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APPLICATIG.J FOR CONSTRUCT hJN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 , <br />(l DEMOLITION f I COMBINATION �iT BUILDING J�i' MECHANICAL �PLUMBING fl SIG� <br />PROJECT ADDRESS ap3� �`'�lv�`-� �j - � � '� <br />ONMER M�ILAODRESS ` CITV � ZIP � PHONE�� �u�" �_/uU <br />� rr tn Qo/1l� H 78Z0 L�� o/� !,v y Gyn�.✓• -rJBo.� �� <br />�`s'�ER/�l NiMCTO� <br />"lsc����al E•,•, <br />H�N1ICALCONTt1nCTOR ' <br />CC7/'l4 � 7�Itr <br />f;l/( 7��c � / C• <br />CON T PRICE OF M/ORK <br />UuOo��� <br />pESCRIBE �ND SOU� <br />26' <br />�or <br />8 ry�„� ��� <br />6 i�/uc�! 1 �� 1 <br />o use oF euaw` u� — <br />� Hri%�.. <br />i <br />5(/1 PTIpJ OF PROPE ISHO <br />IV BLOCK <br />�p IENDER. <br />� �/!/ <br />OF <br />i s,�� <br />S� TELEPMONE NUMBER <br />F <br />/1�� �� �' �/ i <br />DISP <br />LAUNDRYTRAV <br />CIOTHES WASHER <br />URINAL <br />PERMIT <br />�. � TOTALFEE <br />FOR OFFICE USE ONIY: <br />FRONT SET�BACK/� � RE�37 SETBACI( � <br />-lR/ �-Z�S <br />USE ZO� ,r `j IOT AREA <br />"EIGHiUWTATION NOOFDWEL�ING SRF <br />,�j UNIiC n (o <br />� L� K' <br />]L �/� I ��TE <br />S <br />�'-.15�! �j�(f� <br />{fATE LICENSE • <br />„�✓��J yt�a3� [za� ���G��� �«cre <br />Z�P p��pryE STRTE LICENSE � <br />yhr�..� 9Y�3� ir��l i�7���� E�ecTEc <br />Z�p PMONE SiAiE IICENSE � <br />�Innwot.�%�Y.v'�%CZu•%7fi%-�o7GV �IEGTEi <br />HEATING SYSTEM: f 1 GAS fl ELECTRIC I l_ <br />CONT�CT PENSON ANO PHONEf�O � . _ �•� _ . _ , � , <br />v <br />Z o.f., �in v( ic�) 7°7-G7ua <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE Of <br />WORK WILI BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW RECaULATIN6 CONSTFUCTION OR THE <br />PERFORMANCE OF CONSTPUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />. APPUCATI IS MAOE D I C01 Y WITH THE STATE <br />CONTRAC S LAW 1B2 RC AND 296 WAC. <br />� ( " Z� /.S- /.! <br />51 ATURE OATE <br />�y�0�7 CITYBUSINESSUCENSENO. __ <br />MECMANICAL <br />FEE NO. TVPE OF EWIPMENT FEE <br />SIOE SETB�CK � <br />5 <br />V�CI1N1 SILE <br />/VC — A/MNUL(i UIVI I J— n.r <br />FORCEDAIRSYSTEMS—B.T,U. M E.A. <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD _ <br />WATER HEATER <br />WOODSTOVE <br />GAS <br />GAS <br />FAN <br />� SUB TOTAL E <br />PERMIT S <br />TOTALFEE f <br />PlANC11ECKNUMBER fEF �/ RELEIPiNO <br />r—f�: •.." � �/.� ��7 <br />f 1 YES �� NO BUIIDING <br />��� <br />piBL�i rtl <br />�b CSf GH/�GE PWMBING <br />,B�SEMENT p� MECIUNIC�L <br />f l YE5 �' "" �DDIIIONQ PUN GHLCK <br />OTMER <br />STRIE �IIIIDING S�1RCN4RGE <br />CITV OF EVERETT runur. won�s <br />LOCAL SALES <br />I TA% CODE IS 3105 70TAL _ <br />� �� : <br />L�%% ' <br />� -' <br />