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APPLICATIOrI FQ'R CONSTRUC t�ON PERMIT <br />f, Y OF EVEI lET"i • BUILDING DIVISION <br />3200 CcOAR STREET • EVERETT, WA 98201 • 259-8810 <br />fl DEMOLITION T�l" COMBINATION (-1 BUILDING f� MECHANICAL � 1 NWMBING f l SIGN <br />PROJECT ADDRESS <br />�^^_� M•��•ooness cm zm v��one --- — <br />�,—��_� �s S r� v ; c r � ,�, � •� � � r'E� � u � � S � .s 3 - S 7 0 / <br />TENANT MMIppGRF.55 CITV P p110NE <br />�RGHRECTORDESIGNER M�IL�DORE55 CITY DP PHONF <br />�C L7 ifit� C <br />GENEpALWNTMCTOq 6�AILAD�RE55 Cltt ZIP P110NE SiATEUCENSE• <br />MECHANICALCONT CTOR�IIAD�RE55 Cli; IIP PHO�+E STAiEULENSE� <br />PLUMBINGCONTRRCTOR MAILAOURE55 CITP pIP PNONE STATELILhNSE� <br />..v���.������cvrm�nn / . <br />� �.�:� <br />DESGRIBE WORK �N� SOU�RE FOOTAGE INVOLVED <br />�oT � — 2�— a�aK n � ! <br />I.O.NUMBER <br />l�Sv— i <br />ION IOAN LENDER, <br />TYPE OF <br />BATHTUB <br />LAVATURY(WASH BA; <br />SHOWER <br />KITCHEN SIIJK 8 DISP <br />CLOTHES WASHEH <br />DAINKINa FOUNTAIN <br />FLUOR DF,.IN <br />� n o i - <br />TELEPHONENUMBER <br />4 � 9 - Zz�z. <br />0 <br />SUBTOTAL $ � i; <br />PERMIT S � <br />TOTALFEE 5 ' <br />FOR OFFICE USE ONLY: <br />FRONT .ETPALK� � REAR SETBRCN � SIDE SEiBPC � <br />z zo <br />USE20NE Cn� 7� IOTAFE� VACANISIIE <br />/— ✓L/ <br />fIVE$ (i NO <br />HE�GMT LIMITATION !� � UO'rOF UWELLING SIZE OF BlD6/i.i <br />Z(/ �Z�C CC Lltld�i <br />REO'D <br />RFRSOY <br />f1YE5 NO <br />HEATING SYSTI:M: f 1 GAS 7fELECTRIC �"1 <br />CONTACT PGq50N AND PHONE NU <br />/1G/�t� .i.r�`c �i'�2 —i�'7 n � <br />I HEREBY CERTIFV THAT I HAVE READ AND E%AMINE� THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE CF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOL4TE OR CANCEL THE PROVISION OF ANY <br />OP 1ER STATE OR LOCAL LAW REGULATING CONSTqUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOH WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 2�' t00 WAC. <br />x�_ h_� /�•_zo-9� <br />SIGNATUqE � DATE <br />CITV BUSME55 LICENSE N0. <br />NO. TVPE OF EQUIPMENT FEE <br />eir. _ eiuuni r i iwrs — u o <br />rvni.�v wn �� u� ov�o — c <br />HEAT PUM? <br />UNIT HEATERS — B.T.U. M <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER _ <br />WOOD STOVE <br />METAL FIREPLACE (WOOD BURNING) <br />FIREPLACE INSERT (WOOD BURNING <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL $ I 1�"j ' <br />PERMIT 8 `-r <br />P111N CNECn NUMi[R fEF � RECEIPT NO. <br />,-sz�3s� //9�•� <br />AUILDING y� / X i— <br />_�V ^ <br />PLUMOING _ � <br />MECIIANIf.AL � � � <br />_ _/•J 1 — <br />i <br />R�D1110NF1 PL�N CHf.CK <br />_�— <br />O1HfR � <br />STNE OIIILDING SURLf1nRGE � `�(� <br />.orr,or+s� vinnsnr���r+uvmor CITYOFEVERETT runnr.wonKs <br />T! J �:,' LOCAL SALES - <br />..lL—l� oate I L/1_ �� /a S TAX CODE IS 3105 7o7AL <br />