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� <br />APPLICATIOA FOR CONSTRUCT�JP! PERMITr <br />CITY OF EVERETI • BUILDING DIVISION eC���� <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 � <br />� DEMOLITION �1 COMBINATION �I BUILDING Ix MECHANICAL �x PLUMBING fl SIGN <br />PROJECT ADDRESS <br />OWNER MniIADDRE55 pTy zi^ CMOY[ <br />City of Everett 3200 Cedar St Everett 98201 259-8931 <br />IENANI MnIUDDR[55 pTY ZIF PHONE <br />11RCHIT[GTORDESiGNER MAq.F�ORESS �I'V pif PHOhF <br />Tim Marks 3200 Cedar St Everett 98201 259-8872 <br />GENERRLCON111nCTJR MqIADORE55 (Irv ]If Pllp4f g1AiCIICfvSE� <br />IMCO 4509 Guide Meridian Belli�,ham �3f3�26 671-3936 IPiCOGI*215121 <br />MECNPNICPLCONiR/.CiOR MPIL ADDRF55 f.IiV ZI" FHONE $1ATE UCl.NCE • <br />SamP <br />PIUMPINGCONiRPfLOR MAIL�DDRES$ piY jIP pMONE SiRiELICENSE• <br />$167,478..� <br />OESCPIBE WORN �ND SOU�RF. FOpiAGE INVOWED <br />�A." <br />OF <br />LOt aIOCK <br />GONSTAUGTIONL04NtEN0ER.PDDRE55.T[LEPNONE NUMOF.R <br />LAUN�RY TRAY <br />CLOTHES WASH[R <br />URINAL <br />�RINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK ISERVICE — BAR, El <br />/ ' <br />SUB TOTAL $ <br />PERMIT 5 <br />TOTALFEE $ <br />FOR OFFICE USE ONLY: <br />fPONTSFTpACN RE�R$FTB6CN SIpESETpRCN <br />US[ ZON[ IOf ARER VAC�N151(E <br />ttYES f;kn <br />IIEICIITUMIT�iION NOOfUWf.LLING SIIEOff3LIXi�i <br />IINIfF i .. � <br />:y <br />Al b <br />HEATING SYSTEM: I l GAS xl ELECTRIC I 1 <br />COM�CT PERSON ANO PIIONC: NO <br />1 HEREBV CERTIFY THAT I HAVE REAO AND EXAMINED TIiIS <br />APPLICATION AND IiNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND OROINANCES GOVERNING IHIS TVPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHOR�TY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOHIZED BV THE <br />OWNER OF THIS FROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND i COMPLY WITH THE STATE <br />CONTRACTORS lAW 1827 RCW AND 296.200 WAC. <br />Y ��f�_�/� �- ��/— �'S� <br />�U�E025846 0�,� <br />CITY BUSINE55 VCENSF NO <br />OF <br />FOFCED AIR SYSTEMS — B.T.U. M E.A. <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />FEE <br />FIREPLACE INSERT (WOOD BURNING) <br />GAS FIREPLACE <br />GASRANGE <br />L GAS PIPING <br />i EXHAUSTFAN <br />� — <br />SUBTOTAL S <br />PEAMIT S <br />� TOTALFEE S <br />ninNcnFc�p n+n� rer nec�mTNe <br />7a'D <br />FFFc VALUATION FEE <br />ouunwc <br />f'lUMA1NG <br />MEGIIANIGAI <br />nnoniovni. ri.nN C��ecK <br />ouim <br />SiPIC PIIII I)�NO SURCNARGE <br />��eun., / wnn:,a•rquveuur CITYOFEVERETT rnt�i�r.wonKS <br />I� ' ��/ ; / �'� LOCAL SALES <br />ontt Ic -'2 S- 9 S TAX CODE IS 3105 TOTAL <br />9� <br />