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APPLICATIO�1 FOR CONSTRUCT�ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 9 201 • 259-8810 <br />I-1 DEMOLITION f 1 COMBINATION I l BUILDING I MECHANICAL r l PLUMBING f l SIGN <br />PROJECT ADORESS L � � � � ^ <br />-, v�:/`'� � �! �/'�- �7 a.�',a�'/ <br />nwuca ..._ _ . <br />�y��,-;�r y�� /�UC/�GiC ���� ..._��.�,� � � ;� - y>> <br />MAIL ADOPC55 . <br />PLUMBINGCONiqpf,ipq M41Lr10DRE55 CItY z�p <br />PHONE STATE LIGENSE • <br />LONTMCT PqICE OF WpqN �— _ <br />���.� <br />)RK �NU SOURRE FpOT�G� INVO� <br />i.i v <br />LEG�LOESCRIPTIpN OF VROPERTY �SNOWN BEIOW OB <br />LOi BIOCK of <br />PI�RGEI T�%I D. NUMBER <br />_ 3��� - <br />CONSTiIUCTION LO�N IENDER, �DDHE55. <br />PLUMBING <br />NO. TVPE OF Fl)ITUF <br />WATER CLOSET (TOILEI <br />BATHTUB <br />LAVATORY (WASH BASI� <br />SHOWER <br />KITCHEN SINK 8 DiSP <br />CLOTHES <br />URINAL <br />DRINKING <br />FLOOR OF <br />BACKFLOi <br />SINK (SER <br />_C,� I _ <br />NUMBER <br />SUBTOiAL <br />PERMIT <br />FOR OFFICE USE ONLY: <br />LRONTSfTPACN REARSF.TOACK <br />115E ZONE 1 Oi RIiEA <br />IIEIGIII UMITRTION NO OP DWELLING <br />❑N�iS <br />OCCUPANCV Np p� S10Rig OCCUt'ANi IOAD <br />GROUP <br />FIREAIARMqEOD I1f450v <br />nr <br />SIDE SETP4CN <br />VAC�NI $IIE <br />t�YES (i t10 <br />HEATING SYSTEM: fi,'GAS rl ELECTRIC f l <br />CONTRCT PERSON ANO PHONE NO <br />�x--,� ��� 9,c;✓� U� �R s-� �y5� <br />�'Y� `�/� <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br />APPIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERN�NG THIS TVPE OF <br />WORK W�'_:. o� CpMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. TH�= 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 />PEflFORMANCE OF CONSTRUCTION. THAT I AM AUTHOq12ED BY THE <br />OWNER OF THIS PROP�TY T ERFORM THE WORK FOR WHICH <br />APPLICATION MA COMPLY WITH THE STATE <br />CONTRAC 5 LA AN 296.200 WAC. <br />x r� �i �/ � <br />SIGN� ORiE <br />CITY BUSWE55 UCENS[ N0. <br />7YPE OF EOUIPMENT <br />A/C — AMNDLG UNITS — H.P. <br />FORCEDAIRSYSTEMS—B.T.U. M E.A. <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRVERS <br />VENTILATION FAN <br />....vv a wv� <br />METAL FIREPLACE (WOOD BURNING) � <br />FIREPLACE INSERT (WOpD BURNINu) i <br />GAS FIREPLACE � <br />GASRANGE T— <br />GAS PIPING <br />EXHAUSTFAN ,— <br />Pl4HCnECK <br />ounnwc <br />size or oiocm <br />PLUMItING <br />BAGEMENi <br />M[f,11�NILAt <br />IIYES fi NO <br />ADbIIIONAl1'UN CHf.CN <br />on�Gn <br />SiAIE 01➢IDMC SIIRCIUqGE <br />CITY JF EVERETT ruri ic �vorKc <br />LOCALSALES <br />TAX COOE IS 3105 TO7AL <br />SUB TOTAL $ <br />PERMIT $ <br />TOTAL FEE S <br />FEE �RFCfIPiNO <br />'— <br />