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APPLIGATI�,N FOR GONSTRUCT �ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION �� <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />f-1 DEMOLIT104 f i COMBINATION � BUILDING � 1 MECHANICAL � Pi.UMBING f 1 SIGN <br />PROJECT ADDRESS <br />z`l-Z Z. k� �}- n�vE rf� � <br />owrien MniinooAEss em zm rHor�e <br />1 l\ O S��^ 5{- ��i- Vl/1.��-�15 ��\l c �$1-7 O Co �-3 - 7�d�l 1 <br />lE�lA!Ji "� I�IA1lA[] FSS CITY <br />21P i'��ONE <br />��/l. �� /���iJ�� _ � <br />ARGNITfGTORDE5IGNER MnpADDPE55 CitY 71P PHONE <br />GGN[RPLCONLR�CTOq IfAIIADD�E55 �IIV jIP PIIO4E $LATEIICENSE• <br />l <br />— ( !(U/lx' i <br />NECHPNiCALCONtRACiOR MAILAD�PE55 U;� <br />PIU�IBMGCONiRArTOR M>IIADORE55 Cltt <br />CONIMGi PRICE OF WORK <br />DESCPiqFWORNANO50UAREFOOTRGGINVOIVED � <br />n�- �l ��u� �a 1 v�eul -�`,\e{� � <br />51�o�,JevL � vi.� �k��na, S�.«�4- 2cc� <br />fi vtox . S�O ��� <br />PA SED USE OF DURDWO L7— <br />IEGAL OESGBIPTION OF PROPERTV �SIIOWN BELOW (Ni �ifAGH TV/O COPIESI <br />l01__%`���LL%PLOCK S�`�'�"�or 111���1�R A'��c, <br />S�—I I— SS �'1" C11 —OZ`b r <br />�'�RCEL TNf I D. NUM9ER <br />GONSiRUCTION lOAN LENOER. ADDFE55. TElEPNO��E NUMPE(1 <br />NO. TYPE CIF FIXTURE <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WI1SH BASIN) <br />SHOWER <br />KITCHEN SINh; 8 DISP <br />DISHINASHEP <br />LAUNDRYTRAV <br />DRINK�NG FOUNTAIN <br />FLOOFl DRAIN <br />BACKFLOW PREVEN' <br />SINK (SERVICE — BA <br />ETC.) <br />SU� TOTAL 3 <br />PERMIT 5 <br />'OTALFEF 5 <br />FQR OFFICE USE ONLY: <br />fRONiSFTRnCN RF.AR SFTPACK <br />u5E 20NF. tOtanFA <br />IIEIGIIT UMItAT104 NO OF UWELLING <br />IINIIG <br />OCCUP�KL`/ NO C15fOPiES OCCUP4Nil0Ap <br />GROUf' <br />�IRFSPRINqERRE00 RF�SON <br />IYrFO�fONST PI�NSA <br />1`4iL <br />FEE <br />�ID[ 5[TORLN <br />MCRNI cltf <br />IiYES NU <br />PNONE STpTE LICENSE � <br />HEATING SYSTEM: f� GAS !"1 �LECTRIC I 1 <br />CONTACT PFRSON AN� PHONE NO <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINEO THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS �ND ORDINANCES GOVERNINC� THIS TYPE Of <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN Oii <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUNE TO GIVE <br />AUTHORITY `.O VIOLATE OFl CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAVJ REGULATING CONSTRUGTION OR THE <br />PcRFORMANCE OF COIJSTRUCTION. THAT I AM AUTHpRIZED BY THE <br />�WNER OF "HIS PROPEHTY TO PERFORM THE WGRK fOR WHICH <br />P.PPI.ICATIOIJ IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAYJ 1827 RCW AND 29G.20� WAC. <br />% L",,,,�,v�•'\ -�r �1^ iU �i� <br />sie i � rare — <br />CITV 9UGMF.Si ll'LENSE NO <br />MECHANIC4L <br />NO. T'PE OF EQUIPMENT FEE <br />!✓C — A/HNDLG UNITS -- H.P. <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />NEAT PUMP <br />lIN1T HEATERS — B.T.U. M <br />(:LOTHES DR'/ERS <br />� JENTILATION FAN <br />FANGEHOOC <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE (VJUOD BURNING) <br />FIREPLACE INSERT (WOOD BURNING) <br />GAS FIFEPLACE <br />GAS RANGE <br />GAS PIPINCa <br />EXHAUSTFAN <br />SUB TOTAL S <br />PERMIT S <br />TOTAL FEE $ <br />1'lRNC11ECNNUMEffR � F[G � R[CEIPTND <br />' Dl11ID�NG <br />SiZ[ Of fllU(i41 <br />PI UMPING <br />PASEMF.NL MFCHANIC0.L <br />�I�Eti INO <br />RpD1110NP1 PlANC�ffLK <br />O1HER <br />SiAIE fi111lDING $IIRL11AqGE <br />CITY OF EVERETT rii�n�;vmn�a <br />LOCAL SALES I-- — <br />TAX CODE IS 3105 TOTAL <br />�l: — <br />