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APPLICATION FOR CONSTRUCT�ON PERMIT <br />CITY OF EVERETT • BUIIDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />fl DEMOLITION fl COMBINATION f 1 BUILDING I-1 MECHANICAL �� PLUMBING fl SIGN <br />PROJECT ADDRESS //n / � y �/ v� �—cr . C�� f� S��- G� <br />l/ t� /Y! 2 f � aooA�Ll h/e 7 citt � A zi �`� rNorue �� 9 S�� � <br />ry /�/ <br />T NANi AUILADDRE55 � C�T\ 21P vHONE � /��Sb 9� <br />/L <br />�R MPIL AD�RE55 <br />T �' L -� -e <br />Z�p P ONE � <br />ok ��a.� ��,�;-�rG,,��. ���, <br />_ _ ....,..�� crero i irrr�SF • <br />MECHANIL�LCONTRRCTOR MAIL�D�RE55 `•" '-� <br />PLVMBINGCONTN�CTOR MMLADDQESS <br />Gltt ZIP PHO'�E 51ATELiCENSE� <br />� <br />LEGAL DESGRIPiION OF PROPERTY <br />l0T BLOCK _ <br />OMCEL TA% ID. NUMe <br />CONSTRUCTIONLO�N <br />PLUMBIN6 <br />NO. <br />WATER <br />�r h .� iv <br />, <br />m �c �`; /� <br />I OR pTfRCH TWO COPIE51 <br />So�� 6bb- o 05 - a� �� <br />i. ADORESS. TELEPHONE NUMBER <br />� <br />a oisa <br />WASHER <br />BACKFLOW <br />SUB TOTAL S <br />PERMIT 5 <br />TOTALFEE S <br />FOR OFFICE USE ONLY: <br />�R(N�T SFTPRLN � AERR SFTB�CN <br />Z� � <br />use zor�+�j _ 1 io..nEn %� <br />�� � <br />MEIGIIT 4MITAT19N MO OF UWELLING <br />�-,'. UNItG <br />�—�V I UaTE <br />FEE <br />SIDE SE�µ <br />VpCpNI SIfF <br />HEATING SYSTEM: f l GAS rl ELECTRICif'Q' ��� <br />CONTRCT PFRSON AND PNONE NO <br />I HEREBV CERTIFV THAT I HAVE READ AND E%AMINED 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 WILL 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 CF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WI?H TfiE STATE <br />CONTR9 TORS LAW 7827 RCW AND 296.200 WAC. <br />� ,� /v- av - i J <br />RTURE OAiE <br />qTY BUSINE55 LIGENS[ NO. <br />OF E�UIPMENT _ �_ FEE <br />ED AIR SYSTEMS — B.T.U. M E.A. <br />PUMP <br />NFATERS—B.T.U. M <br />FAN <br />RANGE <br />GAS <br />GAS <br />SUBTOTAI S <br />PERMIT 5 <br />TOTAL FEE S <br />rur+c�rec��'.(�lO ��F��/ /� In�ceirrNo <br />�/� <br />f1YE5 /� ^� Ol11LDING <br />5R[oFeLOGrtI ' '1I <br />iy3.5 ,1F r% r�uuoir�G <br />BASEMENL /� MECH�NICAL <br />IIVES �O <br />ADOIIIONPI. PLAN G��ECN <br />01HER <br />STAiE BUII��'�G SIIRf,11AqGE <br />CITY OF EVERETT rumir,wonKs <br />LOCAL SALES <br />TAX CODE IS 3105 TOTAL _ <br />