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���i<��t 1'� 3��J - � <br />APPL.ICATION FOR CONSTFiUCT10W PERMIT <br />CITY U� EVERETT • BUILDING DIVISION <br />320U CEUAR STREET • EVERETT, WA 98201 • 259-8810 <br />� DEMOLITION C I COMBINATION f� BUILDINQ kl MECHANICAL ki PI IlMlalun n ��.�.� <br />PqOJECT ADDpESS <br />ovmen <br />s8rr <br />W¢s�- /Lt�.11 d � <br />nr r�wr�e <br />--- .,,,. . zm vna�E— _ <br />��nrecronoesio�n MnanoonEss cnr <br />zm r�w�+e <br />OENER/1lCONiRpC/pi MpILl100f1E55 CItY <br />��� pIIONE SIp1EUCENSE/ <br />��.�C�_$Git10S. Tnr_ �17u1 i �41. n.... �e en �.n• ...__ . . . "_ _ _ _ _ <br />. -" ••'�^c SUIEUCENSE/ <br />MUAIBkI(3CONIPIICIIXI MAILAbURE55 ��ry Z1� <br />PNONE SU(ELICENSEI <br />SW�pE <br />lot �� BLOCN <br />CONSIPOCIIDN LOAN lENOE <br />�1,A. <br />PLUMBINO <br />iYPE <br />WATER CLOS <br />BATHTUB <br />LAVATORY(W <br />SFIOWER <br />1. 1 KITCHEN 61Nf <br />INVOLVF.O <br />, I10Uf1ES5, IELEP110NE NUMBEfI <br />B�v /J�'s �sl� <br />IF FIXTURE OR ITEM <br />T (TOIIET) <br />SH BASIN) <br />6 DISN <br />FOR OFFICE USE ONLY: <br />U9EZONE <br />s9 ii <br />/� l <br />/IEI�NI UMItATION <br />O�C�O PANC�SI( <br />123�� <br />INO. 7F OWELLINO <br />UN1I9 � <br />Uh1E % <br />N <br />a � <br />a �- <br />a � <br />smEs <br />J <br />YACANf SIIE <br />L1YE9 O NO <br />) BL00/t.l. <br />g SF Gi�o�1v+ <br />SF Uq,tacL <br />�ASEMENt �� <br />❑YE9 KNO <br />CITY OF EVERETT <br />LOGALSALES <br />TAX COOE IS 3105 <br />HEATINQ SYSTEM: bq GAS O ELECTRIC C] <br />CONIACI PE�SON M1NA I`IIONE NO. <br />1 HEREBY CEFtIFY THAT I HAVE qEAD AND EXAMINED TH19 <br />APPUCATION AND KNpW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES OOVERNINO TFIIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIEU i�EREIN OR <br />NOi. THE ORANTINO OF A PERMIT DOES NOT PHESUME TO pIVE <br />AUTHO(iITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REQULATING CON3TRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNEq OF THI9 PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPIICATION 18 MADE AND I COMPLY WI7H THE STATE <br />CONfRACTOqS LAW 18.27 RCW AND 288200 WAC. <br />Select nes, inc.,� <br />xeY: � / n�y� <br />SIONI1IUflE UI11E <br />CItY 6US�NESS IICENSE NO. <br />MECHANICAI <br />NO. TYPE OF FI%TURE OR ITEM FEE <br />NC — AMNDLa UNITS — H.P. ��— <br />�- FORCEOAIRSYSTEMS—�.i.U. M E.A _ i <br />� HEATPUMP � <br />UNIT HEA7ERS — P.T.U. M i <br />RANOE HOOD <br />WATEq HEATER <br />WOOD STOVE <br />ME7AL FIREPLACE ( <br />FIREPLACE INSERi <br />OAS FIREPLACE <br />OAS RANOE <br />OAS PIPINp <br />PUN CIIE;K N����� � I FEE I PECEIPi NO. <br />/1 <br />9UILbINp <br />r�uMert+a <br />MECII�NICNL <br />AUb1IlONAL PLAN CIIECK <br />OIIIEiI <br />SIAIE OUILbINO SUI1CHAf10E <br />auouc wonks <br />TOTAL <br />�- <br />