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APPLICATIt,nl FOF� C�NSTRUC7 ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, Wq gB201 • 259-8810 <br />f7 DEMOLITION fl COMB!"IATION f�BUILDING <br />n MECHANICAL r� pLUM81NG fl SIGN <br />PROJECT ADDRESS <br />�93 ° �e�Gn�,' �vr�1 A� vi�ji,�.v�t' �iJ� �io <br />DWNER MRILAODRESS <br />�/ci /�n�.n��..-_ i.. _ . . _ CITY Z�P m�nuc <br />on <br />�� 01 <br />LOT �Z p:��7LOCK _' <br />NO. <br />3 za <br />I.D. NUN <br />DRINKING <br />SINK <br />• �• ai�. <br />A�0(7ESS. TELEPNONE NUA�BER <br />OF <br />8 <br />cm nr <br />cirv — zm <br />�8 , U� l <br />�� <br />�� ��' �s <br />CItY IIP <br />Y <br />HEATING SYSTEM: GiGAS f-1 ELECTRIC f-1 <br />CONTACi PEHSON ANO PI IONE NO. <br />� r�%!�S✓ `�+�1'% ��J� •GS� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW AEGULATING CONSTRUCTION OR TNE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY 10 PERFORM THE WORK FOR WHICH <br />APPIICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTO S lAW 18.27 RCW AND 296.200 WAC. <br />x �•� •55. <br />SIGNRT qE Ur1TE <br />\ <br />CITV BUSINE� : UCENSG NO. <br />OR ITEM FEE NO. TYPE OF EOUIPMENT <br />FEE <br />' A/C—NHNDLGUNITS—H.P. <br />� FORCED AIR SYSTEMS — B.T.U. M E.A. <br />� HEAT PUMP <br />' UNIT HEATERS — B.T.U. M <br />� CLO S ORYERS <br />SUB <br />FOR OFFICE USE ONLY: <br />FRONTSETAACK REAR SETBACK <br />USE20NE �pTqqE� <br />HEIGIITLIMITFTION NOOFpWEWNG <br />UNIfS <br />IUO <br />KiEn neo 0 <br />� <br />)NST <br />9� <br />JM <br />0 <br />f S <br />FEE 5 <br />RANGEHOO <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE � <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />E%HAUSTFAN <br />SIDESETBRCN PlANC11ECNNOMpER <br />VRCANi SI7E FEES <br />(IYES fl NO <br />OWLOING <br />512GOF9lD� TI. <br />PLUMAING <br />BASEMENT p�ECNANIC�L <br />fIVES �NO -- <br />AUD1710NnL PLAN CHf.CK <br />on��n <br />sTnre omioi�ir, suncimnc,e <br />CITY OF EVERETT vuonr.wonKs <br />LOCAL SALES <br />TAX CODE IS 3105 TOTAL <br />fEE <br />SUB TOTAL S <br />PERMIT $ <br />TOTALFEE $ <br />RECEIPT NU <br />7 <br />