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APPLICATIG.1 FOR CONSTRUCT.JN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98�01 • 259-8810 <br />� pEMpL�pN ❑ COMBINATION ❑ BUIlO1NG �MECHANI�AL p PLcUIiA� � ❑ SIGN <br />'C'`-\�� ,�p,� O/ <br />pROJECT ADDRESS: �[p I�� ��`��'�-�`-� � <br />Mui <br />� <br />lOt �� �-- <br />►MCELTMI.D.MF�lER 1 � ��ii � <br />�S l (o ._� <br />�5T1111C11pN IOI�M lENOER. Mp1E55. TEIERId,E �N <br />K� <br />NO. TtlPE OF FlIfTURE OR ITEM <br />yVATEp CLOSET (TOILEn <br />BATFITUB <br />UVATORY (WASH BAS�N) <br />6HpWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNORY TRI1V <br />CLOTHES WASHER <br />URINAL <br />DRINKIN� FOUNTAIN <br />TOTAL <br />S <br />E <br />an <br />:�� <br />Z�P <br />�1�'c1��Q � .�-� 2�� <br />� ��� <br />HEATING SYSTEM: I <br />coaucr ocnson �Ho v� no <br />. <br />❑ ELECTRIC ❑ <br />I HEREBY CERTIFY THAT i HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITN WMETHER SPECIFIEO HEREIN OR <br />NOT. THE aRANTINCi OF A PERMIT OOES NOT �RESUME TO 61VE <br />AUTHORITY TO VIOLATE OR CANCEL TME PROVISION OF ANY <br />OTHER STATE OR LOCAL lAW REOUTATIN(i CONSTRUCTION Oii TNE <br />PERFORMANCE OF CONSTRUCTION. TMAT 1 TME � F� B�ICH <br />OWNER OF THIS PROPE P p yy�TH THE STATE <br />APPLICATION IS E � A <br />CONTRACTORS 1B2 96.2 WAC. <br />X � � � �� <br />S16N�TURE D�1 <br />CITY BUSINE55 LILENSE NO <br />FEE NO. TYPE OF EGU <br />� NC—NMNDLOUNfTS <br />_+ FORCED AIR SYSTEMS <br />� HEAT PUMP <br />� UNIT HEATERS <br />! CLOTHES DRYERS <br />FOR OFFICE USE ONLY: <br />��T��� REI1RSEtBl1CN SIDESETBIICI( <br />USE <br />11EIGHt UM�TATION <br />11J <br />STOVE <br />SUB TOTAL f <br />FEE S <br />PUN CIIECK NUMBfR fEF I RFf.f:IPI NO <br />lOTl1PE� V�C�NTSItE �cw <br />❑YES ❑ �+0 pinlfliN(: <br />NO O: DM/[LLING SKE O� BIIXiR.I <br />VNIi$ � PlUM01NG <br />OCCUPANT LO�D B��NT MFCN�NIf.M <br />❑YES ❑ Nfj <br />AOp1IlON�1 �'IxNCNfGN <br />RF�SON <br />O111E11 <br />RE�S(NI <br />9�1[ PUILDINC 51111CN�RAE <br />PinNs�rvnovEoer CITYOFEVEREIT runiicwon�s <br />LOCAL SALES <br />I o�ie TAX CODE IS 3105 TOTAI <br />