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. M. � P�C �-! � "'8'._ g /1-s-� c � / o � -- . <br />APPLIICATION FOR CONSTRUCTION PERMIT <br />CITY pF EVERETT • 6UILDING DIVISION � <br />3200 (;�DAR STREET • EVERETT, WA 98201 • 259-BetO <br />CI UEMOLITION � COMBINATION f�l BUILDING kl MECKANICAL kl PLUMBINQ O SION <br />PROJECT ADDRESS �8 z� W L�$�. �q�, �� �/'� <br />owrren Mnanooness cur nr PIIONE <br />GAtar•H ar,,,Aa rr,� �2�11�t1� Ave W 1A-201 Everett. FIA 98209 2�?(�513—q006 <br />IENANT AiNLA00f1E59 CIIY . ZIP 1'110NE <br />ARCIIIIECtORbESIONER MAllAU0�E55 CIIY 21P PIIONE <br />OENEMLCON4IACIOR MN�AOOf1ESS . CIIY ]Ip PIIONE SIAIEUCEN3E� <br />SE t. Hqtl�,g� Tt1C �281] fl�t Avp W �A-7���,�'},[eZQj;��_{'1A 982�4 205�517—q(1(1Fi RP�F.f`I`T11f1KN <br />MECHMJIC�ICONIpACiOf7 MI1IL�DIIRESS CItY iIP PIIONE S7AIELICENSEI <br />PWM9INOCONIR�CtOF1 MAILMORE55 <br />SOUAREFOOIM7EINVOlVEO <br />ior _� a�ocic c <br />CON9If1UC110N lON1 LF.NOER,1100RE99.lElEANONE M1MBE11 <br />N. A. 43�c ic�ef's �sl� <br />PLUMBINO <br />NO. TYPE OF FIXTURE OR ITEM <br />URINAL <br />DPINKINO <br />SINK <br />TOtALFEE <br />FOR UFFICE USE ONLY: <br />FRONTSEIBAC�� nEApSE1BACK_� <br />!/ L <br />U9EZONE � �? <br />`� <br />HEIONi UMI7IITION <br />OCCluPA3NCY NO.OL9IOREI <br />IC 2- <br />FIRE AWIM REO'D <br />N� <br />FinE srmrmtEn neoo <br />n�� <br />NO, OF UWELLINO <br />UNII9 <br />Uh1E <br />LOAb <br />� <br />S — i <br />S ' <br />SIDE SE19AC� <br />VACANf� E <br />CRiQg O NO <br />)F BlSE/f.L CIVNI�' <br />SF GA� <br />BIISEMENI <br />� n r+o <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3f05 <br />ZIP PIIONE SIAIEIICENSE� <br />H'cA71NO SYSTEM: SG OAS ❑ ELECTRiC f_7 <br />cornncr rensor+nNo w we+e r�o. <br />I HEHEBY CERTIFY THAT I HAVE READ ANO E%AMINED THIS <br />APPIICATION AND KNOW THE SAME TO BE TRUE ANO CORFiEC�. ALL <br />PROVISIONS OF LAWS AND ORDINANCES C�OVERNINO THIQ TY!'i. 'IF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HERE7N r fl <br />NOT. TVIE ORANTINQ OF A PERMIT DOES NOT PRESUME Tf.l OIVE <br />AUiHG�ITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHEFI STA7E OR LOCAL LAW RE�ULATINO CON3TRUCTION OR THE <br />PE.RPURMANCE OF CONSTRUCTION. THAT I AM AUTHURIZED BY THE <br />ON'NER OF THI3 PROPERTV TO PERFOPM THE WORK FOR WHICH <br />APPLICA710N 13 MAUE ANO I COMPLY VJITH THE STATE <br />CONTq ACTORS LAW 1827 qCW AND 288200 WAC. <br />Select s, Inc��.� p <br />xav • �ot,�1Q %�lJ7�rn (o �2lv �4 � <br />SION�Ipf1E bNE ��— <br />pTY BUSiNE55 LICENSE NV. <br />NO. TYPE OF FI%TURE OR ITEM <br />NC — A/F1NDL0 UNITS — H.P. <br />.l FORCED I11R SYSTEMS — B.LU. M <br />HEATPUMP <br />UNIT HEATERS — B.T.U. M <br />CLOTHES �RYERS <br />�VENIILATION FAN <br />RANOE FIOOD <br />T WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE (WOOD BURNINO <br />FIREPLACE INSERT (WOOD BURNIN( <br />%� OAS FIPEPLACE <br />OAS RANOE <br />OAS PIPINp � <br />.� EXHAUSTFAN <br />� I FEE I RECEIPTNO. <br />/'�- <br />6NLOINU � <br />PWMOINA <br />MECN�NIC�L —1� <br />ADbI110NA1 PIAN CIIECK <br />omEn <br />S7AlE OWlbINO SUPCIII1110E �G <br />FUBIIC WOi1K5 /_(/ — <br />lOIAL //J / /// I � <br />