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APPLICATI4N FOR CONSTRUCI �ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />fl DEMOLITION fl COMBINATION I-1 BUILDING `Sd MECHANICAL �� PLUMBING fl SIGN <br />'--- •--- - <br />cctrne <br />�NCM�TECTOP DESIGNER MAtL AD�RESS CITV ]iP PHONE <br />cm <br />PLUMBINGCONTRAf.TIXi M4lAWRESS �ITy 21P PNONE ST�iELICENSE� <br />!�� t�'O0�-`—, <br />SOUIIRE F00TI1GE INVOL� <br />«l DES(�IIPTIq� OF PAOPERTY (�roN'N BELOW <br />LOT' BLOC1( OF_ <br />COM57IRICTqN IOAN LENOER.110DHE55. TELEPlIONE NUMBER <br />N0. TVPE OF <br />WATER CLOSET� <br />KITCHEN SINK <br />WASHER <br />PREVEN?ERS <br />CE — RAR F7 <br />SUB TOTAL E <br />PERMIT S <br />FOR OFFICE USE ONLY: <br />FROMTRE7PACN REAR SFTB�LK <br />USEIONE <br />NEI6NT LIMIT�TION <br />G�UPANCY Ip (% <br />FIRE 11U1RM REO'0 <br />FIRE SPRINNIER PE( <br />fYPE OF f,ONST <br />LOi�REI. <br />NO OF DWELIItM <br />UNIfS <br />BV <br />V�C�NI SITE <br />IIYES �i NO <br />SIZE OF BLDGRI <br />BASEMEN7 <br />I1VE5 I1 NO <br />CITY OF EVERETT <br />LOCAI SALES <br />TAX CODE IS 3105 <br />HEATING SYSTEM: Atl GAS �l ELECTRIC I-1 <br />CONT�C/T P�E�RSON AND PHONE NO. <br />�L24Y�P5 � �nr.In.. _C'a .�Qrl-n7n7 <br />� I HEREBV CERTIFV 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 TVPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE 6RANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOUTE OR CANCEL THE PROVISION OF ANV <br />OTHER STATE OR LOCAL lAW RE6UUITINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BV THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 298200 WAC. <br />x �2L� ����- �-/-�'f'7 <br />SIGN� RE 0�1E <br />CITVBUSINESSLICENSENO. �l ��/ / ,� <br />�Y f0 C/ <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT FEE <br />wvvnnJ-11.1 <br />FORCED AIR SYSTEMS — B. <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />VENTILATION FAN <br />RANOE HOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACF <br />GASRANGE <br />GAS PIPIN6 <br />ExHAUST F/ <br />SUB TOTAI S <br />PERMIT S <br />i'UNCBECNNUMBF.R IFEE �PECEIPiNO. <br />OOILOMC <br />PLUMOING <br />MECIUNiGI <br />�ODIIIONAI M.AN Gif.CK <br />O111E{i <br />STN[ OURpING SURC114RGE <br />ruyi ir, wo�ns <br />TOTAL <br />3 <br />