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APPLICATI� FOR CONSTRUCTION 1'�ERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />f� DEMOLITION f 1 COMOINATION fl BUILDINO I I MECHANICAL �� PLUMBING I! SIGN <br />PROJECT AODRESS // � �� c .� <br />� �`3y � �� � 7 �� <br />EN�owr�en I M�ILApDIiE55 cirv 1�r ruoH[(� (��-7 <br />6L'�� EL� �a �nn s��1�.L—� �2 .n,'�����1�/Z�CI�Q— ���li� — �l"� 77� <br />RRCNITF.CTOPOESIGNER MMIA�ORESS �IT� !IP Pr10NE <br />6F.N[Ml CONipnGfOR M�II �D�PE55 f.liv /r�' Pu04f 51�1[ lIC(NSE r <br />MECII�NICU f.ONTR�LTOR M�II �DDPE55 CITV 21P PIIONE �TATF UCF.NSE � <br />095CPIBE Vqi1K ANO SOU�RE FOOT�GE INVOLVED <br />lOT BIOCN Of <br />CONSTPUCTION I O�N LENOER. N%NIE55. TF.LEPIIONE MIMBEfI <br />NO. <br />WATER CLOSET <br />BATHTUB <br />KITCHEN SINK 6 Dt <br />DISHWASH[R <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />BACKFLOW PREVENTE <br />SiNK (SERVICE — BAH, <br />SUB TOTAL 5 <br />PERMIT S <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />ff10NT SFTP�C1t PFMI CFTP�CR SIDE SETA�CK <br />IISE 20NF <br />NEIQIR UMIG110N <br />OCCUP�NCY NO M 5�� <br />r,nour <br />f IRE �U�M RFO D <br />�IRf SPpINMI Ff1 AFOO <br />IOTI1nEA <br />NO Of IIWCLlINO <br />❑NiIS <br />O(:CIIP�NL IO�D — <br />PF�SON <br />nF�cpq <br />ri nNs �rrnovrn nr <br />CIIY TIP <br />PRONE SiRE LICFNSE � <br />HEATING SYSTEM: IIGAS IIELECTRIC fl_ <br />LONT�CT Pf RSON �NII PHO4f NO <br />I NEREBV CERTIFV THAT I HAVE READ AND EXAMINED THiS <br />APPLICATION AND KNOW THE SHME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDIIJANCES GOVERNING THIS TVPE OF <br />WORK WILI BE COMPLIED WITH WHETHER SPECIFIED 4EREIN OR <br />NOT. THE aRANTINO OF A PERMIT DOES NOT PHESUME TO 61VE <br />AUTHORITY TO VIOLATE OF CANCEL THE PROVISION OF ANY <br />OTHER STA7E OR LOCAL LAW REGULATINO CONSTRUCTION OR THE <br />PEHFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTY TO PERFCRM THE WOi1K FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CO�JTRACTORS LAW 1B.27 RCW AND 296200 WAC. <br />x <br />siaN�ruae oerE <br />CI�V BUSINESS I.IC[NSC NO <br />MECHANICAL <br />7YPEOFEOUIPMENT FEE <br />FORCED AIR SVSTEMS — B.T.U. M E.A. <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANOEHOOD <br />WDODSTOVE <br />METAL FIREPLACE � <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS RANGE <br />6AS PIPIN6 <br />EXHAUST FAN <br />PERMIT <br />TOTALFEE <br />$I : <br />rieNu�ec�Nuunrn Irrr �nrcrirrNo <br />yAC�NI SI1F ftt� <br />IiVES I1NU p1111f11N(i <br />SIZE Or NIOfT <br />PI UMpMG <br />B�SEMFNI Mff�1�MCM <br />fIYF5 �1 NO <br />MO�IIONM PI �N G�f CR <br />OII�ER <br />cG1f PIIIIO�NO SII�f.�Uq6E <br />CITY OF EVERETT rnm ic wnn�c <br />LOCAL SALES <br />TAx CODE IS 3105 TOTAL <br />