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APPLICATi A FOR CONSTRUAN PERMIT <br />CITY OF EVEFIETT • BUILDING DIVISIOM <br />9200 CEDAR STREET • EVERETT, NJA 98201 • A25) 257-8810 <br />DEMOLITION COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />TPROOJECT ADDRESS: ELI&E"_ A&,11-CITY <br />ta+�=—`�'a3���^-4IL1/1� ✓N�t� �fl�G ( �b�S �iSS'SKLF� <br />can C J c 3>_5_�_ l�aca �l2f I �. C .A Q 4" VIIOENC-1 BB <br />NF <br />MECHANICAL CON R,C1OR NEr-.MNEs3 GiY 11r 11O r STATE LICENSE• <br />CI WIBWG COIIIaAf.1G1 �FFII AGGaE55 CITY ZIP fHOUE STATE I6ENSF• <br />tv� A• <br />COI PmcC OF v K <br />HEATING SYSTEM: ❑GAS ❑ELECTRIC <br />M WAIN, WOA. 1.11CNVEE TOOI,GfiNv01 0, `N <br />A O���1� V _(E _ <br />c'lN1Acr MasoNANR rrgnE NO <br />I JS14E*-1 M <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME 10 BE TRITE AND CORRECT ALL <br />vaOPosfO VGI OI bI11101%f� 4 / <br />PROVISIONSOF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />� L- <br />WORN WIL11LL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />WORK <br />NOT. THE GHANTWG OF A PERMIT DOES NOT PRESUME TO SIVE <br />IJ6ALPLbCFYPT�w1 O7r—wmERTY ISHOM BELOwon ATTACT lwocOPIESI <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />LO1 Blocs or <br />OTHER STATE UR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRA ORS LAW 110 227 RCW AND 96.200 WWAAC <br />// ✓ <br />PAMEL 1 .I O NUFF"A <br />CG(STITUCTICH LOAN I EACfa, EAONESR. TELEMgNE MMBER <br />x <br />SIGN Uaf 01 llllf <br />CITY BUS'NESS LCE NSE NO <br />PLUMBING <br />MECHANICAL _ <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />NO. TYPE OF EQUIPMENT FEE <br />WATER CLOSET(TOILET) <br />_ <br />A/C—NHNOLG UNITS <br />_ <br />BATHTUB <br />i <br />FOHCF.D AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />r <br />HEAT FL1MP <br />SHJWER <br />UNIT HEATERS <br />KITCHEN SINK 6 DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAU14DRY TRAY <br />WATER HEATER <br />--r <br />CLOTHES WASHER <br />WOOD STOVE <br />I IETAL FIREPLACE (WOOD SUFINING) <br />URINAL <br />—INSERT <br />DRINKING FOUNTAIN <br />FIREPLACE (WOOD BURNINGI <br />FLOOR DRAIN <br />GA>FIREPLACE <br />_ <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />NK(SERVICE — BAR. ETC.) <br />GAS PIPING <br />- <br />EXHAUST FAN <br />SUBTOTAL 5 <br />SUBTOTAL S <br />T- <br />--� PERMIT $ <br />PERMIT S <br />- <br />TOTAL FEE $ <br />TOTALFEE $ <br />run urru,c vDc NJTYL.F. <br />IPONY SFTRACK <br />RrAR 3ElBAC1t <br />LOE SEISACR <br />n IIECII NUAWfR <br />FEE <br />NfCFIPIrb <br />USE ZLTNF <br />IOl ACE. <br />VACANT SIZE_VALUATION <br />D YFS D NO <br />FED__ <br />MINCING <br />.ENTITY INNIMION <br />No a(EFFELu•A <br />SIZE QF.,BLUGxI <br />^/JF�Y� <br />ENO."WG <br />_ .-_- <br />VFCFVNACAl <br />OCCl11'ANCY VJM)Ug15 <br />p <br />IX:CUPAxI ICAO <br />BASEAENI <br />OYFS ❑ M <br />ADpItmM.IY AN C,YtK <br />_ <br />ILIIP F%LNNIEfl REp[I <br />YES <br />Nf.,Sm <br />E�SyC, <br />oncn <br />fIAE VATPn REO'O <br />__ <br />Rf,Sm <br />LA. <br />Suit Bunc.,r ARIGnAMIF <br />_ I <br />TYPE OF CUI. <br />_I!_ _ `' <br />PTANSAPP vEGBY <br />� <br />CITY OF EVERETT <br />LOCODE IS 3105 <br />mlflllr, YFOPKS <br />TOTAL <br />