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i :;- <br />;� <br />�, �. <br />APPLICATION FOR CONSTRUCT�ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />❑ DEMOUTION Cl COMBINATION f7 BUILDING O MECHANICAL 17 PLUMBING SIGN <br />PROJECT ADDRESS <br />(�20 �' ��i /�%t// Gv� # � O <br />ioi <br />BLOCN <br />INVOLVEO <br />CONSTRUCTON LOAN LEN E{ydpD-ORESS. TELEPHONE NUMBER <br />� <br />PLUMBING <br />NO. 1'YpE OF <br />YJATER CLOSET <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRYTFAY <br />CLOTHES WASHER <br />DRINKING <br />FLOOR DF <br />PREVENTERS <br />r.F — ana FT <br />PERMIT <br />TOTAL F <br />rwo <br />$ <br />5 <br />cm <br />cirv <br />Z�P PHONE STATE LICENSE � <br />� <br />HEATING SYSTEM: Cl GAS f-] ELECTRIC I-l_ <br />�ONTACT PERSON pND PHONE N0. <br />�Ik.yr �1�eI P.�� �'�. _ Q�4 AI�.�� <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 LAWS AND ORDINANCES GOVEfiNING 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 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 />APPLIC ION IS MADE AND I COMPLY WITH THE STATE <br />CON TORS LAW 7827 RCW AND 296.200 WAC. <br />X `� -J' [��'� �� iGl <br />5 N RE OATE <br />CITY BUSINESS L{CENSE NO. <br />NO. TYPE OF EOUIPMENT FEE <br />A/C —A/FiNDLG UNITS — H.P. <br />FORCEDAIRSYSTEMS—B.T.U. M E.A. <br />HEAT PUMP <br />UNITHEATERS—B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATEq <br />WOOD STOVE <br />METAL FIREPLACE (WOOD BURNING) <br />FIREPLACE INSERT (WOOD BURNING) <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />FOR OFFICE USE ONLY: <br />FRONT SETBACN REAR SETBACK SIDE SET6ACN P�AN <br />N R .v.i NA <br />USEZON- AREA VACANTSI7E <br />G�' I '� f1YES f� N�0 <br />BUILDMA <br />HEIG/H/TLIMITA�ION NOOFOWELLIVG SREOFBLDGRI — <br />/(� , n/< �NITS NA PLUMBIN <br />4D BASEMENT MECHnNICAL <br />f7VE5 il NO — <br />ADOITIONAL PLAN CMECR <br />OTIIER <br />STATE BUqDING SURGMARGE <br />�eo ev CITY OF EVERETT �'��BLIC WORKS <br />LOCAL SALES <br />��S-�i �� TAX CODE IS 3105 70TAL <br />a <br />PERMIT $ <br />TOTALFFE $ <br />FEF RECEIPTNO. <br />�...�L�� � d <br />