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� <br />,� � APPLICATIC 17 FOR CONST�UCT. �N PERMIT <br />Lu <br />CITY OF EVERETT • BUILDING f)IVISInN <br />, 3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />❑ DEMOUTION ❑ COMBINATION �BUILDING �J MECHANICAL f�p�UMBING ❑ SIGN <br />PROJECT ADDRESS:_ 'L2'{ /f � f� �� �� u � �� �� � �� <br />� ------ <br />COMMER MML�DdiE55 Cltt liP PIIOHE <br />oic� /7c�r42Y�H �?J� ,�/� Gi„col., Glsy Lyc+��,✓m:,� �jJo36 �20�� 7�7- 6 7uo <br />TENANT Mnll�pp1E55 T � IIP p� E <br />ti �w <br />�NCMiECTORDE51GNEf1 MAIIADURE55 nrv --.-..--- _ <br />L <br />C <br />rmice pv wonK <br />JO.UO 0� <br />WORK �Np $ql�� <br />LOT - b BLOCK <br />ZZ� tn �Jt <br />5w. �/Y �fw�E <br />PAIICEL LUf I.D. NUTABER <br />CUNSTMICTN7N LQ�V! IENDEq. <br />_�2v � <br />�� � <br />' x+vaveo <br />�i .in <br />4^�cr <br />.���� <br />�rn� eEiow p <br />— a_. <br />tu�, <br />SEc / ) <br />� �.-P �2e.,.! f.i,'f"e � <br />� <br />TYPE OF FlXTUpE OR <br />WATER CLOSET (TOILEn <br />BATHTUB <br />UVATORY (WASH BASIN) <br />SNOWER <br />KITCHEN SINK 8 OISP <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK (SERVICE — BAR. E7C 1 <br />FOR OFFICE USE ONLY: <br />iRONT SETP�CI( � REAR <, <br />2 <br />USEZON IOIAP <br />�Z- 3 5 <br />HEIGNT LIMITATION � NO Oi <br />.Z C UNITS <br />� <br />dr, 5�,.� ���,rt/ �--y82� 3 (Z��.) 3is -os3 i <br />f.IIY iIP "" 1�— SIA7EUCENSE• <br />/.I C�-cc !� [�lsy %.,.,<<,tJ�w.,l qJG3% /ZoG i 7,%�6xO ��EC�G/6u.TE <br />�ry / ��� �ONf STATE UCENSE � � <br />��L�"�e�^W9y GYtinWw�i_..yyU��zGfs�%b)-67ua E�FcTEz/6aT� <br />��tr� er � E <br />p $TAIE LIGENSE • <br />� �.1n�o 1(,t.� �. nnwc Jc.Q GuG jb -6 c>� E�tcT�C /b��TE <br />�f u..�.,,.I c�' // is HEATING SYSTEM: GAS ❑ ELECTRI.^. ❑ <br />�n � COIIUf,fPpi50N�NOPHONENO <br />COPIE51 <br />Lv° <br />SUB TOTAL S <br />PERMIT S <br />TOTALFEE S <br />FEE <br />0 <br />C.4i t i�H-� se.-� �z�b ) 33 )- ? 33 <br />� <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORREG � ALL <br />PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE OF <br />WORK WILI BE COMPLIED WITN WHET4EIi SPECIFIED HEREIN OR <br />NOT. THE ORANiIN6 OF A PERMIT D(��S NpT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTI{ER STATE OR LOCAL LAW RE6UUTINQ CONSTqUCTION OR THE <br />FERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOH WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STA7E <br />CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br />X � ���(�'cr.- � /' � 4'� �L l l�%� <br />S�G�p�G�?iO SV ��TE <br />CIIY tlUSINC55lICENSC NO <br />l:Q <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRVERS <br />HANGEHOOD <br />WATER NEATER <br />METAL FIREPLACE I <br />FIREPLACEINSERT <br />GAS FIREPLqCE <br />GAS RAPlGE <br />GAS PIPING <br />SETB�CN � PUNCIIGCN <br />Q / V�C�NI ' E FEES <br />/��b YES QNO pUI1PING <br />SIZE V F BIOGrt I ---- <br />Z�7G. S.f. GNin[G + �vuumnr. <br />S b G 2�K;E --------- <br />B�SEMEN! � �� MFI:unNlCnl <br />❑YES �(p -- — <br />AOOI I IDN�I. PI �N C11f f.N <br />on¢n --- <br />514IC OIIII f1INC 511IIC11epCE <br />BY CITYOFEVERETT rumir.wonKs <br />LOCAL SALES --- <br />/S(p TAX CODE IS 3105 TOTAL <br />SUB TOTAL S <br />PERMIT f <br />TOTAL FEE S <br />fEE �{iECFIPTNO <br />