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APPLIICATION FOR CONST«UCTIOPI PE�MIT <br />CITY OF EVEfi[1'T • BUILDING UIVISION <br />32UU CEDAR STREE7 • EVERETT, WA 982oi • 259-8810 <br />CI iIEMOLITION f 1 COMBINATI�N lit BUILDING fcl MECHANICAL kl PLUMBINQ Ll SICiN <br />PROJECT ADURESS <br />�328 <br />ow�+En <br />�f �tw (l Dr. <br />a�v zm <br />im <br />rnoeie <br />AfIC111tECtOPbE510NEfl MIIILIIUUf1E55 CIIY _ <br />21p PIIOt1E <br />OENEMLCONIf74C1IXi MI11�qp00ESS ���y <br />�� ��� PIIONE 5IAlE LICENSE 1 <br />M�II. <br />� "' ' ^�'•� SIn�E UCENSE I <br />VWMBINOCONIR�CTqi M�Il�tlbf1E55 CItY � <br />Z�� PII@�E SfAIELICEHSE/ <br />WOf1K <br />LOT �_ BLOCK <br />PMCEI <br />�OOItESS, <br />l.SaS' 1-l!�` S'�. S.W. <br />TYPE OF FI%7UqE OR <br />WATEq CLOSET (TOILET) <br />BAiHTUB <br />LAVA70RY (WASH BASIN) <br />SHOWER <br />FLOOR DRAIN <br />FOR UFFICE USE ONLY: <br />FpONi�5E,�/1CN f REM: <br />C�/ <br />two <br />� <br />iiEATINQ SYSTEM: �q GAS CJ ELECTRIC p <br />wu�nct rEnsor+nNu riror+e uo. <br />Beverly Kiny 206/513-9006 <br />I HEHEBY CERiIFV THAT I HAVE READ ANO E%AMINED THIS <br />APPL�CATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES OOVERNINO THIS TYPE OF <br />WOHK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />N07. THE ORANTINQ OF A pERMIi JOES NOT PRESUME TO OIVE <br />AUTHOqITY TO VIOLATE OR CAN4EL THE PqOVISION OF ANY <br />OTHER STATE OR LOCAI LAW REOULAiINO CONSTRUCTION OR THE <br />PEPFORMANCE OF CONST(iUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THI9 PRUPERTY TO PERfUHM THE WORK FOR WHICH <br />AFPLICATION 13 MAOE ANO I COMPLY WITH THE STATE <br />CONTRqC70FlS LAW 1827 qCW AND 2�J8.2U0 WAC. <br />Select nes, Inc. <br />XBY' �� � �0%/�/� <br />SION�IUf1E p--��E [� <br />OUSINE55 LICEHSE N0. <br />FFE NO. TYPE OF FIXTURE OR ITEM <br />� NC—NHNDLOUIJITS—H.P. <br />� 1 FORCED AIR SYSTEMS — 6.LU. I <br />� FIEAT PUMP <br />—�— _ <br />__ _ ; UNIT HEAIERS — B.T.U. M <br />£UB TOtAL S <br />!'ERMIT S <br />fOiALFEE y <br />SIOE SEiBACK <br />� _�� <br />1 VnCnNTSItE <br />� �j OYES p NO <br />f10� / 110.7�OWELLINO <br />UNIIS <br />NO.OibI0PoE5 OCCUPANTLOAO <br />Z fJ �/a <br />CIYE9 LYNO <br />vrwna�. rvvmnr�-nuveum CITY OF EVERETT <br />-�7� � LOCAL SALES <br />..Y�-/� unie 7.S�9S TAX COOF IS 3105 <br />P�N <br />WAiER HEATER <br />WOOD SiOVE <br />METAL FIREPIACE <br />QASRANOE <br />FAN <br />IE�I .� FEE RECEIPTNO. <br />� �� : ,�� <br />BUILbINO <br />PIUMBINO <br />MECHANIC�L <br />I1UbI110N�1. P�AN CIIECK <br />OIIIE:1 <br />St�IE OUILOINCi SI1fICHAtlOE <br />P90lIC WOtiK3 <br />IOTAL <br />%S <br />