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APPLICATI�..�1 FOR CONSTRIJC7.ON PERMIT <br />��� CITY OF EVERETT • BUILDING DIVI510N <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />(7 DEMOLITION fl COMBINATION I'l BUILDINO MECHANICAL f-I PLUMBIN(i fl SIGt <br />PROJECT ADDRESS J�L `/ jC'%�j�fZ i�dE - <br />rriuw uui�ooREss CITY 21P PHONE <br />cirv <br />9sza� z�-9�sz <br />PIIONE <br />MCMTECT011DESNiNER MNLII0DRE55 CITY ZIP PMONE . <br />fiENEMLCON7A�CTOR MUL�DDRE55 CITY ZIP PMONE ST�TEUCENSE� <br />MECNNNCALCONTRACiOR M�IL�DORESS CITY ZIP PIIONE ST�TELICENSE� <br />p��� ��q�7pp MMt �ODRESS CITY 21P PHONE STATE LICENSE • <br />pE9CW/��E yYq^ry( ANp $p/UM/E FOOT�OE INV <br />Ta I L�iiii/h!' %i�/% � <br />�iPiUfIL'� ?l .?- 7 <br />. Ji. <br />NA'1 (�/i5. Ydr?nJACE <br />vaoroseo use oF eui�r+o <br />�� <br />LEfi1�l OESCPoPf10N OF PROPERn' (SHOYYN <br />iot e�ocu <br />CONST/M1C110N LOAN <br />WATER <br />R. �DW1E58. TEIEPNONE NUNlER <br />OF Fl%TUNE OR ITEM <br />ET (TOILEn <br />i�SH BASIN) <br />< 6 DISP <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />SUB TO' <br />VERMIT <br />FOR OFFICE USE ONLY: <br />FNONi5E1BAC1( REMSET&1CK <br />USEZONE <br />NEKiHT LIMI7�TION I NO OF UWEWN6 <br />UNITS <br />'EE S I ' <br />SIOE SETB�L1c <br />VACIWT SITE <br />f1YES fl NO <br />SIZE OF BLOC>?.1 <br />BASEMENT <br />f1YE5 fl NO <br />HEATIN(i SYSTEM: ,E�CiAS Cl ELECTRIC fl <br />conr�cT venwa uro r ra. <br />/1/l /G/1�� G�—�'YZ' S��� <br />i HEREBY CERTIFV THAT I HAVE READ AND E%AMINEO THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF IAWS AND ORDINANCES GOVERNINC THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTINO OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL UW RE6UUTING CONSTFUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. TH �T I AM AUTHOFiIZED BV THE <br />OWNER OF THIS PROPERTV TO PERF�,�M THE WORK fOR WHICH <br />ApPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CANTRACTORS UW 1827 RCW AND 296200 WAC. <br />� /-� .����--- /-/7-91 <br />��n� D�TE <br />GTY BUS�NESS LICENSE NO. <br />N0. 7YPE oF FAu�PME <br />A/C—NHNDLO UNfTS—H.I <br />FORCED AIR SYSTEMS — B: <br />HEAT PUMP <br />UNITHEATERS—B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE (WOOD E <br />FIREPLACE INSERT (WOOD <br />pAS FIREPLACE <br />OAS RANGE <br />TOTAL <br />PlANC11ECNNUMBEP � FEE � NECEIPTNO. <br />BUIt01NG <br />PLUMB�NO <br />MECN�N�CAL <br />�ODIiIONAL PLAN CMECK <br />OTHER <br />STATE BUIIDING SURCM�RGE <br />CITY OF EVERE7'f vueucwoa�s <br />LOCAL SALES <br />TAl( CODE IS 3105 TOTAL <br />