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^ i� <br />APPLICATI�.N FOR CONSTRUCI.ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />❑ DEMOLITION ❑ COMBINATION �BUILDING �MECHANICAI �f(PLUMBINO ❑ SI(iN <br />PiPv� R_�sr�ac� �373 /�ik.r�Ey G�is,v,�is. u�.st Pf1�9� 3�7- 3i�o <br />TEN�NT M/JLPDORE55 CI7V Z6' PHONE <br />' DE9CINlEWcORNIINDSOnUANEFOOTMiEMVOWED <br />�' � /' � <br />rnorosEo uae ac euxniNo <br />� ����SF ��� �, <br />, �or'��_ xoac �_ oF� <br />� <br />� <br />� PARCEl TNf I.D. MAlER <br />I CONS7RULl10N LOIW LENDER. AODRESS.IELEPMONE NU <br />� .�/r'1A/ <br />i —� � <br />1 <br />i PLUAAlINO <br />� NO. TYPE OF qXTURE OR ITEM <br />f'�i:iii'7 <br />KITCHEN SINK 3 DISP <br />CLOTHE6 WASHER <br />FLOOR DRAIN <br />FOR OFFICE USE ONLY: <br />FHOHTSETBIICK � REM! <br />-2 <br />ON / <br />� <br />SUB TOTAL S <br />TOTALFEE S <br />HEATING SYSTEM: ¢`G1AS ❑ EIECTRIC ❑ <br />LONTAyJ PERSON ANf) CHONE NO. , � <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />AP�Pk1CATION AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL <br />pROVISIONS OF LAWS AND ORDINANCES OOVERNINO THIS TVPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED MEREIN OR <br />NOT. THE ORANTIN6 OF A PERMIT DOES NOT PRE8UME TO �WE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REODUTINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM iHE WORK FOR MMICH <br />APPLICATION IS MAUE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 CW AND 288200 WAC. � <br />X� � S�� t= 9 r <br />51 11TURE � D\TE <br />CIiV BUSINESS LICENSE NO. <br />MECHANICAL <br />Np. TVPE OF FlXTURE OA ITEM FEE <br />Q A/C—AMNDLOUNITS—H.P. � <br />FORCED AIR SYSTEMS — B.T.U. M E.A. ' <br />HEAT °UMP � <br />O UNIT HEATERS — B.T.U. M ; <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANCE Fi00D <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE (V <br />FIREPLACEINSERT(' <br />OAS FIREPLACE <br />OAS RANOE <br />SUB TnTAL S <br />TOTALFEE <br />PUI'CNECISN}1�BER �,„ I FEE I RECEIPTNO. <br />LOTAREl1 VAGNTSITE fCCD <br />nres ❑ rw euaort+c <br />NO.OFDWEWN(i SI2EOF .I. <br />UNITS I�.f$ f' IIN�G � P�UMBING <br />eo s ctic.aie <br />OCCW�NTLOAD BASEMENT MECH�NICAL <br />/� ❑ res w�io <br />REp� ADqTIINJAL PUN CMECK <br />OTMER <br />REASON <br />STATE BUILDING SURCH�R(3E <br />PLANS MPPOVED BY CITY OF EVERETT 7UtlLIC WORKS <br />J ;Q LOCAI SALES <br />...,� �/. /Ps TAX CODE IS 3105 TOTAL <br />Sb <br />�� <br />ov <br />