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APPLICATION FOR GONSTRUCT�ON PERMIT/ <br />CITY OF EVERETT • BUILDING OIVISION L�C���� <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259•8910 � ���r� <br />fl DEMOUTION f! COMBINATIQN f 1 BUILDIN(i I 1 MECHANICAL �� PLUM@ING f I SIGN <br />PROJECT ADDRESS <br />/302 S�. ��RE7T /y1A-c� GUA�`f <br />oWNE M111UOOnF55,�y� �ITV �y z�r r11oN[ <br />� � 1 ���/Z ////�i)�iM , �0)✓ l/.l�.l�mn�n , «�/;i1� �/li'• 7J7l� <br />M�II <br />�n ♦ <br />CFN[R�L CONif1ACTOq MMI FppRC55 ❑IV )iP M�ONf Gt�If IICENSF. � <br />MECIIANIf.qCONTR�f.LOR � �+M�II�DORF.55 i <br />m��e�cPLl��%%�Z/�p •n7S�5 Z� /�'�/1°� SO. <br />coNrmcr rnice or wonK <br />/1� � <br />Ca�nrEcT W�45 iE � A�R oN /YI�RII,.E <br />DESCRIBF. M/OPN �NO SOU�NE FOOT�OE INVOLVED �FF <br />ISNOYM BEIOW Ofi �Ti�GH TWO COPIES� <br />LOT PLOCM <br />CONSTIIIICTION 1 O�N 1 ENDER. �IXME55. TELEiM10NE MIMBER <br />PLUMOINO <br />NO. TYPE OF FlKTURE OR I�EM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />/ LAVATORY (WASH BASINI <br />URINAL <br />DRINKINQ FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTE4S <br />SINK ISERVICE — BAR. ET <br />SUB TOTAI <br />PERMIT <br />TOTALFEE <br />E <br />S <br />FOR OFFICE USE ONLV: <br />fRONiSFTP�f.K RG05FTp�CN SIDESETB�f.N <br />USE ZONE <br />IIE16111 UMIT�TION <br />OGGOP�NCY NO M 5� <br />onam <br />FIRE Q�PM RFOD <br />rmF srniN�i r n nFo n <br />•NFl1 <br />NO Oi DWfILINb <br />IlNiiti <br />ni nqs nrrnovFn nr <br />FEE <br />STATF I ICPNSF • <br />HEATING SYSTEM: f i C3AS f 1 ELECTRIC f l <br />coNucr rrnsoN �No r��oNe rro <br />I HEREBY CERTIFV iHAT 1 HAVE: tiEAD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDIYANCES GOVERNINu THIS TVPE OF <br />WORK WILL BE COMPLIED WITH Wf1ETHER SPECIFIED HERCIN OR <br />NOT. THE ORANTINO OF A PERMIT DOES NOT PRESUME TO 61VE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANV <br />OTHER STATE OR LOCAL LAW RE6UI.ATINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUf:TION. THAT I AM AUTHOR12ED BY THE <br />OWNER OF THIS PROPERTV TO PEHFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 286.200 WAC. <br />x��QQ.�,�a,./�f�x c o, l Z-13-45 <br />SION�iURE � p�iE <br />CITY BUSMF.55 LICENSC NO <br />MECHI1NiCAL <br />NO. TYPE OF EOUIPMENT FEE <br />FOHCEDAIRSVSTEMS—B.T.U. M E.A. <br />GAS FIREPLACE <br />GASRANGE <br />OAS PIPIN6 <br />EXHAUSTFAN <br />SUB TOiAL E <br />PERMIT E <br />TOTAL FEE E <br />rinHci�ccKNuunrn � r[r I nrcrirTNo <br />V�C�Nt SIfF FEES <br />IIVES �'� NO pUI1DING <br />SIZE O� PIIXiR I <br />PI OMOiNC <br />P�SEMF.Nf MFPI�NIf.�I <br />IIVES �� NO —' <br />�f)[11I104�1 PI�NC11ff,N <br />on�rn <br />vniF nun o��+r, sunounr,c <br />CITY OF EVERETT �`iinncwnn.s <br />LOCAL SALES — — <br />TAX CODE IS 3105 rorAL <br />