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APPLICATION FOR COhSTRUCTeON PERMIT <br />CITY OF EVERETT • f3UILDING DIVISIGN � <br />320o CEDAR STREET • EVERETT. WA se2o1 • 259�n81n <br />DEINOLITION COMBINATION ' BUILDiNG ✓ MECHANICAL PLUMBING SIGN <br />PROJECTADDRESS -� -� � y�i <br />�ll�� i�G ,���1..��_ <br />.,,, q �.��,�����,,,,. ,�,. ,�,/.�j ,.,,�..,�,2 -7 <br />��hQlrf/L�P1n�t.��nnr���.3/�Dii �S��iiLl�Nr�r ,%d�U�____r��c��J.3/'�rlosJ <br />�FNn•�1 �� <br />AfIC�11i�CiOf1Pf511:NfR 1.'n11�Ofr„F55 UIV !P' P��ONE <br />ff�IfflqfON.P�['tMl V�I�RppPf55 CIIY 71P f110NL SIRELIC[NSE� <br />wonK �r+o sounne ruour.F i�+voivcn <br />rnoroseo use ov euno�Na <br />1 FG�I DESCRIPIION OF PROPEPTY ISNOWN BELOW Otl AttACH T WO COPIE51 <br />ieT � BLOCK �_ ur �Gi�Son'r se%/� <br />_ . i��/Cf �4�C _ <br />r•nce�tazio NUMnFa <br />CONSiRUCTION LO�N IENDER. �OpRE55. fElEP110NE NUAIPER <br />PLUMBINO <br />NO. TYPE OF <br />WATEF CLOSE'.i <br />BATHTUB <br />I.AVATORY1WA51 <br />KITCHEN SINK R DISF <br />DISHWASHER <br />LAUNDRViRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKINC� FOUNTAIN <br />FLOOR DRAIN <br />SUB TOTAL S <br />PERMIT 5 <br />FOR OFFICE USE ONLY: <br />rnorir sern�cK nrnn s�-nnu siuE sFre�cK <br />USE ZONE <br />nrirrrt umunor+ <br />U(:CI�P�NCY 1Nl n[ 51 <br />bR011{' <br />flnfµ� 4 WD <br />�Rlf SPRINNIFR RWD <br />IOi�nE� <br />NO OrpWRIING <br />IINII G <br />IX:CUPnNIIOnU <br />f1Er150N <br />RFAcny <br />PI M15 API'ROVFO flY <br />un,� <br />vni'M:t Si1F <br />v15 HO <br />�itr or moa�i <br />PASEMfNt <br />IIVES li NO <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS 9105 <br />HEATIN^aSVSTEM: f'GAS '�ELECTRIC fl <br />co�nnc� •�nsor�nvnrno��Fr�o <br />� HER[BV CFFTIFV TNAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BF TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WORK WILL BE COMPLIED WITH WHETFiER SPECIFIED HEREIN OR <br />NOT. THE GfiANTING OF A PERMIT DOES NOT PREiUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROV�SION OF AN'/ <br />OTHER STATF. OR LOCAL lAW REGULATING CONSTRUCTION OR THE <br />PERFORMAN('�E OF CONSTRUCTION. THAT I AM AUTHORIZED �V THE <br />OWNEF OF TIIIS PROP[RTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LA�N 1B 27 RCW AND 296.200 WAC. <br />„d G�1�.��_.-�-i� �s _ <br />SiG �Plilnf OAiF <br />GIY OUE�NF.SS UCE N5- � 0 <br />MECHANICAL <br />N0. TVPC: �7F FIXTURE OR ITEM <br />NC — NNNDLG UNITS — H.P. <br />FOFiCED AIR SVSTEMS — B T.U. M E.A. <br />HEAT PUh1P <br />UNIT HEATERS — �.T.U. M <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />�YAiER HEATER <br />1V00D STOVE <br />METALFIREPLACE(WOOD BURNING) <br />FIREPLACE INSERT (WOOD BURNINO) <br />GAS FIHEPtACE �� <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />rina a�res r+uv��n <br />nwinwr, <br />Pl IIMPIN6 <br />MfC11�NlC,1l <br />�D01 f10N�1. PIFN CHEGR <br />DLIIfA <br />STAiE GUILIlMO StlRf,lUli(iE <br />PUPI If. WOPNS <br />TOTAL <br />SUBTOTAL 5 i <br />PEfiM1T S 7 � <br />TOTALFEE S v �_ <br />rrr nrcFintNo <br />VALUATIJN FEE _ <br />