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APPLICATION FOR CONSTRUCT�ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />fl DEMOLITION fl COMBINATION f� BUILDING f MECHANICAL Iy�pLUMBING �l SIGN <br />PROJECTADDRESS r�.7� _ � ��� �� <br />OWNEH <br />-� �q C ^ '� y � —., - ���_ <br />T ANT AllAO�(�65 C'n �� l��' ( <br />�1 <br />PRCIIRECTORpE51GNER NI.IlAC10PE55 <br />LIIV ZIP <br />1�\��� �� — <br />— -.... ...... . rv nr <br />rnouE <br />�'75�-9 <br />PMONE 1 <br />..� <br />coNTnacTaAiceoFwonK HEATING SYSTEM: �GAS fl ELECTRIC fl <br />r vEnso�v nNo r�wr+e r+0 <br />DESCPIBE WOPK ANO SOURRE FOOTAGE INVOLVED �_ Q� ��^M�� '� ,(�,� (0 �..� C <br />IEGAl0E5CRIPTION OF PROPERTV ISHONT! 9ELow un ni �e�n <br />LOT �— BLOCK OF �l�Cil <br />� � L04/vl.v�y 1%� <br />PARCELTR%I.D.NOMBER <br />CONSTNUGPONLORNIENDER.RDDRE55.TElEPNONENUMBER <br />PLUMBINO <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />t LAVATORY (WASH BASIN) <br />SHOWER <br />\ KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />SUBTOTAL 5 <br />PERMIT S <br />FOR OFFICE USE ONLY: <br />fRONTSETOAGN REA� SETOACN <br />USE20NE LOTAPEA <br />HEIGHTLIMITATION �0 �FUWGLLING <br />sioe sErnncK <br />VRCANT SITE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMI��cD 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. TF'.E GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PIiRFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />01YNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />AF'PLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRAC�RA LAW 18.27 RCW AND 296.200 WAC. <br />Cltt �USMF55 LICENSE ND. <br />AECHANICAI <br />N0. TYPE OF FU(TURE OR ITEM <br />A/C — MiNDLG UNITS — H.P. <br />FORCEO AIR SYSTEMS — B.T.U. M <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />. CLOTHES DRYEFlS <br />� VENTILATION FAN <br />� RANGEHOOD <br />METAL <br />FIREPI <br />GAS FI <br />GAS R <br />GAS P <br />r�nu cr+�cK r+u�.+oen <br />? INSERT (WOOD BUnrvirvu� <br />'LACE <br />iE <br />G <br />FAN �/-�__ <br />— � <br />SUBTOTAL S <br />PERMIT 5 <br />TOTALFEE S <br />r�E neceirt r+o. <br />f1YES fi NO pUILOING <br />51ZE Oi BLDGR� <br />PLUN�ING <br />6RSEMENT MECH�NICAL <br />f1YFS Cl NO <br />ADOIPONAL PIAN LMECN <br />on�cn <br />STAI@ BWlOING Sl1RC11ARGE <br />CITY OF EVERETT ruauc wonKs <br />LOCALSALES <br />TA% CODE IS 3105 TOTAL __ <br />FEE <br />