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APPLICATI � <br />FOR GONSTRUCT�ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />fl DEMOLITION f 1 COMBINATION fl BUILDINO f 1 MECHANICAL i I PLUMBIN(3 f I SI(iN <br />PROJECT ADDRESS <br />�����''�-°��i.'�� <br />._....... .,,�����m��.nn . arr no _- +r�wNe <br />111A �-r�� �tix� 4z42 �1��1 u1a� n,_w.�F� 4��04- /�zLel k��2�a9_53 <br />MICIIITfGTORpE51GNER M�IIApDRE55 Cl/V )In PN F <br />��j",%L��i _ 'f . l n r1h / <br />PIUMBMft LONTR�f,70R M�IL 11f)ORESS CItY ZIP PIIONE SGIE UGENSE • <br />DESCRIBE YNi1N 1N0 WU�RE FOOT�GE <br />iea.� oescmrnox oF vaorenn <br />io� eiaK _ <br />CONSTRIICtION IO�N LENMP. �DOi1E55, TELEI'HONE NI/MBEP <br />P:UMISINO <br />NO. TYPE OF <br />WATER CLOSETi <br />8 DISP <br />LAUNDRY TRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKINO FOUNTAI <br />FLOOR DRAIN <br />BACKFLOW PREVEI <br />SINK ISEFVICE — B <br />FOR OFFICE USE ONLY: <br />fRONTSFTPAGN PF�IISFTP�C1t <br />USE lONE N �fl'�` <br />HEI611TUMIU110N NOO[ WEILIN <br />IIN115 <br />OC�CUU^�NCY 1q M 5�(�[5 OCCUP�NI LO�I <br />N I N %1 <br />FIPE�U�MREO� PF�SON <br />/✓ f <br />RPFSPRINNIFHRFOfI RF�zIXI <br />N� <br />_ <br />SUBTOTAL S <br />oat /0-7J- <br />SIDE SE7FeGk <br />HEATING SYSTEM: I� GAS f 1 ELECTRIC � <br />FOJIT�CT PFRSON �ND PIIONF. NO <br />I HEREBV CERTIFV THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE M:D CORPECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNIN6 THIS TVPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE ORANTINO OF A PERMIT DOES NOT PFIESUME TO OIVE <br />AUTHORITY TO VIOLATE OR CANCEI THE PROVISION OF ANV <br />OTHER STATE OR LOCAL lAW REGULATINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTV TO PERFOpM THE WONK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WIiH THE STATE <br />CONTRACTOP5 LAW 1827 RCW AND 296200 WAC. <br />z <br />SIAN�111RE p��[ <br />CITY BIISME55 LICENSi: NO <br />FEE NO. TYPEOFEOUIPMENT <br />A/C —AMNOLG 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 DRVERS <br />� <br />_y VENTILATION FAN _ <br />; HANGEHOOD <br />_� WATER HEATER <br />--:- <br />J_ WOOD STOVE <br />� METAL FIREPLACE IWOOD BURNINGI <br />I'� WC�NISIff <br />nre, i; No <br />S�ZE Of OIIX:RI <br />� ?i � J <br />I � YFS �JO <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS 3105 <br />GAS <br />fI�N <br />r�uunn+r, <br />kFC1��NIf.N <br />�pp1lpN�l PI �N C�IfCK <br />O111FR <br />sr�ic nunoiNr sunr,�unc� <br />runnc rmn.z <br />TOTAL <br />SUBiOTAL S � <br />PERMIT E � <br />TOTAL FEE S � <br />rFF nfC.FlrrNO <br />VALUATION FEE <br />� S� s 7 �T <br />J� <br />i:�'e <br />