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APPLICATIVeN FUR CONSTRUG7 rON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREFT ^ EVERETT, WA 98201 • 259-8810 <br />rl DEMOLITION �1 COMBINATION rl BUILDING f-1 MECHANICAL i� PLUMBING f l SIGN <br />PROJECT ADDRESS '- ,, � � / i ' ! . ' ' <br />,; i_ , � <br />, ; • �+-�,- '' , � <br />OW/NER MNlA0D�E5S CITV l 2i� PIIONE _ . <br />1 •/r . i <br />1/ r s . . �� r �� f-- -� r' :� � ,j � r � T+" ?�� <br />TENA`A ` / �MAILADDP[55 f.IIY 7�P i'110NE <br />ARC)a?Ef.TORDE5�G4ER lAM1ADD�E55 ���� "� <br />/( i .:-(.,cy7C_ l � �r'::—rt.l I ,� : 1 — .... �����,� s�nieucetisF. <br />N�� <br />ONT ACT PPICE OP WORN �(}J� <br />ESCRIBE WO�R{I� �ND�yS-OU�AE FOOiAGE INV� � <br />( l_ �� (.l� � ( % �}. i � , i ry <br />/ O � <br />T' � 'I <br />�� <br />�noPoseo us F BI11L�iya �i� <br />\( <br />cr.0 nc. . i t10N OF PROCERtt (SMOWN BELOW OR RTT�GH <br />LOT BIOCI( <br />-`��IJ`'I OOLG c�/ / (i� <br />CONSTFUCTIOH LOAN IEN�EH. ADOf1E55, TEIEPMONE NUMBEII <br />. �'1 . i �i I ! � . _ <br />HEATING SYSTEM: I�GAS I 1 ELECTRIC I l <br />CONTACT �Ft�>N AND 1'HONF NO <br />I HEfiEBY CERTIFV THAT I 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 TVPE OF <br />WORK WILL 8� COMPL�ED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHOHITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTNORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM iHE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTFACTORS LAW 1827 RCW A 0296200 WAC. <br />sic .rug � � n,e v , J ' % �- <br />f,ITY BUSINF55 LICBNSC NO <br />OF FIIfTURE OR ITEM FEE NO. TYPE OF EDUIPmEni <br />ET�TOILET) � A/C—NHNDLGUNRS—H.P. <br />� FORCEDAIPSVSTEMS—B.T.U. <br />ASH BASIN) � HEAT PUMP <br />� I UNIT HEATERS — B.T.U. M <br />SINK f <br />HER <br />TRAV <br />URINAL <br />DRINKINCi <br />S <br />5 <br />S <br />WATER HEATER <br />WOOD STOVF <br />METALFIREPLACEI <br />FIREPLACE INSEPT <br />GAS PIREPLAGE <br />GASRANGE <br />GAS PIPING <br />EXHAUSTFAN <br />FOR OFFICE USE ONLY: — <br />REA�SFiPRCK � SIDESE�C' Pl�NC11ECKNUAy'j�` <br />fRONTSFTPA� I X <br />7 CJ <br />ioi ��E� (� �J WC�NI SIiF FEES _ <br />USBZONFC '� � � Z �� /I(J IIVES �1u <br />awin�H , <br />IIEIG1rtlIMIIR10�� / �IN�t����ING SIZEOfIAI�('./r� pU140iN6 _ <br />C �J <br />OCCUP�NCY NO 0� S���iFS OLCUPRNL LO�O BASF.MENI /' M[C��ANlf.nl <br />OROU� � 2 II\ES /� N� <br />pOD1110N41 PIANGMf.CN <br />FIRE �PMRW� �F�SpN _ --� <br />�ES C,Ir; e;�o�n�nN(F o���« _ <br />rim�.srnir+eiFnnean nFn��N s.mm�un�n+r.sunr,�mnce <br />�0 <br />rr�eorr.ovsi vinHsnrr cvFnnr CITYOFEVERETT runnr.wonKs <br />LOCALSALES f-- —""— <br />v'� ua�E � 1� 1-�1 (, TAX CODE IS 3105 � TOTAL __ <br />SUBTOTAL $ <br />PERMIT S <br />TOTALFEE S <br />�Fv7 I r,ecr�rr no <br />(�D <br />G`1�.1J <br />