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APPLICATIOrI FOR CONS`��`RUCTrJN PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259•8810 <br />f� DEMOUTION f 1 COMBINAiION ( l BUILDING I l MECHANICAL i 1 PLUMBING f 1 SIGN <br />PROJECT ADDRESS _ _ , _ � 1 • /1 <br />zm <br />�5� -C2297 <br />ARCNIT[CTORDESIGNCR MAIIAOPRE55 CITY )iP PIIONF <br />FEN[IIAL NiMCi/pq M LRDUPf55 ❑IY itP `� PHON[ SinTCIICCN56� <br />� '( 1'�J ��(� / �7 <br />MECNANI�n� NTRnCTO�i ��LRD�qE55 �y liP IIOM1' SiAi[L1C[NSE• <br />hv] i� ���d1� .F1i a�/Ac / Y/,,. / � i0_ �./ 7i ��n n�� i n �. ,�,n, <br />PlUM81NGCONiRnCTO�� M�UDDRE55/Q���� ��� Clh' <br />/) � <br />G <br />DESCPI9E WORN RND SOUARE FOOTOGE IkVOIVED <br />PROPOSEU USE OF BUILOING <br />LEG�L DFSCRiP' ION OF PROPERtt �SHOWN BELOW OH RTTPLM TWO COPI[5� <br />ioT oiaK or <br />PFRLEITA%ID.NUMBER <br />LONSEiUCT10N l OPN tENpER, AODRESS, TElE1'MONE NUMAER <br />TYPE OF FIXTURE OR �TEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />PERMIT <br />TOTALFEE <br />FOR OFFICE USE ONLY: <br />f90NTSRPRCN REARSFTPACK <br />' %17 / <br />USEZON� / IOTPP[� <br />✓ <br />NEIGIIT ll Il�tl / NO OF UWCILING <br />UNILV <br />OCCUPRNCV NO 0�£InN6 OCCUPANILOAO <br />cnour <br />nnFainnunEon I nrnsou T <br />� <br />nnesnniNK�FRneo�n nEn�or+ <br />PHONE <br />HEATING SYSTEM: I� GAS f l ELECTRIC f 1 <br />CONiACT PFRSON AND PIIONE NO <br />� <br />I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NUT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTH�JRITY 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 AUTHORRED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM TIiE INORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />�/ '//. C . ��YP.Di1 n.,.. /-%'7-4� <br />CITY BUSME551 ICBNSE NO <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />T <br />A/C — A/HNDLG UNITS — H.P. <br />� FORCED AIR SVSTEMS — B.T.U. M E.A. <br />I1EAT PUMP <br />� NIT HEATERS — O.T.U. M <br />CL THES DRVERS <br />� VEN ATION FAN <br />RANGE O� <br />WATER HE ER <br />WOOD STOV <br />METAL FIREPLA( <br />FIREPLACEINSE <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />SIDE SEi6aCN / PIAN <br />J <br />VACANI SI1F <br />iiYES �.N�� — <br />' � pI111D�4f. % <br />SP��Lwi-./c. h riuMniNr, <br />Sf ����i <br />'SFUF Nl � � IdfC114NICP1. <br />II�F$ WNO — <br />nnoniovm rinNa�rcK _ <br />ov��n <br />S1RlE HUIIOING 5URL11ARG[ <br />CITYOFEVERETT rumir,won�s <br />LOCALSALES <br />TAX CODE IS 3105 70TAL <br />FEE <br />__ � <br />i <br />-- — <br />i — <br />— —T <br />SUBTOTAL $ � <br />PERMIT $ i <br />TOTAL FEE $ ' <br />rrc pU r+rcrirrNo <br />� <br />VALUATION FEE <br />99�.�- —T— <br />°� � <br />— _ ---_—_�— <br />_ _ I7,_�� <br />_�L.� <br />— = �—'_ti..—a-_rt-�" <br />/�� / C'� <br />