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APPLICATION �O�i CONSTRUC'i'90l�! ����6�Y'6" ;'� . � � � , <br />CITY OF EVERETT • BUILDING DIVISION .� ( I � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-&Bt 0 � �� ��� <br />� <br />_...__.......... <br />❑ DEMOLITION Cl COMBINATION I1 BUILDING � MECHANICAL C�I�IYU�SI�_ "" r'=1..SIG� <br />PROJECj,ADDRESS �� V✓orks Dept. <br />5511 Sound Ave Everett, WA <br />�WNER _ MAIL�DORESS p7y . 21P vr.iht <br />Eugene Dvornick 5511 Sound Ave Everett 98203 347-3642 <br />itnwM1l MM�TJDRhSi UiV IIP �n..�.--� —._____ _ <br />�RGMrtECTORDE5IGM1ER MAIUDDBE55 GiY ZIP p��ppF <br />GCNCNALCONIRPGiOR MAILAWHE55 CIIV 111` 14�p18--- 31AIC :(NSC• <br />MEG�nM1IQLCONTFACTOR MAIIAD�RESS Gi7V ZIP rvCtii: S1AiF.UG:NSE. <br />Horizon Heating 3601 121st St SE lynrnrood 98037 745-393u IIOFI'LIII137D'J <br />PIUMdI1.GCONTFRLTOR MAILADDRE55 CItV IIV 19�J�:i�.. Sild L'iM1SL• <br />GONTRACT PqiCE OF WORK <br />DESCRIBE WOqN �ND SOUAPE FOOT/iGE INVOLVED <br />Installation of furnace, hoC water tank and <br />gas piptng. <br />PROPOSED USE OF BUiLDING <br />LEGiU.0E5CR�iPTION OF PROPF <br />LOT BLOLK <br />PNiCELTN( I.D. NUMBER <br />GORSTRU:TION IOAN LENDER. ADORE55. IEIEPHONE NUMB[h <br />SHOWER <br />KITCHEN SINK & DISP <br />DISHWASHER <br />UIUNDRY TRAV <br />CLOTHES WASHER <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />FOR OFFICE USE ONLY: <br />FRONTSETBACK AE�RSETBACK <br />USE ZONG <br />FEE <br />PERMIT S <br />TOTALFE[ 5 <br />SiOE SETBAGK <br />MC�NL SIfE <br />fiYES fINO <br />MEIGHTl1MIT�TION INOOFDWEWNG <br />UNITS <br />REO'D <br />SRE OF OLDC/CI. <br />❑YES ❑ NO <br />HEATING SYSTEM: I�GA5 I I�LECTRIC ^ <br />CONTACTVERSONnnnVHnNFNO. <br />Robert MacGregor 745-3930 <br />I HEREBY CGRTIFY THAT I HAVE READ AtiD 'cXAMINED THIS <br />APPLICATION AND KNOW 7HE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINhNCES GOVER�iNG THIS TYPE Or <br />WORK WILL BE COMPLIED WITH WHETrtER SPECIFIED HEREIN GF <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLh7E OR CANCcL TME PROVISION OF A�V <br />OTHER STATE OR LOCAL lAW REGULATING CONSTFUCTION OR TH� <br />PERPORMANCE OF CONSTRUCTION. TnAT I AM A:JTHOR�ZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM T:-'E WORK FOR WHICH <br />APPLICATION IS MAOE AN� 1 COMPLV WITH TH[ STATE <br />CONTRACTORS LAW 1tl.27 RCW AND 296..'.GO WAC. <br />x � ( ,�� U��- � ,��3-9 z- <br />SIGNATURE ^ ^ � � � i LFIE <br />� e( <br />diY BUS�NE55 UC[NSl NO <br />TYPE OF FIIRURE CR ITEM fEE <br />AIC — MiNDLG UNITS — M.P. <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRYERS <br />WA�ER HEAT[R - <br />WOOD STOVE <br />METAL FIREPLACE (WOOD BUFhiNG) <br />FIREPLACE INSERT �WOOD (3URNING) <br />GAS FIREPLACE <br />GASRANGE <br />GAS PIPING <br />EXHAUSTFAN . <br />SUOTOTAL 5 <br />P[RMIT 5 <br />fOTALFLC S <br />PIANCMECKNUMBER � FEE � fiEC6PTN0. <br />UWIDING <br />PlUlAOING <br />MECHMIILAL <br />A�W➢ONALPIANCHECN <br />OTHER <br />STATE UUIIDING SURGNRqGE <br />CITY OF EVEREIT PUBUC WORNS <br />LOCAL SALES <br />TAX CODE IS 3105 TOTAI <br />