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APPLICATIOr�I �OR CONSTRUCT�ON PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 �� '�"" <br />�. <br />fl DEMOLITION �l COMBINATION rl BUILDING }� rv1ECHANICAL � 1 PLUMBING f I SIGN <br />PROJECT ADDRESS � c� <br />� � ,� sr �� G�� _ ��y�3 <br />py,MEq MNLADDRESn LI 2�P �NON[ <br />��,s c� �,���,• s�� � � � � �� ,���1 ���� � �s� -�,� <br />icN�NT n MRII.ROOAFSS f.ITY 21P C ONE <br />M�II <br />'w{1� c.nr <br />MELHANICAL . . CIiY ZIP FII� VE - STATEUCENSE� <br />SFJ►TiLE.I�A 9b199 <br />PLUMBRIGGONTR�CTOR MnILADDFE55 CIIY 21P P110NE STAIELICENSE� <br />�PRIGEOF WOfiK.�J/ � HEATING SYSTEM: Ji(GAS fl ELECTRIC f l_ <br />l�.' <br />CONTACT V'FRSON AN01'110NF. NO <br />WORK �NO SOU�RE FOOTAGE MVOLVEU �� n/ ^—. � l(= / I� I j{ /%n� O C'� ?�'\ — <br />li /' 1 ll( Z <br />LEGALDESCRIPTION OF FROPERtt (SHOWN BELOW OR ATTAGN <br />L07 BLOCI( OF <br />_l n � —i_ - <br />PARCELTN(I.D.NUMBER <br />`O!' = - Uc2�S1 n� �' -!' <br />rnueim r.nMl t O�N LEN�ER.11tH1PE55. TEIEPMONE NOMPEL <br />NO. <br />URINAL <br />DRINKR <br />FLOOR <br />BACKFI <br />SINK (S <br />8 <br />FlXTURE <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />FOR OFFICE USE ONLY: <br />FRONTSETPACK REAR SFTPACK <br />USEZONE IOT�REA <br />❑EIGNTIIMITATION NOOFDWFLLING <br />IINIIS <br />tx[[uMNCY NO 01 S�OIU[5 OCCUPRNT LO�D <br />mx.w <br />I)AlE <br />or <br />soe serencK <br />VACRNt SIiF. <br />O <br />I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF IAWS ANO ORDINANCES GOVERNING THIS 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 />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br />OTHER STATE OR LO'..'NL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF GONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS AOE AND/17COMPLY WITH THE STATE <br />CONTRACT 1. e4�A 6296200 WA� /��/ <br />6� <br />X DnTE <br />SIfiN <br />CITY AUSINESS IIGGNSE ND <br />MECHANICAL <br />NO. 7YPE OF EGUIPMENT FEE <br />q/C — A/HNDLG UNRS — H.P. <br />FORCEDAIRSYSTEMS—B.T.U. M E.A. __;_ <br />HEAT PUMP ' <br />UNIT HEATERS — O.T.U. M <br />CLOTHES DRVERS ' <br />VENTILATION FAN <br />RANGEHOOD � <br />WATER HEATER <br />WOODSTOVE � <br />METAL FIREPLACE (WOOD BURNING) � <br />FIREPLACE INSERT (WOOD BURNING) ' <br />FAN <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />rinr+cuccKr+uunen rer I nrcnvrNo <br />I IYES I� N p01L01Nf. <br />512E OF BIOGrt I <br />PLlIN11iN6 <br />ORSEMENL MFC�I�NiCN. <br />IIlES �1 NO <br />AODIIIONAI Plr1N CNF.CN <br />onrtn <br />srmE nmioiNc sunr.nnncE <br />CITY OF EVERETT runnr.wonHs <br />LOCAL SALES -- <br />TAX CODE IS 3105 TO7AL <br />