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APPLICATI�.�1 FOR CONSTRUC7.ON PERMIT/ <br />CITY OF EVERETT • BUILDING DIVISION CCMr�'� <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 � <br />I I DEMOLITION f 1 COMBINATION I i BUILDINO lu A ECHANICAL � I pLUM81Na f I SION <br />PROJECT ADDRESS <br />to� ( N. �-oo..claa�.�.l <br />��,.,.�� M,,,,N,�.�,� ,.��. .,. .m,,.� Srvtl-'dfc�-'d3(o/ <br />�11CNItf.CTOR0E516NER M�II./i00PE55 LITY TIP PNONF <br />OENERQCONTMCTdi M�ILR10f1E55 Cllv 71P PIIONf SUTELICENSEr <br />MECH�NICAI CONTMCTqI M�IL �IXM1E55 CITV lIP PRCNF SI�TF IICENSE • /� <br />v L �M �e M�I(�b BO Z �� _ <br />PL BINOCONTR�CTOP •L�DDRE55 CIIV 71P {'HONF ST�TF.IICENSE� <br />WORk �N� SOWRE FOOT�QE INVOLVEO <br />7VY0 COPIES� <br />LOi BIOCk <br />CONS�RUCTONLO�NLENOER.�DDRESS.TEIEPNONE NUMPER <br />PLUMlIN4 <br />NO. TVPE OI <br />WATER CLOSET <br />BATHTUB <br />CLOTHES WASHER <br />URINAL <br />ORINKINO FOUN?AIN <br />FLOOR DRAIN <br />BAChFLOW PREVENTERS <br />SINK ISERVICE — BAR, ETC <br />FEE <br />SUB TOTAL S <br />PERMIT S <br />�— TOTAL FEE S � <br />FOR OFFICE USE ONLY: <br />FRONTSFTP�CR PF�tISFiPACK SIOESETB�Ck <br />USE ZONE lOT �NE� V�C�Ni 51iE <br />fIVFS Il NO <br />HEIONT UMIT�TION NO OF DWELLINO SIZE Of AIUG�I <br />UNIIS <br />B�cE4ENf <br />IlvES �1 NO <br />HEATINO SYSTEM: I I OAS �l ELECTRIC f� <br />f.04T�Ci PFRSON � D PI NF NO—,� <br />� l.iiieifse — �L,/-957 <br />I HEREBV CEHTIFV THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAMF TO BE TRUE AND CORRECT. AlL <br />PROVISIONS OF LAWS AND ORDINANCES OOVERNINO THIS TYPE OF <br />WOf1K WILL BE COMPLIED WITH WHETHEq SPECIFIED HEREIN OH <br />NOT. THE ORANTIN6 OF A PERMIT DOES NUT PHESUME TO OIVE <br />AUTHORITV TO VIOLATE OR CANCEI THE PROVISION Of ANY <br />OTHER S7ATE OR LOCAL LAW REOULATINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACT LAW 1 27 CW AND 298200 WAC. <br />x 9a <br />SIONQII �iE <br />CITV PIISINESS IICF.HSE NO <br />MECHIINICAL <br />NO. TYPE OF FD(TURE OR ITEM FEE <br />T <br />AIC —lVFiNDLO UNITS — H.P. ! <br />FORCED AIR SVSTEMS — B.T.U. M E.A. i <br />HEAT PUMP � <br />UNIT HEATERS — B.T.U. M ; <br />FAN <br />METAL FI <br />OAS FIFEPLAC <br />OASRANOE <br />OAS PIPINO <br />EXHAUSTFAN <br />PERMIT <br />?OTAL FEE <br />`i �(7�{. <br />PUNCIIFCNNUNNffI �EE AECEIPTNO <br />auunwo <br />PI UMOiNG <br />MFQI�NIC�L <br />�pp90N�L M�N CIIECN <br />OTNER <br />STQE BUIIDIN(i SURCNRI(lE <br />vuNserrnoveoer CRYOFEVERE7T rueur.wonKs <br />LOCALSALES <br />,,..� TAX COUE IS 3105 TOTAL <br />