPERiY �SHOWN 9ELOW OR <br />_ BLOCK OF <br />ll� 11�1�'G/�J' <br />TA% ID. NU1.IBER <br />Iht <br />CONSTRUCT10Ni0ANlENDER.FODHE55,iElEPNONE NIIMBEF <br />PLUMBING <br />N0. TYPE OF FIXTURE <br />WATER CLOSET(TOILET) <br />LAVATORY(WASI <br />SHOWER <br />KITCHEN SINK 8 <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />— AAR, <br />FEE <br />SUB TOTAL S <br />PERMIT $ <br />� TOTALFEE S <br />FOR OFFICE �J�E UNLY: <br />FRONTSETP4CN RERR SfTBACN SIpE SCTB�CN <br />/�1�� ;;IA N/,:� <br />USEZONE � nREA VnCnNISttE <br />—� ./L, 3 � ��YES �, <br />HEIGIETUMItATION NOOPDWELLING SIIEOf9tp(i?I � <br />// � � i UNifg <br />�IRF SFRINeI FR RFO➢ <br />DA1E <br />,.'M <br />111E5 II NO <br />HEATING SYSTEM: f 1 GAS � 1 ELECTRIC f I <br />CONTACi PFfi$ON A p PIIONE NO <br />�,��1 1Pm�.M '1�i�,883� <br />I HEREBY CERTIfY THAT I HAVE READ ANO EXAMINED THIS <br />APNLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PFOVISIONS OF �AWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WOR�( WILL BE COMPLIED WITH WHETriER SPECIFIEO HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESl1ME TO GIVE <br />AU7HURITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TfiE <br />PERF05MANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPEflTY TO PEFFORM THE WORK FOR WHICH <br />APPIICATION IS MADE AND I COhIPLY WITH THE 3TATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />x �M�C. �i.w� ��11��1% <br />SIGNTTIIR � �� �iE <br />Y/ <br />Cliv BUSME55 UCENSC fJ0 <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT FEE <br />A/C — AMNDLG UNITS — 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 />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODS70VE <br />METAL FIREPLACE (WOOD BURNING) <br />FIREPLACE INSERT (WOOD BURNING) <br />GAS FIREPLACE <br />GAS RANGF <br />EKHAUST <br />SUB TOTAL 5 <br />PEFMIT 3 <br />TOTAL FEE 5 <br />rim+cue���.+orp/� I ve�� /^ / I nFr,nrr No <br />�/ cJ� S� <br />oun ��wr, <br />t'WMPING <br />MECIII.NICAI <br />AOUI IIONPI. PIAN G�FCK <br />OfHEP <br />STRIE OIIILDMG SIIRf.11nPGE <br />CITY OF EVERETT runur.vronKs <br />LOCALSALES <br />rax cooe is aios rorn� <br />