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� <br />APPLiCAT10N FOR CONSTRUCT�ON PERMIT�w�� <br />CITY OF EVERETT • BUILDING DIVISION <br />32Uu CEDAR STREET • EVERETT, WA 98201 • 259•8810 <br />fl DEMOUTION fl COMBINATION I-1 6UILDING Q� MECHANICAL r l PLUMBING �l SIGN <br />PROJECT ADDRESS <br />/c <br />MAIIADDRESS QTY ��� <br />� �L� .�7��,5�:�+ra .4-�! <i�"'i�?Ce7�C,�,+4 i.li� �.��-072i <br />ApCMIIECT OR �ESIGNER MML ADDRE55 CIN ZIP PNUNF <br />GENER�ICONiMC10R M4ILIDORE55 <br />CItY 71P PHONF. SiRTE lIC[NSE � <br />LEC�I <br />LOT ' <br />,/r[1Jl � <br />NpqK ANO SOUPFE FOOUGE INVOLVEO <br />oF mori <br />_ BLOCK <br />PARCELTA%ID.NUUBtn <br />GONSTRUCT�ON 1 OAN LENDER. ��E55. TEIEf`MONE NUMBEP <br />i�LUMBINO <br />NO. TYPE OF Fl%TURE OR ITEM �E <br />WATER CLOSET (TOILEn <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 6 DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTE'i5 _ <br />SINK (SERVICE — BAR, ETC.) <br />FEE 5 <br />FOR OFFICE USE ONLY: <br />PPONTSETPpLK RE�fi'_FTP�CK 9DESEIB�CN <br />USEZONE <br />HEIGIIT LIMIT�TION <br />HEATING SYSTEM: f l GAS �l ELECTRIC f"1 <br />CONTRCT PERSON ANO PIIONE N0. <br />I HEREBY CERT��Y THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT AL4 <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPF. OF <br />WORK WILL BE COMPL�ED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PHESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZE� BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CON ACTORS LAW 1827 RCW AND 296200 WAC. <br />\�. 1 � - 1� . .C.� <br />;ENSE NO <br />TVPE OF EOUIPME <br />• AlHNDLG UNITS — H.I <br />ED AIR SYSTEMS — B. <br />PUMP <br />iEATERS — B.T.U. M <br />GAS <br />GAS <br />ri nH cr�ECK nuueFn <br />101 AREA VACANt S�iF. <br />IIVES fl NO pUILOMG <br />NO OF OWFILING SIZE Of BLOGrtI <br />UNIfS Pl11MpING <br />S10PiC5 OGCUPRNt L04U BASEMENT MEC114NIf.PL <br />IIYF.S 11 NO <br />_ RDDI IIpYPI. PI �N CNCCN <br />(ifA$OY <br />O1N[R <br />)0 RFPcpq SiAlC0U11014G5URG��RGE <br />ri.nNsarrr�ovennv CITYOFEVERETT ruoiicwonres <br />LOCALSALES <br />unit TAX CODE !S 3105 TO7AL <br />SU[3TOTAL $ <br />PERMIT S <br />TOTAL FEE $ <br />�-rr- necemrNo <br />