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APPLICATIG_� FOR CONSTRUCT.JN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />❑ DEMOUTION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: �5 �� S S,�O � F}-�J � D 2 <br />OMIHEP <br />MNL�WPE55 <br />cltt im p�qH� <br />TENMIT 4W1A0p1E55 CITY IIP �IqNE <br />�RLMTEGTIXiDE51GNER MAlIM011E55 CIfY ]m PMpHE <br />GENER`CONiN�pM MNl�pp11E55 CIIY In' PnONE SGTEIICENSE• <br />MEGMI1NICqCONTR�CTOR MMIADDRES$ <br />�o�7-Ri4c>o2 S <br />PIUMBMIGCONTRACTOR M�ILAOIXIE55 <br />CONTNA�T P{MCE OF MNRK <br />oescweE ,.ra sou�ne roornce wvavev <br />� �c'�c �' �/ <br />S - u.J <br />LEWI DESC(IIPTION OF P110PI <br />wT e�oac <br />PNRCELTAKI.O.NUMlER <br />CONSTINCTION LWN LENDEN <br />{AIT <br />ORATTALM <br />AOOpE55. TEIEI'110NE MlMBER <br />TYPE OF FlIfTURE OR ITEM <br />WATER CLOSET (TOILEn <br />BATHTUB <br />UVATORV (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNORYTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINNIN6 FOUNTAIN <br />ROOR DRAIN <br />BACKROW PREVENTERS <br />SINK fSERVICE — BA0. ETC 1 <br />SUB TOTAL S <br />PERMIT f <br />TOTALFEE S <br />FOR OFFICE USE ONLY: <br />LRONTSETBAGK RE�R! <br />I15E 20NE <br />NEIONT LIMIT�TION <br />OCCUPANCY Iq p! <br />IOi�RE� <br />NO OF �WEILING <br />UNIfS <br />OAfE <br />SIDE SFTB�CIt <br />V�LANi S�TE <br />OYES O No <br />512E OF BIOGR I <br />❑YES ❑ NO <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 7105 <br />ST�fE UCENSE � <br />nr <br />HEATING SYSTEM: ❑ GA5 ❑ ELECTRIC ❑ <br />CONTIICT {'ERSON �ND PIIpNE NO <br />I HEREBY CERTIFY THAT I HAVE READ ANO E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND OR�INANCES GOVERNING THIS TYPE OF <br />WORK WILI BE CAMPLIED WITH WHETHER SPECIFIEO HEREIN OR <br />NOT. THE ORANTINp OF A PERMIT DOES NOT PRESUME TO 61VE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW RE6UUTIN6 CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTliORIZEO BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMP�Y WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />X �/-�2-2.i <br />SION�TVRE D�TE <br />BU9NE55 LICENSE NO. <br />NN�Nn1�1ULV VIYI1.`i <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />METAI FIREPLACE <br />FIREPLACE INSERI <br />(iA5 FIREPLACE <br />GAS RANGE <br />PUN CIIECK NUMpFf1 <br />OUIlD�N6 <br />PIUMOING <br />MFCN�NIf.�L <br />�CUIIION�L IR�N GQCN <br />omen <br />surz eunowr. sunc�unce <br />ruei ic wnnns <br />TOTAL <br />SUB TOTAL f <br />PEF I AEf.EIP7 NO <br />