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APPLICATII.A FOR CONSTRUCI ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 320p GEDAF STREET•EVERETT, Wq g8201 •259-8810 <br /> fl DEMOLITION fl COMBINATfON I-1 BUILDING 1l MECHANICAL r 1 PLUMBING n SIGN <br /> PROJECT ADDRESS <br /> �G�`�� ��AUiCw V.�qY <br /> ONTIER M�ILADD{1E5.^.a Q�'n /`� I CITV <br /> /'�T ��,vJCti ✓`���/ ✓L�]��ClN ��,(�l� �/ ll�r q`f'HONE <br /> TENANT MML�fIDRf 5 �V�_' ' "�r� �� ��/ <br /> fltY )IP PMONE <br /> ANCNITCCTIXiDE51GN[R M�II.�DIXiE55 <br /> ��iy ��� PNONF <br /> GEN[R�LCONTMCTqi M�IL�IXNI[55 -- <br /> CItY ZiP PIIONf 51�1[IICCNS[• <br /> MEGNANILQ CONTFACIOR MMl�ODRF.SS <br /> ��1 CITV ]It' f'110N[ <br /> SiATE LICENSE� <br /> PWMBINGCON1.iICTOq MNL��DqE55 <br /> ��TM ��P PIIONE <br /> STAtE tICENSE• <br /> � �� icE or <br /> ' '����'ra�� HEATING SYSTEM: GAS f 1 ELECTRIC �1 <br /> DESCRIBE NVpK 11Np Sp��qE FppT�GE INVOLVEO <br /> � LC � CONT�CTPlRSONANDPIIONFNO <br /> �-u NPru- L ZcJ-z_,�� <br /> � `f c! C'�'S /��/-'inl(' <br /> � . /A��i�[C C!�j �� j�W���� I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> ^�oys�oF e i.drres APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> �� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> tEee�oescairnonovrnorenrv�sHowHe�irnyp��rr�cHrvrocomesi W�RK WILL BE COMPLIED WITH WHETHER SPEGFIEO HEREIIJ ^; <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ��T e��K or AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTHER STATE OR LOCAL LAW qEGULATING CONSTRUCTION OR THE <br /> PFRFORMANCE OF CONSTRUCTION.THAT I.1M AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE ANO I COMPLY WITH THE STATE <br /> PN�CEL TAIt 10.M1M9ER CON7RACTORS LAW 1827 qCW AND 296200 WAC. <br /> /f� 1— <br /> CONSTRUCiION 1011N LENbER.�OpRE55,IELEPNONE NUMAFR ��� ^ <br /> �-.---- 9 > ,� <br /> s eTun o�re <br /> CITY BUSMESS I IC[NSC NO <br /> ���� MECHANICAL <br /> NO. TYPE OF FlKTUIIE OR REM FEE NO. TYPE OF EOUIPMENT <br /> WATER CLOSET(TOILET) FEE <br /> BATHTUB � aC—AMNDLG UNITS—H.P. - <br /> UVATOqV(WASH BASIN) � FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> S��R � HEAT PUMP � <br /> ' UNIT HEATERS—B.T.U. M — <br /> KITCHEN SINK 6 DISP i CLOTNES DRVERS <br /> OISHWASHER VENTILATION FAN � <br /> LAUNDRY TRAY ; RANGE HOOD � <br /> CIOTHFS WASHER � WATER HEATER <br /> URINAL ' WOOD STOVE , <br /> DRINKING FOUNTAIN METAL F�REPLACE(WOOD BURNING) ' <br /> FLOOq DRAIN � FIREPLACE INSEHT(WOOD BURNING) , <br /> BACNFLOW PREVENTERS ; GAS FIREPLACE � <br /> SINK(SERVICE—BAR,ETC J � GAS RANGE � <br /> ' GAS PIPING <br /> � EX4AUSTFAN <br /> � <br /> i <br /> — i i <br /> SUB TOTAI. S ' SUB TOTAL $ <br /> PERMIT S PERMIT y � <br /> TOTALFEE S � TOTALFCE S '7 � I <br /> FOR OFFICE USE ONLY: <br /> �RONTSFTp�CN R[�RSF.TBALK — SIDESEifl4CR PI�NCII[f, NIIM9�R� fFf RfC[IPTNO <br /> uSeioNe ior�q�� vnc�r��srte EES VALUATION FEE <br /> IIYE$ I� Np —T— <br /> — nuii owr � <br /> NEIGNT LIMITATION NO OF UW[LLING SiZF OF ALDGq I i ,{ <br /> IINI15 i <br /> �I I�MIIINC. <br /> OC�GU^�NCV Np p{SfOPi[5 OCCUP�N7 LO4U PRSEMEYL I— <br /> 1AfG1�NICRL <br /> 111E; ItNp _ i ' r. <br /> lIRE�LMN AEOD lIERSOY PDDIIIONAI.PI AN CHf.f,N i �� <br /> i <br /> ��— <br /> On�En � <br /> fIRFSMiINKIFRNFO'D PF�S(M � , <br /> STN[0111101Y(i SURQURf.f . <br /> i <br /> TY{'EOff.ONST PlnNSTPpPOVF00v ------i-- �� <br /> CITV OF EVERETT runi ir,wonKs <br /> LOCAL SALES ____ j_ . <br /> oert TAX COOE IS 3105 ToiAL � <br /> ; <br />