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- <br />APPLlCATI_ N FOR CONSTRUC ION PERMIT <br />CITY OF EVERETi • BUILDING DIVIuION � <br />3200 CEDAR STREET • EVERETT, Wq 98201 • 259-BB10 <br />� DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ AAECHANICAL ❑ PLUMBING O SIGN <br />PROJECT ADDRESSy. 920 Broadway Everett, SdA 98201 <br />R...,.-.. t f r,.........-- `-- .. . , , - - <br />f.IIY' T�P PI�ONE <br />AqpMT[GTOqDE51GNFR MNI AIIpqE55 -�- <br />[I7Y ]II� PUONF <br />�wner. <br />GENEIUL CONIO�CI0f1 MAiI AUIIDE55 �i�y ---- �----� --__ <br />lil� 191(1ltl� SIQEIICGNSE• <br />MECIIANICIILLONIpALlOf1 M/JLADDRE55 ��n. — <br />711� ������� STA1E IICENSE • <br />PIUAIBWCCONIR�CTOli MqI�DDfiE55 CIIY "--"---"' <br />I��� ���A��t SIA7ElICENSE� <br />UESCRIBE NVRN ANU SOIIARE fOOT�GE W VOlVEO <br />/Y� � <br />rnoaoseo�u�s�e or eun dexi <br />—3" / _L� <br />IEG�I OESLRIPTION Oi' PPOPEfl7Y ($IIOWH B[LOW Oq ATi�CI� <br />l01 BIOCN O! <br />3854 180 024 <br />PMCEL 7AM I D. MIMBER <br />CONSiPIICTIdI IO�N lCNOER, Gq1pE55, TEI ERIONE NUYBER <br />NEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />CONT�LT PCR5011 �Np PIIONE NO <br />Pfark Stewart 388-9513 <br />1 I1EPE�Y CERTIFY TIiAT I HAVE READ ANO E7(AMINEO THIS <br />APPUCATION RND KNOW THE SAME TO BE TRUE ANO CORRECT AlL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNINC THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHEiHER SPECIFIED HEREIN OR <br />TWOCOPIES� NOT. THE GRANTIIJG OF A PERMIT DOES NOT PRESUAIE TO GIVE <br />AUTIIORITY TO VIOUTE OR CANCEL THE PROVISION OF ANY <br />bTI�IER S�ATE OR LOCAL LAW REGULATWP CONSTRUCTION OR TNE <br />PEFlFORAIANCE• OF CONSTRUCTION. THAT I AM AU7HOHIZED BV THE <br />OWNER OF THIS PROPEHTY TO PERFORM THE WORK FOR WNICH <br />QQQ3 APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORSLAW IB. 296200 WAC. � <br />x—LL'C�? � � � .i ���c 5/16/97 <br />SICNATIIpE D�IE <br />LIIV BUSINESS IILCNSC NO <br />PLUYBIN6 � "------..- <br />TYPE OF FII(TURE OR <br />WATER CLOSET (TOILET) <br />BATHTUB <br />IAVATORY�WASH DASIN) <br />SHOWER <br />KIiCI1EN SINK 8 DISP <br />DISIiWASHER <br />UUNORY TRAY <br />CLOTNES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL S <br />PERMIT f <br />1DTAL FEE f <br />FOR OFFICE USE ONLY: <br />iRONT SETflACN RE�fi S <br />115E iONE <br />ut�mir uurtenoN <br />GC�C1U��NCY NO (N 5 <br />FIIIE SPRINKI EN flBU'D <br />IO7�NE� <br />NO Of OWEIIING <br />UNIIS <br />n� <br />IYPE Of CONS� PI Aq5 MI <br />_ _ ____ IIP❑ .._ <br />SIDE SETB�CN <br />WC�NI SIIE <br />❑v¢s ❑ Nn <br />SItE Of BLOGII I <br />❑YES QNO <br />""` IC�TY OF EVERE7T <br />LOCAL SALES <br />TAx CODE IS 3105 <br />NO. I TYPE OF <br />FORCED AIR SYSTEMS <br />I1EAT PUMP <br />UfJIT HEATERS <br />lIEATER <br />M6TAL FIREPLACE i <br />FIREPLACEINSERT <br />GAS FIREPLAC[ <br />GASRANGE <br />PI�NCIICCM NIIIApffl <br />/�� <br />_ _ FEES <br />nun rne� . <br />1'l I1MUiNli <br />�AECII�HIC�1 — —_— - <br />Al1UIIlO11AI 1`I AI� (:111 f.N <br />fCP <br />SUfIIOTAL S <br />PERMIT S <br />TOTALFEE t <br />OIIIF❑ <br />SUIIUunu�uasUnciienr,l_____. __.___"_ <br />'____..."'__'___—__ _'__'__ .___"__'"_ <br />I I IHI II: 14011�5 <br />T07AL �� . . . ... � � � � <br />NEf.E1P1 NO <br />