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APPLICATIO.� FOR CONSTRUCT.Jh PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />DEMOUTION I l COMBINATION f I BUILDING 1 1 MECHANICAL f 1 PLUM6ING f� SIGN <br />PROJECTADDRESS SzzO �'�euer�.� �UcI �L( � �U� /X,�D� I <br />��+ n Mnnao�nn� sss cirr zu� r��a�e <br />�-�„nnol� IQlKL �n.� \.• G..s�..f� Gi/7n'� �Cr /2// <br />cirv rir r��or+F <br />l.11� !II' 1'IIUryt <br />l.11\ <br />��w.��n��n�wrvn�nu�m m�itnwrmas qlY 71P PIIONE SU(ELICENSE/ <br />PWM9INGCONTRRCiOR MAILADDRE55 CILV 21P P110NE STA7ELICENSE� <br />OF WORN <br />OESCRIBE WOPK r1ND SWARE FOOT�GE INVOLVED <br />PROPOSED 115E OF BUI1011:0 <br />LOT � BLOCN J OP `� �-� G <br />J/"I �� -/'� <br />Y� �t� � <br />PARCELTA%I.U.N�IM9ER <br />_'r�%3g no; oi� ooa <br />GONSTRUCTONLO�NLEN�ER.�DORESS.TEI.EPNONENUMBER <br />PLUMBtNO <br />NO. TYPE OF FU(TURE OR ITEM FEE <br />LAVATORY <br />SfiOWER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK (SERVICE — BAR. ET <br />FOR OFFICE USE ONLY: <br />FRONT SETB�CK PEAq SETBACN <br />USEZONE <br />HEIGNT LIMITATION <br />fIRE AURM REO'D <br />SUB TOTAL 3 <br />PERMIT $ <br />TOTAL FEE S <br />SIDE SETBACN <br />HEATING SYSTEM: f l GAS fl ELECTRIC fl <br />CONT�CT PF.PSON AN� PIIONE NO <br />1 fiEREBY CERTIFV THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO B[ TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE OF <br />WORK 6YILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION C`F ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTIO�I U i THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR N'HICH <br />APFL�CATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACT RS LAW 27 RCW A 296200 WAC/ <br />% <br />X �� t,vlt�t.L fi °�l'1� <br />SIGNR7URE O�TE <br />CITv BUSINE55 UCENSE N0. <br />MECNANICAL <br />NO. TYPE OF FI%TURE OR ITEM FEE <br />NC — A/HNDLG 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 DRYEFS i <br />WATER HEATL'R <br />WOODSTOV= <br />METAL FIREPLACE <br />OAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />PERMIT S <br />TOTALFEE $ <br />PUN CMECK NUMOC(i I F[E I RECEIPT N0. <br />LOIAPEA WCANTSI7E YtGS <br />fl VES �l NO pUILOING <br />NO.OFUWELLINO SIZEOFOLDGRI <br />UNITS PlUM01NG <br />OCCUP�NT IUAD BASEMENI M[GII�NICr1l <br />fIYES Il NO <br />eEA50N ADOITIONpL PUN CIIE�K <br />OTIIER <br />REASON <br />STRIE B111L0ING Sl11iCNARGE <br />PUNSAPPfiOVEDBY CITY OF EVERETT ��BUC WOI1N5 <br />LOCAL SALES <br />,,..� TAX CODE IS 3105 TOTAL <br />� <br />