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I' ROJECT <br />�PPLICATI" FOR CONSTRUCT1q, N PiERMIT <br />i CITY OF EVERETT • BUILDING DIVISION �'OKiir� <br />3200 CEDAR STREET• A EVERETT, WA 98201 A 259.5810 <br />N 0 COMBINATION }`1 BUILDING MECHANICAL % PLUMBING YI le%� <br />Iq T �y0 t SE f✓c<tff /�1a2e u1.+�/..—✓�iC{f_�...._� .L�g�. <br />'R SDI f.IIT 71P PH(INL <br />0 00 yFl�ovJCi c _Q.I_. � A%cL_.NA G�8y75..... . <br />Ul anpRCS'f CITY /1P PHONE <br />Al a�19f'/7i,•1Nrkao�;s ,✓ <P4. - 338 `<a67 <br />Ali ADDRESS _•.•_CITv -A• •• -- '-- <br />nn vliDHe <br />MLADDRFS-•'~CIIY j.l. •— -- f•IIONf T $IAIE IIf.CH$r <br />Lifts OL � ?06� 0 _ _.... <br />AK ADDRESS fli'! .... jIP .. .... PNDNC $TaTF IILENy;. <br />u.�2s�1riC/J:',nleC Won6 nXANLA POUARE FOOYAOE INVOLVEO <br />. „jx.,Lgf /CM e. I Oi, fYI,, <br />rlOf) v/ e <br />'iia'o'seouscrxe�IL "-- <br />_ <br />L•GAL OESC011'TI(Y! PROPERTY ISNONN BCIAN <br />BLOCK 0r <br />I AIGEI TAlf1O_N1W CP 0 <br />I <br />110. <br />I <br />FOR <br />LENDER. <br />8 DISP <br />PREVENTERS <br />USE ONLY: _ <br />RCA" $F.TOAI:K <br />71f. _ RNONL' STATE IICENcc I <br />HEATING SYSTEM: ❑ GAS O ELECTRIC CJ .... . <br />---._—_ <br />•• <br />5., a<e�Wi(toA'• <br />CONTACT Pfn$ONANOPIIDNE NO <br />.l.�el,-_Wo!a�p�,�Cc�.__... DO.f?65-`786(p... <br />Akac <br />I IIERCITY CERTIFY THAT I HAVE READ AND EXAMINEII I <br />—•• •• •-••� <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORIII:S:' <br />PHOVI SIONS OF LAWS AND ORDINANCES GOVERNING THIS 1 YI',. <br />" <br />WORK WIII. DE COMPLIED WITIL WHETHER SPECIFIED fifth I' <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME 1{I <br />ORATIACHTWOCONES) <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OI <br />Ol HER STAI E OR LOCAL LAW REGULATING CONSTRUCT 1014 !X <br />.M_ <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED li• <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOrl V- <br />-�' <br />APPLICA11ON IS MADE AND I COMPLY WITH 'I'TIr <br />-" <br />CONTRACTORS LAW 16.27 RCW AND 296.200 WAC. <br />,y1^Y1` <br />IC NUMBER <br />SKNAlllllf OATC <br />CITY IIUSINESS I ICENSF NO. ..._ <br />-MECHANICAL... <br />'EM <br />FEE <br />NO. <br />TYPEOFFOUIPMENT <br />_ <br />A(C_NHNDLG UNITS <br />FORCED AIR SYSTEMS <br />-HFAT PUMP '.___.._�. <br />._.._... <br />—••- <br />_ _,• <br />.�.. <br />_ .... <br />- <br />•'• <br />-UNITHEATERS •— ^ •�_— <br />CLOTHES DRYERS <br />,_) <br />__ <br />RANOF. f100D <br />__ <br />_ <br />• WATER HEATER+ <br />�^ _ <br />WOODSTOVE <br />' <br />ME'IAI. FIREPLACE (WOOL) BURNING) <br />FIREPLACE INSERT (WOOD BURNING) <br />•, _ <br />_„• _,,. <br />•_ <br />GAS FIREPLACE _ <br />_. _• <br />GAS RANGE <br />GAS PIPING <br />� <br />_ <br />FXHAUST FAN <br />I <br />SUB TOTAL S I ' <br />SUB TOTAL S <br />PERMIT S <br />�— TOTAL FEE.1._.... <br />TOTAL FEE S <br />= .. <br />-- .... .�._. ..J_..... <br />/d57 ago <br />BACK I PIAN <br />USF ?ONE <br />LOT ARFA <br />VACANT SITIF <br />,•_—. .—rcw <br />I <br />OVFA I7 NO <br />NNu DPm <br />V P41ITLIUITAIIOPI <br />NO.Of OWEI•LINO S12E Or BLDOnI <br />UNITS <br />NUMBINn.—....---•-- <br />OCCUPANT LUAO BASEMENT <br />�NO. _— <br />MFI:IIAILCAI _ <br />pCCUPANCY <br />P <br />IA1 <br />tIONES <br />i•l(7-_._—_.' --. <br />..—...._.... __...— <br />ALKu110NA!. 1-1 AN CIIQCK •--- <br />I IIt ��P/RJNKIE11RQ0� <br />Rf ASON <br />es <br />F <br />RFA$OM <br />I IRE ALARMPCO'Di <br />l 5 T�• <br />',JAI[U111101NOsi!Oc11ARDE—•.� <br />I•!lNllr. Wulu$ <br />TYfL Of CON$I <br />PIAN$ PI DYED BY <br />CITY OF EVERETT <br />✓� <br />LOCAL SALES <br />�1 — S �1 <br />TAX CODE IS 5105 <br />TOTAL <br />oA,FXXX <br />