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.-. <br />i� <br />APPLICATIOW �OR CONSTRUCTION PERMIT <br />CITY OF EVERETT • BUILDING DIVISION �/ <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />f'1 DEMOLITION (1 COMBINATION I 1 BUILDING � MECHANICAL �7 PLUMBING f l SIGN <br />PROJECTADDRESS (,�O�O `� �`� �.��� ��11 <br />`�I � �LV <br />l <br />cnr zia ruor+e � <br />Sh�+rwe�� g lan :`10(�_�-C. rverel*. UYI�f I Ial2, y�oa Cverz� q�ao� -- <br />�fiCI111f.Gf Uf1Uf:S1(iHf.11 M411 AIiUI1Lti5 CII ]II` I'l1pNf: <br />GF.NFO�I(;ONlf1ACTOf1 MMLADOpESS GIV )IP PIIpNG $fATELICENSE� <br />MECHANICALCONTRACTOR NAILADDRF.55 Cltt ZIP p11pNE STATEUCENSEt <br />Unit�c4 Sus�M,s Sc�c. Ioa1 S.w.Kfick�bot UIeU Suit¢ l0�' SeaNte �1�i3� 4�fa 9�5�F v��res� ��6a�P <br />PIIIMBING CONT ACTCR MAII.AODRESS CITY 21P pHONE STATE LICENSE � <br />wonn � G'7h 60 <br />nNo <br />rnoroseo use oF nuuou+c <br />tor <br />ma:K <br />INVOWEO <br />CONSTflUCTION LO�N LENDER, ADDRESS, TEIEPHONE NUMBER <br />NO. �__TYPE OF FIXTURE OR ITEM <br />—I WATER CLOSET (TOILET) <br />LAVATORY (WASH 8A'. <br />SHOWER <br />KITCHEN SINK 8 DISP <br />CLOTHES WASHER <br />URINAL <br />SINK <br />FEE <br />SUB TOTAL $ <br />FOR OFFICE USE ONLY: <br />FfiONT SFTflpCN REM E <br />USE ZONE I ��T AfiEA <br />IIEIGIIT LIMITATION I NO. OF DWF.LLING <br />UNIfC <br />OCCUPANCV N00151PIlilti OGCUI'ANIIUAU <br />IIfASON <br />P� nr+s nrr�oven <br />DATE <br />SI�E SETBPCK <br />VaCaNT SITE <br />IIYES fi NO <br />SIZE OF OLU6R1 <br />I IYfS I I NO <br />HEATING SYSTEM: f-1 GAS fl ELECTRIC fl <br />CONTA :T PF.RSON AND PIIONE NO. <br />'v�ill �ie,b52C,k (v��f 33�v <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PRCVISIONS OF LAWS AND ORDINAN :'eS GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WI;ETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO G�VE <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 OY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />x ��.,�Dc�,c�r. 5 'q ' a(� <br />SIGNATURE O�^ 10^ DATE <br />J� d <br />CITY BUSINESS LICENSG N0. <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT FEE <br />�v� — wnrvuw uni i s— n.r. <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />HEAT PUMP <br />UNIT HEATERS — 8: <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />WATER HeATER <br />GAS FIREPLACE <br />GAS RANGE <br />SUB TOTAL S <br />PERMIT $ <br />PLAN CIIECK NUMOF.R I FEF I RFCEIPT NO. <br />OWLDING <br />PLUMIIINC <br />MfC11�NIC�L <br />Af1DI110NAL PI.nN CIIGCN <br />onien <br />srnie nunoiNc suncunnce <br />CITY OF EVERETT runncwones <br />LOCAL SALES <br />TAX CODE IS 3105 TOTAL <br />