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APPLICATION FO� CQ+NSTRUGTrO�! PERAMIT <br />C1TY OF EVERETT • BUII_DING DIV�SION <br />3200 CEDAR STREET • EVERETT, WP� 98201 • 259-8810 <br />I� DEMOUTION f 1.;OMBINATION f� BUILDING f 1 MECHANICAL �LUMBING (! SIGN <br />PROJECTADDRESS a�� y��� —' <br />� u <br />1E11ANT <br />ARGIUfF.GT OR <br />Mn�l AOURF.. � / n <br />7� � • �(�- G'��_� <br />M�IL ADORf 5� <br />MPII AD�RE55 <br />ti1 i�� / �a " r��� % <br />4]iv biP PMONE <br />cirv <br />r�ionF <br />GEY[t1ALCONiR�CtOq MnILADDPE55 QtV /IP P�10Y[ SiniELiCtrvv�• <br />MECNANICALCONTFRCiOR Mm�AD�AF.55 f.1TV 71{' P110NE STAiF.LICf:N£E+ <br />coHrnncr anicE or wonK <br />a O�O . �� <br />OESCRIOE WORK AND',OUARF..'OOTAGE INVOLVED <br />D USE OF <br />V �2 C <br />ior <br />OF PROPI <br />_ BIOCN <br />CI Y L� PHONF J�Ait ube �c • <br />- �O�l��o. �� �e7�� • � oZ o -776 br%;5_C�71�y1 <br />HEATING SYSTEM: f�GAS �IELECTRlC fI_ <br />� CONTACT f�ERSON AND PHON[ NO <br />BELOW OF RTinCN <br />CONSTRUCTION LOAN LEN�ER. AUDRE55. TELF.PHONE NUMOFR <br />NO. TYPE OF FI>;TURE Op ITEM <br />� WATEH CLOSET (TOIIET) <br />BATHIUB <br />LAVATORY(WASH BASW) <br />SI`!K 8 DISP <br />LAUNDRYTRAV <br />CLOTHES WASf <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK (SERVICE — BAR, El <br />SUB TOTAL S <br />PERMIT S <br />TOTALFEE S <br />0 <br />I HEREBY CERTIFV THAT I HAVE READ AND �KAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE ANU CORRECT ALL <br />PROVISIONS Of LAWS A�JD ORDINANCES GOVERNING THIS TYPE Of <br />N.�ORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OF <br />NOT. TIiE GPANTING 0�: A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLA'iE OR CANCEL THE PROVISION OF ANY <br />OTHFR STATE OR LOCPL LAW REGULATING CONSTRUCTION OR THE <br />PERF7RMANCE OF COIJSTRUCTWN. THAT I AM AUTHORIZED BY THE <br />OWNCR OF THIS �ROPERTY TO PEFFORM THE WGRK FOH WHICH <br />APPLICATION IS MAGE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1H.27 RCW AND 296.200 WAi.. <br />X �j as -r.� <br />SIGNAiURE U�TE <br />Cltt BUSME55 LIC[NSE NO <br />IECHANICAL <br />Np, TYPE OF EOUIPMEMT <br />A!C — A/HNDLG UNITS — H.P. <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />CLOTHES Di7VERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METHL FIREPLAGE (W'OOD BURNINGj <br />FIRGPLACE INSERT (WOOD BURNING) <br />GAS FIREPLACE <br />GASRANGE <br />6AS P!^!NG <br />FOR OFFICE USE ONLY: <br />fPONiSFTpACK Pf.M5FT0%CN SIDESETBRCN PIANCIIECKNUMOfti <br />/A � �1`I <br />USE20NE <br />IIEIGHT 111A1tAT10N <br />OCGUPAhCV NO 0�5' <br />GROU� <br />Flil[ ALAf1M REOD <br />�iPf «��NNI FR PF.O i <br />1 � �F OF f,ONSi <br />IOLPREA VRCRNrSRF rcvo <br />I rvES I'� NO ppIIOMG <br />NO OP OWEILING SIZE Of 6lUG/i� <br />I�NItS PLUMPING <br />OLCUPANTL040 BASEMEN� M[CHANiCAL <br />I IVES ' � ��� <br />. ApDI11pNAL PI RN CN[CN <br />(1FASOA <br />nn�en <br />RFAcpN <br />SiNE 9NlOMG Sl1fi014�GE <br />riavsarvnovennv CITY OF EVERETT run;icwonks — <br />LOCALSALES <br />on�E <br />TAX CO�E IS 3105 TOTAL <br />FEE <br />SUB TOTAL S __._�',_ <br />PEfiMIT S � <br />TOTALFEE 5 L_ <br />�� _ <br />«� RECFlPi NO <br />VALUATIOIJ FEE _.r__ <br />i <br />__i—. __ <br />i <br />