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APPLICATI� N FOR CONSTRUa'�' .ON PERMIT <br />CITY OF EVERETT • BUILOING DIVISION <br />3200 CEDAR STREET • EVERET7, WA 9��201 • 259-8810 . <br />p DEMOLITION ❑ COMBINATION ❑ BUILDING CI MECHANICAL p pLUMBING ❑ SIGN <br />PROJECT ADDRESS:I 925 Lombard Everett, WA 98201 <br />Everett Communitv C� ollege 801 Idetmore Gverett WA 98201 388-9513 <br />nwuca ..._ "r <br />z�r <br />4�11 Af1�f1F55 <br />AqCHRECIOqpE51GNER MeIIADOqE55 Cltt 711' PIIONF <br />Owner <br />GE�lEMICONIOAGIOf1 MAILAOOOESS CIIY Jil` PIIOyf: Sf�TE110EN5E� <br />MECMANI�AI CONTBACiOR MAII ADDi1E55 Cltt piP P1104E STATE IILENSE • <br />PIIIAIHINGCONIi1�f.T0l1 IA�IIAUpRE55 �;IIY lll' � 1•IIONL SUTEIICENSE� <br />CONIP�CT PRILE OF WOfiK -----'--- ' -'-- ' --'--------"— __ __"'_ <br />NEATING 5 YSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />DESCRI9E WORKANO SOII�RE FOOTAGE INVOLVEO f.ONT�LI Pf.t150NAN1)1'110NE NO <br />Plarlc Stewart 388-9513 <br />PROI`OSEU USE OF BUILDINO <br />�i/�%�c� <br />LEG�I OESGAIPiION OF PpOPEflTY �SNOWN OELOW Ofl ATTAf:H <br />�01 BIOCK OF <br />3854 180 Oli <br />PMCEL TA%ID. NIIIABER <br />GONSTRU:TION IO�N LENOER. AOORESS, lEl EPIIONE NUMBEfi <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSEi(TOILET) <br />BATHTUB <br />LAVATORY (WASN OASIN) <br />SHOWER <br />KITCHEM SINK 8 DISP <br />DISNWASHER <br />LAUNDRY TRhY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTEfiS <br />SINK fSERVICE — RAR FTC 1 <br />FEE <br />SUB TO7AL S <br />_ PERMIT S <br />TOTALFEE E <br />FOR OFFICE USE ONLY: <br />FROHTSETPACN RE�B SFTAALK SI�E SElO�CN <br />USE 20NE lOI Al1EA VAC�N7 SIIE <br />❑YES ❑ �u0 <br />OEIGIIT UMIT�IION Np OF OWCLLING SIZE OP OLO(irt I <br />UNI I$ <br />�a nr <br />TYPE Of f,01lSI <br />— --- � i,.n __ _ <br />IIY <br />B�SEMENI <br />❑YEti ❑ NO <br />0 <br />CITY OF EVERETT <br />LUCALSALBS <br />TAX CODE IS 3105 <br />I HEREBY CERTIFY TfIAT I HAVE READ AND EXAMINED THIS <br />APPLICATIODI AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WOR{C WILL BE COMPLIED WIiH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTFIOflITY TO VIOLATE OR CANCEL TNE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRl1CTION OR THE <br />PEFlFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF 71115 PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18. ('W'AN 296.200 W�C. <br />x �L�1�� � � � .l't��� 5/16/97 <br />SIGN�TIIBE D�TE <br />C17V OUSINL55 UCFNSC NO <br />NO. 7YPE OF EQU <br />A/C — A/HNOLG UNRS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DFlYERS <br />RANGLHOOD <br />WOOD STCIVP <br />FIREPLACE <br />GASRANGE <br />GAS PIPING <br />PI �N f.11GCN NIIMpf(1 <br />O1111 �W ti <br />PIIIAIpING <br />UEC1141lIf.AI -- <br />Af101110RAI PI AN Cllf GN <br />SIJB TOTAL 5 <br />_ PERMIT S <br />TOTALFEE f <br />"_ �Ff REf.EIPTNO <br />O� <br />FEE <br />UIIIFII <br />___.—... __.. __.__'_'__ ____._��__ <br />� <br />blMl IIIIIII�IfIliSllll( Il�lllil <br />� <br />_-'___ _. _.�___ __ __'__. � <br />. _.__..___"__ __.__.._—.__._�.— <br />YIIIII if. WUiInS <br />_ 1_. _ <br />TOTAL <br />� <br />- -__ - - — ----'— <br />