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APPLICAT14r1 FOR CONSTRUCTrON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />fl DEMOLITION fl COMBINATION (�T BUILDING rl MECHANICAL �l PLUMBING fl SIGN <br />PROJECT ADDRESS � q`, � S��_� S/ � �� �!L� ! r G.I� /,� �I S Z� I <br />/ <br />cm Z r r��or+[ �/ / <br />ON?!EP M�IL�DORF.Sa I �G I �L S S' �� Y�P <br />fli�En.sro� /2c�f C� zqis ST,e7� s i ������ ,-7lla �S- <br />TENANT MAII�ODRE55 <br />CITY IiP CIIONE <br />citt nr rnpr�/[ p A� p <br />pRGN�tECTOR0E5�GNEH MRII.�DOAE55 1 Z (� / / — �`1�/ / <br />i G t.�o���rT; (Z6z9 .s/SrDa.. �� r�,��YS�����- le �} �� �°oN� � s�n.EucrNSE <br />MRIIPD�RE55 C11Y ]�� <br />GENEfiPIDCONTW1CTdi � <br />______ ��ry ZiP PIIONf. STATEULFNSE� <br />DESCRIBE WORK �ND SOU�RE <br />Pii <br />INVOLVED <br />f <br />�oT27t5xy3o eiocK ( 9•� <br />Ciil.c�iAii=LGS /�/?7 <br />R <br />LENDER,�DDRESS.TELEPNONE <br />ITEM <br />— BAR, <br />FOR OFFICE USE ONLY: <br />FPONTSETP�CN RE�fiSFTBACN <br />USE20NE IOTAREA <br />FEE <br />SIDE SEi�4C1c <br />V�LPNi SITE <br />HEATING SYSTEM: f I GAS fl ELECTRIC f� <br />CONT�CT VERSON �NO PMONE NO <br />/..T hI�FSLl77 659-.5¢/9 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALl <br />PHOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />NOT T EILGRANTINGPOF A PERMIT DOES NOTEPRESUME TO GNE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAI LAW RECaULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MACE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1027 RCW PND 296200 WAC. <br />X o���—�%r-�-""�L-� <br />SIGN�TUPE OAiE <br />CITY BUSINE55 LICENSE NO <br />MECHANICAI FEE <br />NO. TYPE OF E9UIPMENT <br />A/C—A/MrvuW unua—n.r. <br />FORCED AIR SYSTEhAS — B.T.U. M E.A. <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />FAN <br />METAL <br />FIREPI <br />GAS FI <br />GAS R <br />FEE <br />S <br />r[C' �. IAFC.[IrtNo <br />PIAN C��ECN NUMO[ <br />,�,.��7� � iv <br />� �res � � �o eunnir+c <br />NEICNTUMITI1710N NOOFOW[LLING SIZEOfBIDGRI <br />uHirs i_S rwn�ni�c <br />---�— <br />OCGUP�NCY NOOt510niF5 OCCUPANTLOAU BASEMENT Mp�qpNlCnt <br />GROU N� NA IlYE3 !1 NO <br />App1110NP1. PIAY GIIGCK <br />FIFEILLA(IMREO� RFASON -----�� <br />� � on�[n <br />FIRF.SPPINKIERf1E0D A���OY SLnIEAUilUMG511RCHnRGE <br />��) <br />rvreorr,oNsr ri��Nsnrrnovenov CITYOFEVERETT runiir.�von�__ <br />/ � �/}n LOCAL SALES <br />„�,c I/- IV - S� TAX CODE IS 3105 TOTAL <br />� OJ <br />