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APPLICATIt,N FOR CONSTRUCI �ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259•8810 <br />f7 DEMOLITION fl COMBINATION I-1 BUILDINCy f-1 MECHANICAL il pLUMBING �l SIGN <br />OMMER M�IL�DORE55 CITY Z�P - P��ONE <br />-fld� �t1�EblIS C0. SA1�lF. Q-DD. <br />IENANT MAIL�OOPF55 GTY ZIP pMONE <br />�sa. r a ENEs ec� � c�ve.�i s�rn,� A�o. 252 -�i q <br />�RCNITF.CTORDES�GN[R MRII��DRE55 CitY p1� PNONE <br />GENER�LCONTf1�CTIX1 MAILRDORE55 C11V �m PHON[ StATELICENSE• <br />MECN�NICIIL CONTRICTOR M�II ADDRE55 CiTV IIP PIIONE S1ATE t�CENSE • <br />NoeT�1w6s7 waZ� I�cFCCc-� ,2800 "Ct�o2N�K� R� v� s�A. wA qBi�,ZBz-4'X�o�ao�ixwH�u� <br />PWMBINGCONTR�CTOR MMLADpRE55 CILY ZIP pNONE ST�/ELICENSE• <br />S <br />YNRK AND SOU�HE f00T�GF �NVOLVED <br />LEGAL DESCF�PTION OF RIOPENtt �SNONT! BELOW di �TT�CH TNCI COFIES� <br />�oi atocu <br />CANSTRUC710NIO�N1'NUER.�ODRESS.TEIEPNONENUMOEq <br />CLOSET <br />UVATORY (WASH BA! <br />SHOWER <br />KITCHEN SINK 8 DISP <br />FOR OFFICE USE ONLY: <br />fRONT SETPRCN REM SF.TOACN <br />USE20NF. <br />HEIGIrt LIMIi�TION <br />OCGUP�NCY Iq (N 51 <br />GROUP <br />FIRE �UtlM REO� <br />FIRF. SPRINq ER PEOT <br />TYPF. 0! f,ONSt <br />l01 �RE� <br />NO Of DWF.ILING <br />llNlfS <br />OCCIIPRM LOAD <br />11f A50Y <br />�lP�SON <br />P14NSAPPPOVEO <br />nniE <br />SIOE SE7P�CN <br />I V�C�Nt SI1F <br />tIYES f1i10 <br />SRE O� 9LDGrt I <br />IlYES 140 <br />HEATING SYSTEM: f l GAS fl ELECTRIC f l <br />CONT�CT PERSON GNO PIIONE NO. <br />1 HEHEBV CERTIFY THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION ANO KNOW THE SFME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHEH SPECIFIED HERE'N OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO CaIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br />OTHER STATE OR LOCAL LAW pEGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CON5IRUCTION. THAT I AM AUINORIZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLV WITH THE STATE <br />Z AW iB271 CW AND 2� 00 WAC. <br />4 Z^ Y���- <br />SIGN�T D�TE <br />CIiY BUSINE55 LIC[NSC NO <br />NO. TYPE OF EpU1PMENT PEE <br />A/C — AMNDLCa UNfTS — H.P. <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />RANGE HOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE <br />GAS FIREPL <br />GASRANGE <br />SUB TO' <br />PERMIT <br />PIANCIIECKNUA�OfR � fff � fiFCE1PiN0 <br />OUIlDi4G <br />i'UIMPMC <br />MFCIIANIGL <br />�IIDIIIONM. PI.AN CHCf.N <br />p1NER <br />S1Al[ OUIIDNG SIIRCII�RGE <br />CITY OF EVERETT �unnc woras <br />IOCALSAIES <br />TAX CODE IS 3105 TOTAL <br />