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APPLICATIG.J FOR CONSTRUCT�JN PERMIT <br />CITY OF EVEREiT • BUILOING DIVISION � <br />3200 CEDAR STREET � EVERETT, WA 98201 • 259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECTADDRESS:_ �3/ '�i-�,u c c�' 1� 5`/� <br />OWNER <br />LITY ]IP PIION[ <br />PNONE <br />GENEBNCONfP�GTOR MNLI�WRE55 LiIY 7�P PnONE GI�tE110EN5E� <br />MECIIN11�q�pNTR�C70R MAILFOpRE55 f.ITY 71P CIIONE ST�iEUCEN,SE� <br />� <br />o¢scnee w«m �No sou•nE rooTnce rc+vaveo <br />l07 &OC1I <br />v�wce� r�x i.o. uweeA <br />CAMSTNUC71p/ IOIJJ lENOER. <br />WATER CLC�SET <br />BATHTUB <br />SHOWER <br />KITCHEN <br />UUNDRVTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUN�AI <br />FLOOR ORAIN <br />� <br />�ElEP11plE HUMpEH <br />FOR OFFICE USE ONLY: <br />fROMT SETR�CR PEM SFTB�C1c SIDE SETB�CN <br />USE IOYE <br />NEIGNT lIMI1�tION <br />lOUf1E� <br />NO OF DWELUHQ <br />UN'IC <br />RF <br />71P <br />HEATING SYSTEM: ❑ GA:� ❑ ELECTR{C ❑ <br />CONI�ci rcn50N N10 r11pHE Np <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED TH�S <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORAECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WORK WILL BE COMPLIED WITH WHETHEH SPECIFIEO HEREIN OR <br />NOT. THE GRANTINO OF A PEPMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL TFiE PROVISION OF ANV <br />OTHER STATE OR LOCAL LAW REGULATINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPIICATION IS MADE AND I COMPLY WITH TME STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />x_ �il>-5� <br />SIUN�TURE D�IE <br />BUSINESS IICENSC NO <br />HANICAL <br />7YPE q <br />NC — AMNDLG U <br />FORCED AIR SYSI <br />H[AT PUMP <br />UNIT HEATERS <br />CLOTNESDRYER; <br />RANGE HWD <br />WAlER HEATEq <br />WOODSTOVE <br />Mt7AL FIREPLACE <br />FIREPLACEINSER7 <br />GAS FIREPLACE <br />PI �N CIICf.K NUMOfP <br />VACANf SIIE <br />❑YE$ O NO p10lDiNf. <br />��2E Of BIOGRI <br />PLIIMpING <br />'�ASEMENI M(CII�NICM <br />❑vE5 O NO � <br />�DUIIION�L PI�N CRfCK <br />amen <br />ti�Mf OIIRUiNC S�I�C�ul16E <br />CITY OF EVERETT runnr, wonxs <br />LOCALSALES <br />TAX CODE IS 3105 ioTq� <br />SUB TOTAL S � <br />PERMIT 5 <br />TOTAL FEE S � <br />fEf f1FCPPi ND <br />VALUATION FEE <br />T <br />3 ':�'� <br />