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APPLICATI` N FOR COI�OSTRUC'. �ON PERMIT <br />CITY OF EVERETT • pUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />� DEMOLITION � COMBINAYION ❑ BUILDING ❑ MECHANICAL O PLUMBING ❑ SIGN <br />PROJECT AUDRESS:I. g31A/831B Lombard Everett WA 98201 <br />Gverett Communi�_College 801 Wetmore EvereCt WA 98201 388-9513 <br />OWNER Mu1.ADORESS '—' <br />c:n m� ruor�� <br />IEN�NT IAqI ApDflF.SS <br />IIP <br />ARCNITECTOROESIf.NFl1 MAl1ADOf1E55 CIIY lll' P110NF — <br />�wner <br />GF.NEf1AL WNIO�C700 Mql A�f)f1E55 (:IIY IiP I�IIONC — SfAIE IICENSE • <br />MECNANIGICONiRACIOP 1A�IL�DbRE55 Citt ZII' PIIONf SU�EIICENSE• <br />Pl11Al01NGCONtOAf.fOf1 M�IL��Of1E5$ CIIY nr �� runr�e $TAIEUCENSE� <br />OESCPIBEWORKANUSOIIAREFOOT�GEINVOLVED � <br />LEGAL OESCBIPTION OF POOPI <br />LOT BIOCN <br />COPIES) <br />[�j1��e?�:i9 <br />COHSTfl11C110N l O�N IENUEB. AG�RESS. iEIEPMONE NUMBEF <br />PLUtI81NG <br />TYPE OF FI%T <br />WATER CLOSET (TOIL <br />BATHTUB <br />LAVATORY (WASH BAE <br />SHOWER <br />KITCIiEN SiNK 8 DISP <br />LAUN�RYTRAY <br />URINAL <br />DRINK�NG FOUNTAIN <br />BACKFLOW PREVENTE <br />SINK ISERVICE — BAR, <br />OR <br />PERMIT E <br />TOTAL FEE S <br />FOR QFFICE USE ONLY: <br />FRONTSETfl�CK REAfISETOALK SIOE SETB�CK <br />USE 20NE <br />MEIGIIT IIMIiAl10N <br />OCCIIP�NCY 1q ( <br />Gf10UP <br />FIAE SPRINKLEII flH <br />PIflE AUf11A IlEO'0 <br />l01 A(1EA <br />�10 OG UWELIING <br />UNII$ <br />Rf�AON <br />UPiI. <br />HEATING SYSTEM: ❑ GAS � ELECTRIC ❑ <br />CONTAC7 PGfi50NAK�4'MONF VO <br />Mark Stewart 388-9513 <br />I HEHEBY CEFTIFY THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND COpRECi ALL <br />PROVISIONS OF LAWS AND OROINANCES GOVEFNING 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 />AUTIIORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER SiATE OR LOCAL LAVJ REGULATING CONSTRUCTION OR THE <br />PEFlFORAIANCE OF CONSTRUCTION. THPT I AM AUTHORIZED BY THE <br />OWNER OF TfilS PROPERTY TO PERFORM THE WOflK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITN TNE STATE <br />CONTRACTORS LAW 10. N 296.200 WAC. <br />x�lll/� � y,�.�t�M-t!�� 5/16/97 <br />SIf.N�TUfiE DATE <br />CITY BUSWESS IICGNS@ NO <br />FEE NO. TYPE OF EQUIPMENT FEE <br />T — <br />� A/C — A/tiNDLG UNITS <br />' FORCED AIR SYSTEN.S - <br />� <br />—T— — HEAT PUMP <br />� UNIT HEATENS <br />i CLOTViES DRYERS <br />VACRlf SiIE <br />❑YES ❑ NO <br />512E OF OIIJCR 1 <br />❑vE5 ❑ NO <br />WATER hIFi1TER <br />WOOD STOVE <br />ME7Al FIREPLACE i <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL S <br />PERMIT S <br />TOTAL FEE E <br />PlANC11GCNlll1�11'0� IPEF InECEIPTNO <br />7 <br />aunnmc <br />riuumr�r, <br />MECIIPNIf.�I —' <br />ADDIIIONPI PI MI (:111 CN .. <br />OU�F{I <br />tilA1l IIIIIl1114(i ]IIIIf.11AII(:l <br />CITY OF EVEflETT riuuu:wnius <br />LOCALSALtS --..----- --�---.._.. ._ _.------- <br />TAX CODE IS 3in, ioin� <br />