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ppPLICATiI.rN FOR CONSTRUCI.ON PERMIT � <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT. WA 90201 • 259-SBSO <br />NATION i � BUILDING <br />� 1 MECHANICAL - PLUMBING fl SIGN <br />i 1 DEMOUTlON i COMBI <br />PROJECTADDRESS /�r 1U ��'y � ��i 'c� C * <br />� zm � <br />.__._....�.� CIIY ' _ ....ii <br />� <br />.� 9St�' , <br />cm zm <br />riw�+e sn,eu��,�-�• <br />PWNBINGCONTFACTOP MAII.PDDRESS <br />OESCRI�E WORK <br />ioT <br />FOOTAGEINVOLVED <br />� � <br />OLOCK � <br />f+ARGEL TFx � y� �^� <br />;� 3(� - D,-� 3 ,>C��.. <br />CONSTtiUCT10N LOAN lENOER. ADD�ESS, TELE�'��ONE NUMBEfl <br />'PE OF FIXTURE OR <br />.OSET(TOILETj <br />f(WASH <br />SINK 8 D <br />HER __ <br />ITRA_�� <br />g WASHER _ <br />SU�TOTAI 5 <br />PERMIT S <br />TOTALFEC 5 <br />HEATING SYSTF_M: I 1 GAS fl ELECTRIC I l <br />coNtnct rmson n�:o r��or.e r�o <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAM�NED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />pF`OVISIONS OF LAWS AND ORDINANCES GOV[RNING THIS TYPE OF <br />WORH WILI BE COMPLIC-D WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTfiORITY TG VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOGAL LAW REGULATING CONSTRUCTION OF THE <br />FERFORMANCE OF CONSTRUCTION. THAT I AM AU?HORIZED BY TH[ <br />OWNEF7 OF THIS PiiOPERTY TO PERFORM THE WORK FOR WHICH <br />CONTRACTORSILAW 1827 RCW AND 296 00`WAC. ITH THE STATE <br />x �.��- � ���'� S- <br />DPTP. <br />SIGNPTURE <br />I CITv BUSiNF55 UCENEL n0 <br />MecnnnwH� FEE <br />FEE NO. TYPE OF FIXTURE OR ITEM <br />q�C —AMNDLG UNITS —� H�P� -- <br />. rnaCEDAIR51'STEMS—B.T.U. M E.A. i <br />FOR OFFICE USE ONLY: ri,N <br />fRONT SETPACN <br />R[P(i SETOPCK S�DE SET�Af,K <br />US[ZONE LOTPRE� <br />MEIGIITLIMITATION NO.OFOWELUNG <br />ur+rts <br />pCCUPAHf,V I10 9[ St0i1iE5 (KCUPANi LOIU <br />GROUP ♦ I / � <br />� I 1� <br />RRE �LARM REO'D REASON <br />D <br />FIRE SPRINNLER REOD qERcpN <br />TVPE OF CO�T P�M1S p� <br />'�%_ .J onir I �Z� <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN _ <br />R�NGE HOOD <br />WOODSTOVE <br />=1REPLA� 9T <br />uAS FIR�EP�A�E __ <br />GAS RAN(iE <br />GAS FIPING <br />vncaar�rt� ----- <br />�,res n rvo ounoi�+c <br />_� <br />sizE oF niocrt i r�w�nn+c <br />X157� —�-- <br />9ASEMENT � N[CMRNIGAL <br />VNO <br />(lYES RDOITIOIJALP�ANGMECK <br />-' <br />on�En <br />snie ewioi�+c suna�nncE <br />CITY OF EVERETT ruauc wonKs <br />LOCALSALES <br />c TAk COCE IS 3105 TOTA_ L �_ <br />rE� <br />T <br />S <br />$ <br />�--- <br />PEC[IPT N0. <br />�� �GD <br />j <br />y� <br />