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APP[.,ICATII�N FOR CONSTRUCI.ON PERMIT �}�. <br />CI i Y OF EVERETT • BUILDING DIVISION �� <br />3200 CEDAR STREET • EVERE-T, WA 98201 • 259-8810 '�3'�" <br />DEMOUTION fl COMBINATION I� BUILDING f 1 MECHANICAL fl PLUMBING f-1 SIGN <br />IOJECT ADDRESS <br />2o2i STaTt s �,c-rLerr wA 99zoi �sz-�S7z <br />OWNEP MAILACDRESS CIiY IiQP Q�� �'nuut <br />i�Ao� wP�� 2D21 �y'�AIE__.Yi ��GCf �I�CL ZSZ—%8�%2— <br />1ENANT MPRppO��F.ES f.IIY IIP PMONE <br />ARLHIfCCiOR0E51GNER MARADORE55 C�IY IIP PMONE <br />E�r�?ic� (�e,s; ee,.x. Po 8ox 9g�_Guzx1,N��te ��A 9&Yi-z 2oG-�89-srzo Et+ <br />„�....... .....�........... ....� .�..,,��e nrv nn P11o4[ ST <br />M <br />MECHANICALCONiP�CTOR MAILADDRE55 CIN ZIP �'��ONG STATELICENSE� <br />PIUMBINGLON7RApTOR NAILA�OPE55 CIN ZIP PHONE STATELICENSE� <br />� <br />CONTRACT PRI E OF WORR <br />HEATING SYSTEM: I� GAS Ll ELECTRIC I-l. <br />OESCRIBE WORR AND SOUARE FOOTAGE INVOLVED COYL�CI PERSONANp P'IONE NO <br />PHOPOSED USE OF BUILDING <br />LEGRtlOE'SC�7RIPsTIO�[N OF PPOPERtt �SHOWr1 OEL01 <br />LOT s�� BLOCK OF. <br />CONSTBUCTON LORN LENDER. ADDFE55. TELEPHONE NUMBER <br />PLUMBIN6 <br />NO. TYPE OF <br />WATER CLOSET� <br />BATHTUO <br />LAVATORY(WASI <br />DISP <br />L�1:7GL1� <br />� TOTAL <br />FOR OFFICE USE ONLY: <br />FRONTSETBACK RE4R SFT�ACN <br />USEiON[ LOTqR[� <br />HEIGNT�IMITATION NO.OFOW[LLMG <br />•1NIi5 <br />OCGUPANC� NO OG510F;E5 OCCUPANiIORD <br />GROUP <br />FIRERLARMREOD �EASON <br />WPIE51 <br />3 <br />� <br />� <br />FEE <br />SIDE SEiAAi.H <br />VAC�NL SIT[ <br />I HEREBY CERTIFY THP.T I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAM[ TO BE TRUE AN� CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULAI'ING CONSTRUCTION OR THE <br />PERFORA:ANCE OF CONSTRUCTION. THAT I AM AUTHORRED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE .1ND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />X�L-� s- 2�9s� <br />SIGNATuliE OAiE <br />CITY BUSINE55 LICEHSE N0. <br />NECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />AIC —AMNDLG UNITS — H.P. ' <br />FORCED AIR SYSTEMS — B.T.U. M E.A. � <br />HEAT PUMP � <br />UNIT HEATERS — D.T.U. M ; <br />CLOTHES DRYERS � <br />VENTILATION FAN ; _ <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLAC[ (WOOD BURNING) <br />FIREPLACE INSERT (WOOD BURNING <br />GAS FIREFLACE <br />GASRANGE <br />GAS PIPING <br />SUBTOTAL $ <br />PERMIT $ <br />TOTALFEE S <br />PL4N CHECK NUMO[fi I PEE I R[Cf:IPT NO <br />flYES fl NO ouimwu <br />SIIE OF OL�f.rt I <br />PLOMfi1NG <br />B�SEMENT M[CIIAYICAL <br />❑YES Il NO <br />40DIPONAL PLAN CN[CH <br />Ol11GR <br />S1A1[ O1111�MG SUPCHnAGE <br />CITY OF EVERETT ruoucworaKs <br />LOCAL SALES <br />TAX CODE IS 3105 TO7 �L <br />