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APPLICATI�. N FOR CONSTRUC`� �ON PERMIZ'i <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />p DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS:i 932 Broadway Everett WA 98201 <br />Gver�tt Correnunity College 801 idetmore GvereCt WA 98201 _388-9513 <br />01NIER M�II e0d�E55 CI7Y S�� P11011C <br />M�IL <br />PI IONE <br />�RGNTEGiOR0E51GNF0 M�III�[10E55 GIIY 711' PIIDNE <br />Owner --- -- <br />GENF.O�I CONIfUL7IX1 M�II AOfNIE55 . GIIY l��' �'�i��+� 51�fE IILENSE • <br />Y[CN/�N�CI�ICONIPACIOP M�IlA00RE55 . f.ITY 21P MIONf. ST�IEI�CENSE• <br />PUIMBRIGGOIIIRef,l0f1 MqIADORE55 �— CIIY -"-- lll' -'--""'-'— 1`IIONF STAIEIILFNSE� <br />ca+Tp.acmceovwonK HEATINGSYSTEM: ❑GAS ❑ELECTRIC ❑ <br />OESCPoBE WOBB ANO SOU�NE fOOTAGE WVOIVED CEN11�Ct PCOSd! �NU 1'I�OME NO <br />� P1ark Stewart 388-9513 <br />v_�neei i� i o. raiMeen <br />CplSTR11GiIdI IO�N t ENPER, /dNM�E55. TElEP11d1E NUMBER <br />PLUYBIN� <br />NO. TYPE OF Ftl(TIIRE OR ITEIA <br />WATER CLOSET (TOILET) <br />BATHTUB <br />IAVATORY (WASH OASIN) <br />SHOWER <br />KITCIIEN SINK 8 �ISP <br />DISHWASHER <br />IAUNORYTRAY <br />CLOTHES WASHER <br />URINAL <br />I 1{EREBY CERTIFY THAT 1 NAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND OR�INANCES GOVERNING THIS TYPE OF <br />WOHK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES N0T PRESUME TO GIVE <br />AUTfiORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTIIER S fATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFOR6IANCE OF CONSTRUCTION. THAT I AM AUTHORRED BY THE <br />OWNER OF TIiIS PROPERTY TO PERFORM THE WORK FOR WNICH <br />APPLICATION IS MADE AND I COMPLY WITii THE STATE <br />COIJTRACTORS LAW IB. 296200 WAC. <br />�C6�lC� � �1 � i t.�� 5/16/97 <br />x OIUE <br />SICN�TlIf1F. <br />C17Y 6115MFSS l ICCNSC N(1 <br />UECHANICAL � <br />FEE NO. rP� <br />�— A/C—NHNDL <br />� POHCEDAIR'. <br />T- HEAT PUMP <br />i UIJIT HEATERI <br />' CLOTHES DR` <br />� <br />—;--� RANGL HOOD <br />—`� WATER I IEATE <br />—�— WOODSTOVE <br />i METAL FIREPI <br />; FIREPLACE IN <br />'--� � GAS FIREPIAI <br />� GAS RANGE <br />—� GAS PIPING <br />� EXNAUSTFAD <br />-�— — <br />_.— <br />: <br />-- — <br />� SUB TOTAL - S I�� <br />PERMIT f � ! <br />— TOTAL FEE f I ' <br />FOR OFFICE USE ONLY: _ <br />iRbNTSETfl�CN Rk��5FT0�CK 9UESE7N�CM <br />IISE IONE 101 �ItE� V�C�NI SIIE <br />❑YES ❑ Nn <br />IIEIGIIT UMIIATIOH NN' Of DWEILiNG 512C Of BIUGR I <br />❑YEti ❑ M� <br />PI AH CIICCA NIIMOf Il <br />mm n�r�a <br />P1111A111NG <br />M[CII�NIf.�I <br />�IIDIIIONq 1'1 AN GIII GN <br />ObIF11 <br />SIAII 111111P�tIG 11111LIUIIIiI <br />— rinrisrrrnovmov CITYOFEVERETT �"'�'�":`Yo0"`• <br />LOCAL SALES - � - -�-- - " <br />����i TAX CODE IS 3105 TOTAL <br />FEE <br />SUBTOTAL I <br />PERMIT f <br />TOTALfEE f <br />fCf REf.EIPf NO <br />_ ; <br />� <br />..___.�-_ ��_�—;___ <br />� <br />__i-- <br />_"__-_._'-- --�_—_ i <br />_____-- _1 �� <br />. . ._. __-_____ .i�� <br />