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APPLICATION FOflR CONS�'RUCTION PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERET,T, Wq g8201 • 259-8810 <br />�--�� <br />fl_DEMOUTION i l COMBINATION BUILDING MECHANICAL t� PLUMBING f 1 SIGN <br />/�Irv� >, <br />MECHANICRLCpNTRA�TOR MRILAODRE55 Cltt 7�p � <br />�'����[ SL. � LICENSE • <br />PLUMBINGCONTHACTOR MAILAODRE55 CITY 21P PHpNE -- <br />"� SiA7E LICENSE • <br />C�JTR�CT PRICE OF WORK � . _ <br />DESLCRIBE—W/URK PND SOUARE FOLOTpG.{E., �IN1V.�OLVEOy,�1 <br />� J� / j-� �" 4� `Y1vl1 {���/�l�f� \' <br />I�c ���l,V� �i\�� 1 ly�(,� � \C�\�1� �� ��( <br />�i Y <br />�1'��IA� W�'1�11 ihP.�ll 89fr.ti � <br />VROPOSE U� $EpF6U�LUWG <br />�,�1'�I� — k;i-.�,a.— <br />LEGAL DESCflIPT10N OF PpOPEPTY (SHON^I BELOW OR ARACH TWp COPIES' <br />LOT BLOCK pF <br />5P6 D�o "RuP 2g�E �S �T-�i0 -LT�c <br />L io 1.�55 �/W �SE EVEREiT L£`a � F <br />r�WT I.or 1 .��i� �C *wa G� I <br />1N �5z1°A7 S3W � 2z� 9c 2 FT <br />PARCELTNlI.D.NUMBER <br />�7 i 2 CM� �. i—�.�, i.. s�—� A <br />:e <br />NO. TVPE OF FlXTURE <br />WATER CLOSET (TOILETI <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNORY TRAV _ <br />URINAL <br />FLOOR DRAIN <br />F'OR OFFICE USE ONLY: <br />FPONt FeTPACR PEAR SFTBACK <br />USE20NE <br />HEIGNT LIMITFTION <br />OCGUPANCY NO Oi StOPiES <br />CROIIP <br />FIRE ALAPM REO-D <br />FIRF. SPRINKLER REO'� <br />TYPE OF f;ONST <br />LOTnqEA <br />SUB TOTAL S <br />PERMIT $ <br />TOTALFEE $ <br />SIDE SETBALN <br />NO OF pWELLING <br />UNItS <br />BY <br />FEE <br />HEATING SYSTEM: �GAS I"7 EL�CTRIC �l <br />I HEREBY CERTIFY THAT i HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND 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 VfOLATE OR CANCEL THE PROVISION OF ANY <br />� OTHER STATE OR LOCAL LAW REGULATING 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 MAD � AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18 7 CW AND 296.200 WAC. <br />x l-��5 <br />NnTURE OATE <br />� � <br />CITY BU N 55 LICEYSE NO. <br />MECHANICAL <br />NO. TYPE OF EpUIPMENT FEE <br />air. _ eiuurn r � �.��T� ., ., � <br />FORCED AIR SYSTEMS — B.T.U. M E.4. <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />WATER HEATER <br />WOOD STOVE \ <br />GAS FIREPL� <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FP <br />SUB TOTAL $ <br />PERMIT 5 <br />TOTAL FEE S <br />�`//7��7 .�'/LQ��t� <br />PIAN C�I�CN NUMflFR FEf „_ �� AECEIPT N0. <br />VRCANf SITE � FEE$ <br />IIYES fl NO �UILDMG <br />SIZE OF PLUG/f I <br />PlI1MfiINC <br />BASEMENi MECII�NIC4L <br />fIYES II NO <br />�pppIONAL PL�N C�1[GK <br />OTHER -- <br />STrIiE AWLOIYG SURC114RGE <br />CITYOFEVERETT runiir.wonKs <br />LOCALSALES <br />� TAX CODE IS 3105 TOTAL <br />So, J.v <br />