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APPLICATI�,��1 FOR CONSTRUC7.ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-88'0 <br />f-1 DEMOUTION fl COMBINATION BUILDING fl MECHANICAL i I PLUMBING I l SIGN <br />PROJECT ADLRESS <br />_ `�` �'� � .�1� <br />o r�En / �,��,,� <br />� �'^ M�4 nDp9F55 <br />� Y � fDil (h �li�.l � CQ 1 a'v nr <br />TENnNr f� F_�,�JC 4� rr�oNe <br />ranaaooness �UNILjCO L6'�l �%��S <br />��,V z�� � ° �• 3 �r �- � �!d' ¢ <br />PWM9INGCONLRAf;iOR MMLAODRE55 — <br />CIT1' ZIF PNO�JE <br />S1ATE UCENS[ e <br />CONIRACi Ff➢LE OF WOBN <br />HEATING SYSTEM; i GAS I-I ELECTRIC f 1 <br />DESCRIBE OR ANO SOUARE FOOTAGE INVOLVED <br />��—� `�', CO�.IiACiPFR50NANDP1104EN0 <br />IV �: �.V <br />•�"^��eaeHu'�iOV OF PqOPI <br />LOT�� ALOCN <br />QS��. <br />IWO <br />' __ �- - <br />PARCELTAXID.NUM9EP <br />CONSTppf,TIONI.OANLENOER,qpDfIESS.TEIEPHONE NUMBF.R <br />_ �- U n� a; �a.00 0 111 n 2 T n G G 7 �S_.- <br />r5�� d�R ST Sw M�.r w� �i8o <br />PLUMBING --y'3 <br />NO. TYpE OF FIXTURE Oq ITEM <br />WATER r,LO5E7 (TOILEI') <br />�.� _ BATHTUB /J n �� � /� <br />I(ITCHEN SINK 8 DISP <br />DISHWAS— HEq — <br />LAUIJDRY TRAY <br />CLCTHE— g yyqgf{ER <br />URINAL � <br />DRINKIN—N <br />I HEREBY CERTIF'/ 7HAT I HAVE 4EAD AND EXAMINED THIS <br />APPLICATION AND HNOW THE Sl,ME TG BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS 7YPE OF <br />WORK WILL BE CO?APLIED WITH WHETHER SPECIFED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CAN'�EL THC PROVISION OF AtvY <br />OTHER STATE OR LOCAL LAW REGI LqTING CONSTRUCTION Orl THE <br />PERFORMANCE OF CONSTRUCTION. THAT I pM AUTHORIZED BY THE <br />OWNER OF THIS r^ROPERTY TO PFr�FpFiM THE �NORK FOR WHICH <br />APPLICATION IS AiqDE AND I CO�APLY WITH THE STATE <br />COfJTRACTORS LAW 1827 RCW AND 2g6200 WAC. <br />x �.� �..� ��� G ��s_ <br />sirNnrune � J-- _ <br />DAiG <br />CIiV BUSWESS LICENSG N0. � <br />ML"CHANICAL <br />FEE NO. TYPE OF EqUIPMENT <br />FEE <br />' A/C—A/HNDLGUNITS—H.P. ' <br />i FORCEDAIRSYSTEMS—B.i.U. M E.A. � — <br />HEATPUMP �--- <br />UNIT HEATERS — B.T.U. M , <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE (WOOD BURNING) <br />FIREPLACE INSERT (WOOD BURNING <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />- SUB TOTAL 5 <br />PERMIT $ I / c� p <br />r — <br />FOR OFFICF IISF nw v. TOTRL FEE 5 � <br />GC/ <br />UIiF JbNF . <br />❑EIGIIi <br />i (.�-I /�_L•'�C�' <br />