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� <br />APPLiCATI��I FOR CO[�STRID�CI:�OW PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 •?59-8810 <br />fl DEMOLITION �l COMBINATION BUILDING rl MECHANICAL �l PLUMBING fl SIGh <br />PROJECT ADDRESS MUI� <br />Jr93 < < — ��ere � �<<. <br />� WN,Er MAILAD�RE55 LITY 21P PHON[ <br />- Fluu�i l�%Nr;�ksn�! /�G. �ox S��/l I_vc'rerf 48zo� 6s�'-�'�i 7 <br />TENANT <br />GEN[ML CONTfIPC10R <br />"'� 5 e � � <br />MECf1ANICFL CONih.c'TOfi <br />PLU4BING CONTfiAf,lOR <br />At�O <br />raoroseo use oF e <br />�� <br />LOT BLO(:K <br />'rr �{ -- - - <br />- s �, <br />MAI�pDORE55 <br />MAIL FfJDPE55 <br />MAIL �O�PE55 <br />��_ <br />QT6GEINVCLVED <br />GS Z�US-ti�-b3�'-O�U <br />yl <br />CITY <br />CITY <br />6 /l sz I �� <br />Ctiv <br />CITV <br />CIiY <br />� z C'� �f <br />ACM T WO COPIES� <br />LENDEC. ADORESS. TELEPNONE NUI'��Efl <br />NO. TYPE OF <br />WATER CLOSET <br />BATHTUB <br />& <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK (SERVICE — BAR, El <br />OR ITEM <br />SUBTOTAL S <br />PERMIT 5 <br />TOTALFEE S <br />FOR OFFICE USE ONLY: <br />�AONTSFTflACR REAR $F.10/+CK � <br />2.S 2 s <br />USfZG4P 10*ARFA <br />SI�E SET6�CN <br />FEE <br />0 <br />ZIP <br />PHONF <br />;�u q8d>' 3r6f zs8_�Ir i i <br />ri�or.�r.� sTm[uCENse. <br />PNONE SiATE LICFNSE • <br />21P <br />HEATING SYSTEM: f 1 GNS fl ELECTRIC I-1 <br />cc v F, r�tens� nruo %'i e/J (� I t �<SO !� <br />l <br />l,s"� -89 �� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION ANU KNOW TNE SAME TO BE TRUE AND CORREC7 ALL <br />PROVISIONS OF LAWS AND Oi�DINANCES GOVERNIhG THIS TYPE OF <br />WORK WILL AE GOMPLIED WI'i4 WHETHER SPECIFIEO HEREIN OR <br />NOT. THE GRANTING Of A PER�v11T DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHFR STATE OR LOfAL LAV�' REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTi10RIZED BY THE <br />OWNER OF THIS PflOPERiY TO PERFORM THE WOHK FOR WHICH <br />APPLICATION iS MADE AND I COMPLY WITH THE STATE <br />CONTRA�S L 1027 RCW� 6.200 Wi C. <br />� f � -1-��c <br />� ti. � <br />X — <br />SIGNATIIPE DAtE <br />CITY 6USINE55 LICENSE NO <br />MECHANICAL <br />NO. TYPE OF EqUIPMENT rEE <br />A/C — A�'HNDLU UNITS — H.P. <br />FOFCEDAIRSYSTEMS—B.T.U. M E.A. <br />HEAT PUMP <br />UNITHEATERS—B.T.U. M <br />CLOTHES DRYERS � <br />'T <br />VENTILATION FAN <br />RANGEHOOD � <br />WATER HEATFR —r <br />WOOD STOVE _ _ <br />METAL FIREPLACE (WOO� BURNING) <br />FIREPLACE INSERT (WOOD DUR�ING) .�_ _ <br />GAS FIREPLACE <br />GAS RANGE <br />G.4S PIPING <br />EXHAUSTFAN � _ <br />SUBTOTAL $ <br />PERMIT 5 <br />TOTAL FEE S <br />r�nNcii[r,KNUWHiA. I ��Er� _/% � nFc;[inrNo <br />�— � ��-(� � �1VE5 f1NO Ol➢LpMO ���� �L i_'�'� <br />❑[IGIrt LIMR Ti N� NO OG OWEIIING 51.'.[ OP 91 �Grtl � <br />�'� �,N�rs / 2�� ��„�,,���� ' - <br />—; <br />(,CCUPANCY NO 0� S ��i[5 OGCUPANi l0/0 BASEMENi MECIIANICAI <br />�ROUP mi . _ _ __.. <br />� �v IlY[5 �1 NO <br />RR[P�ARMRW�D t1PA$ON AC:PIIONN.PI�HC�I[CK __ <br />N�� o,�E� <br />�IRF51`RiNKIFRREO�D RFAFON <br />/�L� STAI[OWIDING5Uf1CNpqGE � i <br />f Ti.) __ <br />rvrForcoNsr vinmsa�novenov CITYOFEVERETT ruai.ir,wonres _ ; <br />� LOCAL 5.4LES J---�—�" <br />� ��a�� � 9 - 9 ( TAX CODE IS 3105 TOTAL �4 � ��� % > <br />