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APPLICATIGA FOR CONSTRUCT ON PERMIT <br />CITY OF 3200 CEDAR STREET E V8 <br />ERETT, WA DIVISION201-2 <br />259-8810 <br />1-1 DEMOLITION I I COMBINATION BUILDING <br />PROJECT ADDRESS MECHANICAL PLUMBING <br />L SIGN <br />_ <br />a r✓e// �/S, D'ry <br />MAIL ADDRESS �VPY <br />CRY <br />-I PRICE OF �WORK <br />� a®/ 10 <br />WORK AND SQUARE FOOTAGE <br />/INVOLVEp/ � <br />OF <br />LOT BLOCK <br />Of_ <br />n�tL TAX 10 NUMBER <br />CONSTRUCTION(DAN LENDER, ADDRESS. TELEPHONE NUMBER <br />71P <br />pp <br />9C <br />71P <br />Pny <br />HEATING SYSTEM: <br />CONTACT IF "SON AND PIIW No <br />- 47 - <br />ELECTRIC f 1 <br />I HEREBY CERTIFY 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 TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OH <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORM•,NCE OF C TRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER THIS EPITY TO PERFORM THE WORK FOR WHICH <br />APPLICATION ADE AND I COMPLY WITH THE STATE <br />CONTRAC� W 18.27," AND 296.200 WAC. <br />". , — rvf%lyTICENSE NO <br />YPE OF FIXTURE OR ITEM <br />MECHANICAL <br />LOSET (TOILET) <br />FEE NO. TYPE OF EOUIPME <br />IVC — A/HNDLG UNITS — H.I <br />Y(WASH BASIN) <br />I I FORCED AIR SYSTEMS —B. <br />HEAT PUMP <br />SINK 8 DISP <br />IUNIT HEATERS — B.T.U. M <br />HER <br />CLOTHES DRYERS <br />TRAY <br />VENTILATION FAN <br />WASHER <br />RANGE HOOD <br />I WATER HEATER <br />FOUNTAIN <br />WOOD STOVE <br />IAIN <br />METAL FIREPLACE (WOOD BL <br />V PREVENTERS <br />FIREPLACE INSERT (WOOD B <br />DICE — BAR, ETC.) <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL $ <br />PERMIT $ <br />TOTALFEE $ <br />FOR OFFICE USE ONLY: <br />r.- NT SETBACK PEAR SFTBACK <br />H <br />0NE IOT AREAT LIMITATION NO OE DWELLING <br />I INI TS <br />nv <br />PI AN CHECK <br />FEES <br />fi NO <br />BUILDING <br />—_�_�El <br />MUSING—�MECHANICAL <br />it NOADDIIIONAI. <br />!AXAL <br />PLAN CHECKOTHERSTAIE <br />BLOWING SURCHARGE-- <br />EVERETT <br />nuBl Ir, wonKs <br />SALESE <br />IS 3105 <br />TOTAL <br />M <br />SUB TOTAL $ <br />PERMIT $ <br />TOTAL FEE $ <br />Efl' I RFCPIPT NO <br />F_E <br />