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n <br />.� ... <br />APPLI�ATIG.,� FAR CONSTRUCY.JN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8910 <br />� <br />p DEMOLITION COMBiNATION ❑ BUILDING ❑ MECHANICAL O PLUMBING ❑ SIGN <br />PROJECT ADDRESS: Co�O% B�l���4Y &✓� <br />�na�rr..n /1..� no��., 4� �rf �'��c�C L ilic/Jc�� Oo�9nsl !l.Z�7_u/,✓:u <br />TEN�NT M�It M]MESS CIIY IIP 1`BONE <br />�,o,v�-ss��,,� D�r�[.��.�i�+ ����eEr� 2��o r �s� � 4aov <br />�qCPoTCCTORDE5IGNER M611ADOf1E55 LItY i�� tP110NE <br />I-}Q��—��n�'��srs� E�/L,2E/j __ 9S�ao�s 337-yGS�/NnRSC'z �y4D.i <br />aENEnu CONiRActdl u�Il�00nE55 ❑1v Pr rnovE Sint[ lIc[NSE � <br />MECNIWICAICONTRFGTOR M�IUDOPE55 f.1�Y I�P PIIOHE $TA1E UCENSE / <br />PLUYBINOCONTR�CfOR Mul�00RE55 Cltt Z�P PNOHE SiAIEL10ENSE� <br />canw�c ;vwce or wonR ��(/O ` p� <br />U <br />OESCRIBE VANI( AND SOUARE FOOY�bE l VdVED <br />� 7rn _ i 2nn d� .(%G i� ) � <br />LEd1L OESCNPiION OF GPOPEPtV 13NOWN BELOW ON �77AG11 TWO COPIE51 <br />�oT 2 a��� � <br />S P. 23-�7 .� <br />�dt.� ��— <br />KVIGEL TA%I.D. NUAIBER <br />C�/O-N�{S�TRU:TON IO�N IENOF.R. �DDRESS. TELEPNONE NUMBER <br />L=��B., 7K 5/�/-05'ii7' <br />TYPE 7F FlXTURE OR �TEM FEE <br />WATER C,LOSET (TOILET� <br />BATHTUB <br />IAVATORY (WASH BASIn) <br />SHOWER <br />KITCNEN SINK 8 DISP <br />DISHWASHER <br />UUNORY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK (SERVICE — BAR, ETC.) • <br />SUB TOTAL 5 <br />PERMIT S <br />TOTALFEE S� ' <br />FOR OFFICE USE ONLY: <br />FRONTSETBI�LN REAriSFiBAGN SIOESFiB�CR � <br />l�rJ � � � � <br />USE20NE ' � IOTAPEA ��CANTSItE <br />� ❑YES ❑!7 <br />NE16NT L�IMITQATION/ <br />(i�l <br />OCCUPANCT Iq d 5 <br />�j r n <br />L <br />FIflE PRINKLER REO'D <br />FIfiE FlARM NF.O'G <br />T1'PE Oi' fONST <br />NO O:OWEIUNG <br />UNIIS <br />f)�1E <br />MENI <br />❑YES N7 <br />HEATING SYSTEM: �GAS C7 ELECTRIC ❑ <br />f.ON1�CTPCRSUNN10P110hEN0 _ �w�. , <br />I HEREBY CERTIFY THAT 1 HAVE READ AND F%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND URDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HF.REIN OR <br />NOT. TH� 6RANTIN6 OF A PERMIT DOES NOT PflEiUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATIN6 CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPEHri TO PERFORM THE WORK FOR WHICH <br />APPUCATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRAC ORS LAW 827 RCW AND 296200 WAC. <br />x � �-� <br />SIGN�T E D�TE <br />LITY �U51NE55 LICENSE NO <br />EOUIPMENT <br />A/C —A/HNDLG UNRS <br />FOFCED AIR SYSTEMS <br />UNIT HEATERS <br />CLOTHES DRYERS <br />MNGE HOOD <br />MEfAL FIREPLACE � <br />FIRFPI Ar.F �NSERT <br />GAS FIREPLACE <br />GAS RANGE <br />� SUBTOTAL S — <br />PERMIT S <br />TOTALFEE E <br />�/�. �(�' <br />PlAHC11ECN NUMACO fEF � �Ef.FlPi NO <br />� ��.� � �/;�n�� <br />ounnn+r. <br />f I riuranu+c <br />MFCN�NIL�L <br />AD�IIIONAL PI�N �IIf.LN <br />0111Ef1 <br />SiAIE OUIl0�N6 SII�CI��OGE <br />CITYOFEVERETT ruxiir,wonKs <br />LOCALSALES <br />TAX CODE IS 3105 TOral <br />05 <br />Oc� <br />/ <br />