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APPLICATI�_ N FOR COMlSTi�UC'. .,ON PERMlT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259•BB10 <br />� DFMOLITION ❑ COMBINATION ❑ BUILOING ❑ MECHANICAL ❑ pLUMBING ❑ SIGN <br />PROJECT ADDRESS:I 921 Lombard Everett, WA 98201 <br />Gverett Communitv College SO1 [detmore Gverett WA 98201 388-9513 <br />OWIIER �,uI1,ADO0E55 CITY I�I� PuONf <br />7EN�NT AIAII.Af1Df1E55 f.17Y 11P PIIONF <br />ARCIIRCCTOqDB51GNEf1 IA�II A�ORE55 CITY IIP PIIONF <br />�JIIP. T <br />GENElIeL CONfMGfW MAII A��(IE55 CIIV lll` 1'uON[ Sf�TE I ICEN$E � <br />MECNANICAI CON7q�C10R MI11L �DbPE55 (:ITY IIP PIIOIIC STAIE LICENSE � <br />P1111APINGCON1RAf.T00 M�IIA��f1E55 CIIY IIP 1'IIONC STM[IICENSE� <br />LONIMGI PqICE OF \400N <br />IIEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />OESLRIBE WORN ANO 5011�HE FOOT�GE INVO WED CONGC 1 PCI150N �NU i'l1pNE NO <br />P1ark Stewart 388-9513 <br />O{i ATiALH <br />ioT mocK <br />3854 180 012 0007 <br />PWiLEL TIJ( I.D. NUMBER <br />CONSTBUC110N IOAN IENUER, AODRE55. TEI EPIIONE NUMBEII <br />NO. TYPE OF <br />WATER CLOSET <br />BATHTUB <br />SHOWER <br />KITCHEN SINK 8 DISP <br />OISHWASHER <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />BACKF�OW PREVENTE <br />SINK ISEFIVICE — �AR, <br />OR ITEM <br />SUB TOTAL f <br />PERMIT E <br />TOTALFEE S <br />I IiEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE THUE ANO CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WOHK WILL BE COMPLIED WITH WHETHEfl SPECIFIE� HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />' iTHORITY TO VIOIATE OR CANCEL THE PROVISION OF ANY <br />fHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PEFlFOR6IANCE OF CONSTflUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WIiICH <br />APPI.ICATION IS MADE AND I COMPLY WITIi THE STATE <br />CONTRACTORS I.AW �B W'AN 296.200 WAC. <br />x�LL�lll � � ..���'-�t S/16/97 <br />SIGN�t11RE OAIE <br />CIIY BIISINF.55lICFNSC NO <br />FEE NO. 7YPE OF EOUIPMENT PEE <br />--i— A/C—A/HNDLGUNI'IS <br />� FOFCED AIR SYSTEMS <br />—i— HEATPUMP <br />� UNIT HEATcRS <br />� CI.OTIiES DRYERS � <br />W�TER I�IEATER <br />WOOD STOVE <br />METAI. FIREPLACE <br />FIREPLACE INSER' <br />G�S FIREPI.ACE <br />GASRANGE <br />G�S PIPING <br />EXIIAUST FAN <br />SUB TOTAL f <br />PcFMIT <br />TOTALFEE E <br />FOR OFFICE USE ONLY: <br />fOONT5Ei0ACN REARSFTO�CK SIpESE70ACN �UNGIlCNN11MOff1 /,�j ffF RFf.E1PIN0 <br />G <br />IISE 20NE �m enEn \'�CAlll SIIE FEES _ VALUATION � <br />Oves ❑r+o nunnw. <br />MEIGIIIIIMITAfION NOOFUW[LIING 512EOf6LOG/11 <br />UNII$ PUIMIIiN(i � <br />fiFA50N <br />----lunn _. <br />IO�D BASEMENf MECIUNIGI <br />❑YE1 ❑ NO �-----__—_ <br />FO�IIIONAI PIANCIIICN <br />UIII[B <br />� SIAII Utll111111G :.1111(llAllfi! <br />_ ___ . _—_. _._.. _. <br />unvFnuv C�TY OF EVERETT runiu:wnnns <br />LOCALSALtS <br />TAX CODE IS 3I05 �OTAL <br />'--_ ' .__ .._ -� <br />1 <br />� _ __ <br />.. ._ . . ---.. _.i--- <br />