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APPLICATIQ"f FOR CONSTRUCT"�N PERMIT �,�}� <br />( G(� CITY OF EVERETT • BUILDING DIVISION �� <br />�'.LQ�i 3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 �J—"" <br />❑ DEMOLJTION p COM8INATION BUILDING O MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECTADpRESS:_ %�21 F �nh 356�-7767 <br />_ _ . . �.,.��c � <br />iEN�Mi IWI��ORE55 GTY ^ 21P P110NE . <br />_ _ _ " ' lrc7�1 � f 2+ <br />ANp 5q1APE FOOIAGE <br />ioi <br />'�. CONS71111C710NLWN <br />LYV1l��r <br />�� <br />PLUMBINO <br />NO. <br />'�t WATER <br />/ <br />,�•ri�� <br />vnovean.s�c+wnee�owan�n�cN��vo� s� � <br />7� <br />etoac oF <br />R <br />.ENOEP. �DOI�ESS. TELEPMONE NNABER <br />-� A'17�. '7�s-9iGF, <br />.� 6 t� S-r. S• w. �+�wr+ r� T <br />�IfPE OF FlXTUAE OFI ITEM FEE <br />LAVATORY(WASH Bn. <br />SHOWER <br />KITCHEN SINK 6 DISP <br />DISHWASHER <br />LAUNDFYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DFAIN <br />SUB TOTAL S <br />PERMIT S <br />TOTALFEE S <br />FOR OFFICE USE ONLY: <br />F11dITSEiBIIL'1� / REAR'SETB^ACN/ <br />C.� <br />USEIONE /� ^ � IOTAR DOQ <br />F` <br />IEIONTUM�TA�I �ITS �ELLINO <br />pLCUPANCY NO d Sf(MtlES OGCUPANf LOAD <br />- hl <br />SIOE <br />21P <br />HEA7ING SYSTEM: <br />f.ONT�CT f`EHSON ANO VMONE <br />GAS ❑ ELECTRIC ❑ <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF IAWS AND OROINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHEFl SPECIFIED HEREIN OR <br />NOT. THE 6RANTINO OF A PERMIT DOES NOT PRESUME TO OIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHEP. STATE OR LOCAL I.AW REGUTATIN6 CONSTRUCTION Oii 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 MADE AND I COMPLY WITH TME STATE <br />CONTRACTORS lAW 1827 RCW AND 298.200 WAC. <br />��"C-� )n.�/� �- ��� 7 <br />SICNATITIIE�— DATE <br />: GTY BUSINE55 LICENSE NO <br />FOPCED AIR <br />HEAT PUMP <br />UNIT HEATEI <br />INSERT <br />C� <br />PUNCIIECKNUWJFji_ � I�EF <br />VACANT SIIF <br />DYES ❑ � pUlllliNf. — <br />SIZE OF BLOO�f.I <br />ZSJ S3 SF P111M01NG — <br />BASE NT � MECII�NIC�L <br />❑rrs 6(�0 <br />eoomor+ei. riu+eueeK <br />on�en <br />� STAIE BUIlOINC SUOCIIA�E <br />CITY OF EVERETT ruxur,wonKs <br />LOCAL SALES <br />TAK CODE IS 3105 70i�L <br />SUB <br />S <br />FEE <br />/� <br />