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_ „ <br />APPL�CATIO.� FOR COIdSTRUCTI�IN PERMIT <br />CITY OF EVERETT • BUILDIN.3 DIVISION �i <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />❑ DEMOLITION ❑ nCOMBINATION q� ❑ BUILDIMG ❑ MECHANICAL ❑ pLUMBING ❑ SIGN <br />pROJECT /+QDRE$S: �-f ���I Li-7 %.� / , ('v G. i � „� .� <br />TENANT MNIMDRE55 CI1Y 71P <br />PIIOHE <br />I1RC11IT[CT Oq DESIGNER MAR ADDPESS Ury 71P PIIONE <br />PIUMBMGCONTR�CTOR MqLA00PE55 CIIY IIP p110NE <br />ST�iE ULENSE � <br />� <br />LOT BLOCN <br />CONSTRUC710N lON1 LENDEq, �ppqE55. TFLE{'110NE NUA1B_R <br />` �. <br />• � PLUMBIN(i <br />' PIO. TYPE <br />WATER CLOS <br />SINK <br />CLOTHES <br />FOR OFFICE USE ONLY: <br />FRpJT SETP�CK PEAq SFTBRCK <br />USEIONE <br />NEIGHT IIMITl1ilON <br />OCCVPAN�Y NO 0 <br />GRWP <br />FIRE SPRINKIER REC <br />IOi�REA <br />OR i7tM � FEE <br />NEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />cor+r�cr rcnsor+uro rr�owe rro <br />I HEREBY CERTIFY THAT I HAVE FEAD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT A�L <br />PROVISIONS OF LAWS AND ORDINANCES GOVEHNING TNIS TYPE OF <br />WURK WILL BE COMPLIED W�TH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTIN6 OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTHUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AiN AUTHORIZED BV THE <br />OWNER OF THIS PROPEflTV TO PERFORM T.yE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 206200 W/.C. <br />sicNniun__i�E� !Z! i^J / � i �=pZ_ <br />OAIE <br />UTV flU51NE55liCENS[ NO <br />NO. I TYpE OF EOUIPMENT FEE <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYERS <br />RANGEHO00 <br />WATER HEATER <br />WOOD STOVE <br />_ i hIREPLACEINSERT(WOC <br />GAS FIREPUICE <br />; GASRANGE <br />%�) GAS PIPING <br />EXHAUSTFAN <br />i <br />� <br />SUB TOTAL S ' <br />PERMIT S i <br />TOTALFEE E � <br />SIDESETB�CN PUNCIICCNNpMflfll !EF <br />� �/ �Jl� <br />NO OF DWELLING <br />UNIi$ <br />V�C�N151tE <br />❑YES ❑ NO <br />512E O� OIIX:rt I <br />❑YE$ ❑ NO <br />CITY OF EVERETT <br />LOCALSALES <br />TA% CODE IS 3105 <br />111/1lDINCs <br />PIUMpING <br />MECun�uiGL <br />PDOIIIONAL PI�N G�fGe <br />omen <br />srnic ounon�r, suncrunr,c <br />runi �r, wonKs <br />TOTAL <br />S <br />E <br />REf.EIPT NO <br />G <br />J <br />