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,� �^ <br />APPLICATION FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVEHETT, WA 98201 • 259-BB10 <br />f] DEMOLITION fl COMBINATION '�l BUILDING � MECHANICAL � 1 PWMBINO f 1 SION <br />PROJECT ADORE88 <br />Ra <br />i�16HLA►�V� �J� <br />(P i�161i1-1�►��A�1VJr <br />1=veit�.T 58ao� <br />IIP PlldlE <br />1E1NHf M�Ml11OOfESS CIIY IIP YMXI[ <br />SqNc <br />�aa+�r¢clanoes�n �,uu�od+ess cin nr PHONE <br />- `s-, <br />aer�n�t wnm�ctai ru�wonEss cnr nr v��rn+e sure ��r+sE • <br />MEp1AMC/iLCONTMC�d1 MIUlA00RE55 CItV IIf` PIIONE ST�TELICENSE/ <br />zr-_ i � <br />PIUMERqCONIR11ClOR MARIIDOPE54 CITV 21P PNONE 5T11TELICENSE� <br />OE9CiMlE MIOIIN �ND <br />IEWI oEscn�oi�oN oP vnovEnrv (3�1DYMlE�ow <br />�or eioac ar_ <br />PANCEIiNt O.MIUEEN <br />���-Sob-o�9- [ <br />CONS�RlICT10N tdW LENUEII. A0011E39. IElEP1ql <br />NO. TrPE OF <br />WATER CLOSET i <br />BATIITUB <br />LAVATORY(WASI <br />SHOYYER <br />KITCHEN SINK 8 <br />DISHWASHER <br />LAUNDRYTHAY <br />CLOTHES WASHI <br />URINAL <br />SMIK (3ERVICE — BAR, ETC.) <br />SUB TOTAL f <br />PERMIT S <br />FOR OFFlCE USE ONLY: <br />i110HT iF.TRlltlf REM 9 <br />IO��REA <br />HEqNTLMTATION I lMl qFDWELUNO <br />�� <br />WC�Nf SITE <br />IIYES 11 NU <br />ste a xonrti <br />I IYES 11 NO <br />CRY OF EVERETT <br />LOCAL SALES <br />TAK CODE IS 3105 <br />HEATIN(i SYSTEIYI: T� (iAS fl ELECTRIC f l <br />CONTACT PERSON M�Q PIIONE NO. . . 1 <br />I HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIB <br />APPUCATION AND KNOW 1HE SAME TO BE TRUE AND CORRECT. ALL <br />PPOVISIONS OF UWS ANO ORDINANCES OOVERNMK� THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE �RANTINCi OF A PERMIT DOES NOT PRESUME TO OIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVIBION OF ANY <br />OTHER STATE OR LOCAL LAW REOULATINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF TM19 PROPERTY TO PERFORM 7HE WORK FOR MIFIICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONtRACTORS LAW 18.27 RCW AND 288R00 WAC. <br />�i..�-�.�/I� , � - � - z � <br />SqNA� D�TE <br />MECHANICAL <br />— n.r. <br />— B.T.U. M E.A. <br />UNIT HEATERS — B.T.U. M <br />CLOTHES ORVERS <br />WATER HEATER <br />CiAS FIREPLACE <br />EXHAUSTFAN <br />PIAN CIIECK NIIMpFO <br />-�ic���� <br />RIIIIOMC <br />rwr.roiNc <br />MF.CI{�ry�C/�l <br />p001110N�1. M.�N CIIf.GK <br />0711ER <br />STAIE PIIIIOINC SUfK1UfME <br />rum ir, wonKc <br />TOTAL <br />PERMIT S <br />TOTAL FEE S <br />r¢F I�cFmrr+o <br />FEE <br />