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APPLICATI�►�1 FOR CONSTRUC7 �ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISIQN � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />f� DEMOUTION f 1 COMBINATION VfyBUILDING I� MECHANICAL r l PLUMBING I 1 SIGN <br />PROJECT ADDRESS <br />� O�� I S %' � � <br />��ER MRIUDDRESS CITY zm PI�OYC <br />�,�'d 1�,�oQ ��i anai s � <br />IENANT MRILppDRF55 <br />� � � <br />MCHrtECT OR UESIGN[P MRII q0�PE55 <br />9saa� d sa —�s�� <br />Z�� PHONE <br />cirv zm <br />� zm rv�ouc (7anieuc�Nse. <br />HfL4 Go s ti«�t... � �� g,x 1332 �,,,1,�„as�, 18291-133Z Sb$—(6i 3o Tfli�G Cd� O�O� nl <br />MECHANICAL CONTR�CTOR M/�:.6UpRF.55 f.ltt )ip PuONG SiATf LiCf.NSE � <br />PLUMBINGCONTRRCTOR M41LADpHE55 CItY ZIP PNONE <br />STAiE LICENSE • <br />� I"I�c,`✓ GEOFWpPK / / / S/ / <br />DESCRIBE WptlR qND SOU�RE FppTAGE INVOLVED <br />D��r��0 GtMd� � <br />LOT D-L- � �?"L'�G�LOCK ` <br />PARCELTA%ID.NUMBER � <br />�� <br />CONSTRfICTiON l OAH 1 ENDER, ql <br />� N/ c <br />r�v✓iw'IX !M^ <br />PLUMBIN(i <br />NO. TYPE OP <br />WATER CLOSETI <br />KITCHEN SINK <br />DISHWASHER <br />LAUNDRYTRA' <br />CLOTHES WAS <br />URINAL <br />FLOOR <br />BELOW <br />3z y�jo bos oo e/ <br />RESS. TftFPHONE NUMBEII �. <br />SINK (SERVICE — BAR, <br />OR ITEM I FEE <br />SUB TOTAL $ <br />PEFMIT $ <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />fRONTSFTpACN RFAq GFTqRCK <br />�J-,� � / <br />115[Z� IU�P�EP <br />HEIGNT LI� ATION� <br />occuraN�� o�s <br />cnour <br />i <br />riae ainnu neo�o <br />�� � <br />rine SrniNq eq neq�i <br />/\�� <br />IYPF Of f,ON$i <br />�- /�' <br />NO OI'DWF.LLING <br />UNIfS <br />Of.CUPANitpqU <br />N /n <br />RP4GON <br />nFncpry <br />ri nNs arrnovrn m <br />9�E SELPnCk � <br />VRC�M 511� <br />IiV[S li NO <br />sze or ou�cm <br />576 S,F. C',� <br />HEATING SYSTEM: I 1 GAS f I ELECTRIC f� <br />WNiACT PEfi50N rtNp PMONE NO <br />I HEREBY CFHTIF1' THAT I HAVE READ AND El(AMINED THIS <br />APPLICATION Ah,i KNON� THE SAME TO BE TRUE AND CORRECT ALl <br />PROVISIONS OF LAYVS AND ORDINANCES GOVERNING THIS TVPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED fiEREIN OR <br />NOT. THE GRANTIN3 OF A PERMIT DOES NOT PRESUME TO GIVE <br />I7S AUTHORITY TO VIOLATE OR CANCEL THE PROVISION C�= ANV <br />. OTHEfi STATE OR LOCAL LAW REGULATING CONSTRUCTIO�� OR THE <br />PERFOR E O CONSTRUCTION. THAT I AM AUTHORI2EU BV THE <br />OWIJ OF THIS ROP Y TO PE� ORM T �E WORK FOFi WHICH <br />AP ICATION I DE ND I�/COMPLY WI'H THE STATE <br />Cf TRACTORS,�A 1827 C '�296200 WqC, <br />Y � -iZ -�s <br />_._..... _..� �� <br />diY BUSME55 UCENSf NO <br />PI <br />omirnNc <br />7YPE OF EOUIPMENT <br />A/C — AMNDLG UNITS — H.P. <br />FORCEDAIRSYSTEMS—B.T.U. M E.A. <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE fWOOD BURNINGI <br />GAS FIREi <br />GAS RAN( <br />GAS PIPI� <br />EXHAUST <br />FEE <br />SUB TO7AL $ � <br />PERMIT $ � <br />TOTALFEE $ � <br />i � IR' � R[CGIPI N�O/ / <br />.`_ 7Lo.0`.> /�Y�'Y% <br />5 VALUATION FEE <br />/l/�/_i i�'7 I — <br />� � M[CIINUCAL <br />IIVES �NO — <br />AflDpIONN. PIAN CRfCN <br />on�En <br />StAIE OUIIDING �URCIInRC.E <br />CITY OF EVERETT runi ir, wonKs <br />LOCALSALES <br />TA% CODE IS 3105 TOTAL <br />