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APPLICATION FOR CONSTRUCT.JN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />f 1 DEMOUTION f 1 COMBINATION i i BUILDING I+?'I�ECHANICAL i I PLUMBING f l 31(iN <br />PROJECT ADDRESS <br />O� I�. ,�rYi�uJOM <br />M�q. <br />71P <br />J' <br />n <br />� ; "� "� / — <br />OENERIILCONTR�Ci011 MML�IXIOESS CIIY }IP PIIONf. $TREUCENSEr <br />wt <br />� <br />WORK�NOSOU�RE <br />AWRE55 <br />BLOCR pf <br />CONSTRULTON LO�N lEN0E11,11UOf1E53. TEIEPNONE NUMBEP <br />PLUMMINp <br />NO. TYPE OF FII(TURE OR ITEM <br />WATER CIOSET (TOILE7) <br />BATHiUB <br />IAVATORV(WASH BASIN) <br />6HOWER <br />KITCHEN SINK 6 DISP <br />DISHWASNER <br />LAUNDRV TRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKINO FOUNTAIN <br />FLOOR ORAIN <br />BACKfLOW PREVENTERS <br />SINK fSEHVICE — BAR. FTC � <br />SUB TOTAL S <br />PERMIT S <br />TOTALfEE E <br />FOR OFFICE USE ONLY: <br />F(IONTSETfl�CK R[�RSFTdACN <br />USE ZONE <br />NEIONT LIMIT�TION <br />�f1EA <br />NO Of OWElLINO <br />UNITS <br />o�TE <br />SIfIE SETB�CN <br />71C PIIONE a �IF I ICENSE � <br />HEATING SYaTEM: I I GAS IM�CTRIC fl <br />WNiACIPl1150N�NpP110NFN0 , � � ��, /� <br />I HEREBV CEHTIFV THAT I HAVE READ AND EXAMINEO THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES OOVERNINO THIS TVPE OF <br />WORK WILL BE COMPLIED WITH WHETHEF SPECIFIED HEREIN OR <br />NOT. THE C7RANTINO JF A PERMIT DOES NOT PRESUME TO OIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REOULATINO CONSTRUCTION OH THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MAD AN I COMPLV WITH THE STATE <br />CON�OR W 18.2 CW AND 286200 WAC. <br />l"lG'y� <br />SION�TUR O�LE <br />CITY BUSINF55 LICENSE NO <br />FEE NO. TVPE OF PpRURE OR ITEM <br />� A/C — AMNDLG UNITS — H.P. <br />� FORCED AIR SYSTEMS — B.T.U. ! <br />NEAT PUMP <br />' UNIT HEATERS — B.T.U. M <br />i CLOTHES DRVERS <br />� <br />� VENTILATION FAN <br />; RAN6EHOOD <br />wc�Nt sirF <br />f1YE5 �l NO <br />SIIE O! BLDbRI <br />f7VE5 fl NO <br />CITY OF EVERETT <br />LOCAL SALES <br />TAIf CODE IS 3105 <br />OAS RANOE <br />OAS PIPING <br />E%HAUST FAN <br />PUN CIIECIc NUMOEf1 <br />U/� 7/n� <br />AUI/�INfi <br />1`111MPMli <br />M[CII�NIC�L <br />�DDIt10N�L o�AN CNECK <br />0711EA <br />Si�TE BUILDINp SOIICIUf16E <br />runi ic wonKs <br />TOTAL <br />iUB TOTAL E I / 5 :� <br />f[E I PECEIPTNO <br />