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7'1� N FOR COIdSTRUC'� �ON PERMIT <br />CITY OF EVERETT • BUILDING OIVISION � <br />3200 CEDAR STREET • EVERETf, WA 98201 • 259•8810 <br />� DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL CI PLUMBING ❑ SIGN <br />PROJECT ADDRESS:I 931 Lombard Everett, WA 98201 <br />13veretC Communi.tv C, olle�;e 801 ldetcore GvereCt <br />OWNEfl M�ILAMNIccc _._. <br />Mql. AOOOF.SS <br />CIIY IIP <br />13 <br />AqC111TCCTOR0E51GNEf1 MAl1�I1pRE55 CIfY lil PIIONF <br />Owner <br />ccr�enu coran�non MAII �OOpESS q1Y � J�P ---- p���p�� SGTE IICENSE • <br />MECH�NICA� CONIDAC70R 1A�IL AD�RE55 , f.ltt liP PIION[ SUTE IILENSE / <br />PIIIAININGCON7RM,70I1 FAAIIAD�RESS CIIY III' --""-- �y�p���-- STATEIICENSE� <br />CDIIIR�CI PNCE OF WOI1K —� __ <br />HEATING SYSTEM: ❑ GAS ❑ E�ECTRIC ❑ <br />DESGPIBE WURK AND SOUME FW iAGE INVOIVED CONT�L'� PCR5011 AND 1'I�ONE NO <br />� Mark Stewart 388-9513 <br />ioT <br />PARCEL TI_<1 D. <br />PpOPERTV �SMOWN BEIOW Oq ATT�CM 7 WO COPIES� <br />OI.00N OF___. <br />CONS1flUC110N l OAN LENUER. M�OE55. TEI EYIIONE NUMBEB <br />PLUMBING <br />NO. TYPE OF FU(TUqE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />SHOWER <br />KITCIIEN SINK 8 DISI <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHEFl <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVEN' <br />SINK (SERVICE — BA <br />FOR OFFICE USE ONLY: <br />fRONTSETflACN i1B�fISFID�CK <br />IISE ZONf: <br />IIEIGIIi IIMIT�TION <br />OCCUPANCY NO C <br />GIIOUP <br />FIflE .91NKLEf1 BC( <br />fl�tE AIAOM REG'D <br />IYPE OF f,O11SI <br />SIIB TOTAL S <br />PERMIT S <br />TOTALFEE S <br />SIUE SETB�CN <br />iotenen <br />NO OF pWEILING <br />UNIIS <br />OCCUP�NItO�D <br />FlF�SON <br />nF�sro� <br />PI nr1S �rPIIOVFn Ov <br />FEE <br />ver.urt sne <br />❑res n r+o <br />SRE OF tllOG/l l <br />BASEMENI <br />❑YES ❑ N7 <br />I HEREBY CERTIFY THAT 1 fiAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WIiH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOi PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />bTHEfl S�ATE OR LOC,.� LAW REGULATING CONSTRUCTION OR THE <br />PEFlFURR7ANCE OF CONSTqUCTION. THAT I AM AUTHOqIZED BY THE <br />OWNER OF TIiIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1B RQVIrAN 29620D WAC. <br />�/ �� <br />x����l/2 � � ,(.�'t�k� �p 5/16/97 <br />SIGNAfUfiE O�IE <br />CITY BOSIN[SS IICGNSE NO <br />MECHANICAL <br />NO. TYPF.OF EOUIPMENT FEE <br />�_ rva.—�yrmuLliUNIIS <br />; FOFlCED AIR SYSTFMS <br />i— HEAT PUMP <br />�— <br />�_ UNIT HEATEPS <br />i CLOTHES DRVERS <br />`— — — -- <br />� HANGL'HOOD <br />'— — ------- <br />; WATER tl[ATEI? <br />�_ _ M[TAL FIREPLACE <br />i FIREPLACEINSERT <br />� GAS FIREPLACE <br />`_ — <br />� GASRANGE <br />i — GAS PIPING <br />� _ E%HAUSTFhN <br />i <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS �f05 <br />PIAN C11FCN IRIMp1'R � <br />/�f � <br />nun nir�r, <br />SUB TOTAL S <br />PERMIT S <br />TOTAL FEE f <br />�['F I RECEIPT NO <br />PII1MpINf. — <br />IAFf,11Af4f:A1 ---_-- �-- <br />AUOIIIOtUI l`I�NCIII.CN -- _�--- <br />011f[11 -. .—_� � _— <br />SIBII IIIIIIUIIlIi ti11111J1N1161� � �� <br />1'lllll lf wpltF :"—� �__—.. _._ .. _ <br />TOTAL <br />