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APPLICATIt�N FOR COa1STRUCI iON I��RMIT� <br />CITY OF EVERETT • BUIIDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />fl DEMOLITION fl COM8INATION I, BUILDING f� MECHANICAI tl PLUMBING fl SIGN <br />M�R �pORE55 <br />�C�R.�"(i , w�l q82.p� <br />C�TY Z�P P110H[ <br />TENIINT M14L�DDRE55 f.ltt Zlv PIIONE <br />bF,A. 6JL-Pk"[[ STAM.� WOQKS SA�MJE �D. 258- b741 <br />RRCNITECTORDESIGNER MA�I�UDRE55 GTV )IP PHONE <br />CENER/�l CONi�u�IOR <br />❑rv zm riwe[ <br />MECH�NIL�LCONTFFGTOR M�IUDDRF55 GTV 71P PIION[ STATELIL[NSE� <br />Nd¢zAwESY wnZ¢¢ �Kn�.2soo �o¢Na1K6 AVE W. SeAi(1�E� wA G81R9 ,7$�-`}�o ,—�T.N�Nlo32Z <br />PLUMBI4GCONiR11CTOR M�ILADDRE55 CItY ZIP PNONE STATELILENSE� <br />OESCRIBE WORN <br />LEGAL DESCRIPTION OF PNO{'ERTY (SNOWN BELOW pi I1TTIILH TWO <br />LOi BLOCK M <br />CONSTHUCPdI IO�N LENOER.IIODRE55. TEIEPNONE NIMBER <br />TNPE OF FlXTVRE OR <br />WATER CLOSET (TOILET) <br />BATHTUB <br />UVATORV (WASH BASIN) <br />SHOWER <br />KIT:,HEN SINK 6 DISP <br />BACKFLOW PREVEN1tRS <br />SINK (SERVICE — BAR, E7 <br />S�'�'OTAL E <br />Pi_:,idlT S <br />TOTAL FEE E <br />FOR OFFICE USE ONLY: <br />fPOAT SFTPM:N PFAR SFTPALN 9pE SETpPCN <br />USE ZONF I ��� AfiE• <br />NEIOMt I�MIT�TION I NO Of DWFLLING <br />UNIic <br />OCCUP�NCY Iq M SIOaIFS OCCUP�N! 1040 <br />FIRE �URM RGOD <br />nn: <br />HEATING SYSTEM: f i GAS f 1 ELECTRIC f l <br />CONI�CT PfR50N �NO PIIONE NO <br />I HEREBV CERTIFV THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE ?RUE AND CORRECT ALL <br />PROVISIONS OF LAWS AN� ORDINANCES GOVERN�NG THIS TVPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECtFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEI THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFO�IMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNEH OF THIS PROPERTY TO PEFFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CO A LAW 1827 RCW AND 296200 WAC. <br />� 2-�� s, <br />x <br />S�GN� UPE DP1E <br />CITY BUSINE551 ICENSC NO <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT FEE <br />A/C — AMNDLG UNITS — H.P. <br />FOR �D AIR SYSTEMS — B.T.U. M E.A. <br />H':F PUMP <br />UNIT HEATERS — B.T.U. M <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE (WOOD <br />PIREPLACEINSERT(WOOC <br />GAS FIREPLACE <br />GASHANGE <br />EXHAUSTFAN <br />)TAL $ <br />r a <br />FEE 8 <br />rinNC��Ec�uMn���� IrEr InE�Fmtr+o <br />U <br />V�CANt SitF YttJ <br />1 iVE$ f� NO pUIIDING <br />SIZE Of B1IX;41 <br />PI�IMOMG <br />B�SEMENi MfC11I.NIf.A1. <br />IIYES �� Np <br />ADU�110N<L Pl AN C11(CN <br />OiM[R <br />Slnl[ oun o�un 5unr,�mnr,E <br />qTY OF EVERETT nunn�, wonKs <br />LOCALSALES <br />TAX CODE IS 3105 TOTAL <br />