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APPLICATIA�+I FCiF� CONSTRI�CTrON PERMITr <br />CITY OF EVERETT • BUILDING DIVISION GC^���� <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 � <br />� I DEMOLITION i l COMBINATION � 1 BUILDING ' i MECHANiCAL ' PLUMBING I I SIGN <br />�PROJEC�'.oDDRES y,� <br />I 3< /2.. .(,�i: u� %��� � �cr�c /L, I / A - �i�'-`lC� / 353-� 7 7 ; <br />lFAILADDRE55 cm zra <br />RqCMI?fQOR�ESiGNEA �ARIIACDRE55 CITV TIP PMC'+E <br />GENERALCONTRACtOR IlnIL�1D�RE55 Cliv ZiP PHp•:E StATELICENSE• <br />MECNnNICAI COYTRACTOR MAIL 0.DDRE55 GiTY Zm PHONE STRE LICF.NSE � <br />PUAABINGCONTP>f,TOP MmLnDDHE55 CItY ZiP PHONE STATELICENSE• <br />WORK <br />DESCRIBE WORK AVD SOUARE FOOT�GE IVVOIVED <br />PROi'OSED USE OF BUILDING <br />lEG/•L OESCFIPTION OF PROPERtt �5/10WN BELOW OR nTTACM TWO <br />LOT BLOCK OF <br />TA%ID.NUMBER <br />CONSiFIIG➢ONLONNIF.NDER.AUDHF55.TELEPHONE NUMBEF <br />PLUMBING <br />TYPE OF FI%TI1RE OR ITEM <br />CLOSET ITOILET) <br />LAVAIORY(WASH BA� <br />SHOV/ER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK (SERV;CE �— BAR, E7 <br />SUB TOTAL 5 <br />PERMIT 5 <br />TOTAL FEE S <br />FOR OFFICE U8E OYLY: <br />fRONTSFTPRGN PERR SFTBACK SIpE5E7BA�N <br />USE ZONE <br />NF.IGIIL LIMITRTION <br />OCCU.^RNCY NO 0� <br />cnour <br />FlRE �L�liM REO'D <br />f ilif SPRINKI[R REI <br />IYPF G/ fpNSi <br />FEE <br />HEATING SYSTEM: f 1 GAS �7 ELECTRIC f l <br />CONi�Gi PERSO4 RNO i'HONE NO <br />I HEREBv CERTIFV THAT I HAVE REA� AND EXAMINED THIS <br />APPLICATION AND KNOVJ THe SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES G:1VF��iJING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH N'HETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DUcS NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISION nF ANY <br />OTHER STATE OR LOCA: LAW REGULATING CONSTRUCTION QR THE <br />PERFORMAMCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOH Y'JHICH <br />APPIICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />BUSM[55 LIGENSC NO <br />NO. TYPE OF EOUIPMENT <br />A/C — A/HN�LG UNRS — H.P. <br />� FORCED AIR SYS7ECIS — B.T.U. M E.A. <br />NEAT PUMP <br />UNiT HEATERS — B.T1J M <br />� CLOTHES DRVERS. <br />VENTILATION FAN <br />RAWGEHOOD <br />WOOD STOVE <br />METALFIREPLACE�WOOD' <br />FIREPLACE INSERT (WOOD <br />GAS FIREPCACE <br />GAS RANGE <br />GAS PIPING <br />SUB TOTAL 5 <br />PERMIT 5 <br />TOTALFEE S <br />rinr+ciiEr.Kr�uMnrn � rFE � nFCEirrNo <br />IUi\AER VACTNISILE YCtJ <br />� i VES �'� h0 pUll�iNG <br />NO(NUW[LIING SIZEOiBIU(trtl <br />ur�i r s ri u�nnn+c <br />OCCUPANilOAp BNSEMENT Mpp�nNlCAI <br />IIYES fl NO <br />Rf-ASON ADUI110NA1 PIAN GI[Crc <br />OiN'A <br />RF4cON <br />$iAIE 01➢IDING 511(iC11AqGE <br />rinHsnrvnovronv CITY OF EVERETT �umicwonKs <br />LOCALSALES <br />„��i TAX CODE iS 3105 70TAL <br />�EE <br />