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9 <br />APPi.ICATI� FOR CONSTRUC�N <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERET7, WA 982ot • 259-eet0 <br />f�l DEMOLITION � 1 COMBINATION I i BUILDING I 1 MECHANICAL <br />PROJECT ADDRESS /� J,/ �/ �G �/ c�- <br />y._.,�i � <br />nwuLO /l M�ILADUREJIfi CITV ]iP ��PIIONC <br />PERMIT �,�}� <br />�� <br />i 1 PLUMBING I I SIGN <br />—�-���''or��i�� i�OQ �7��2 .�v�nw�.L J6'v3lv ��lo D35"o2 <br />TEN�NT� M�IL��DRF.55 f.ITY 71n PnONE <br />�PCNITCCT OR OES�GNER MMl M1�RE55 CITY 71P f NONF <br />�ENEML CONIIULfdI MMI �[H1pE55 (�IY li� P�104( S1Atf I ICENSF � <br />IAECN�NIC�ICONIP�CiOfi M��UOOAEiS C�Tv Z�P PIIONE STATFIICENSE� <br />_....._ ............... ...�� ..vmenc cirv 21P PNONE STA1F IICFNSF • <br />GONTMCT i'RICE OF WOnM <br />DESCRIBE WORN ANO SOU�RE FOOT�GE INVOLVEO <br />LOi AIOGN <br />CONSTRUC7�ON IO�N lENOER. �DlME55. �EIEI'NONE NUMBER <br />TYPE OF flI(Ti <br />WATER CLOSET (TOIL <br />BATHTUB <br />LAVATORY�WASH BA; <br />SHOWER <br />KITCHEN SINK 8 DISP <br />CLOTHES WASHEF <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFIOW PREVENTERS <br />SINK (SERVICE — BAR, ET <br />PERMIT <br />TOTAL FEE <br />FOR OFFICE USE OPILY: <br />fRONTSFTPACN �FM15FTf1�CK <br />USF iONF. 1 OI MIU <br />NElflli LIMIT�110N NOI Of DWCLUNO <br />OCCUPI1NCv NO 0� Slnuilc (%;CUP�M 10�0 <br />fIf1E FUf1M ntiUP � ^'��+ <br />rinvsrnn+Kicnnron nrnc� <br />ivrr or mns� ri nvs errnovrn nr <br />I1RI1 <br />u'u�' <br />E <br />SR/E $FTP�Ck <br />WCI1N1 SIIF <br />I' NO <br />HEATING SVSTEM: I i GAS i I ELECTRIC f i <br />f.ONt�CI Pff150N �ND PIIONF NO <br />I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE iRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORGIi:ANCES GOVERNING THIS TVPE OF <br />WORK WILL BE COMPLIED WITH WHE7HER SPECIFIED HEFEIN OR <br />NOT. THE ORANTINO OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW RE�ULATINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COAIPLY WITH THE STATE <br />CONTRACTORS lAW 1027 RCW AND 296200 WAC. <br />X ��i�3 ' llo <br />SIGN�TURE � 1E <br />LITY PUSMESS I�CENSC NO <br />NO. TVPEOFEOUIPMENT FEE <br />A/C —AMNOLO UNR9 — H.P. <br />FORCED AIR SVSTEMS — B.T.U. M E.A. <br />HEAT PUMP <br />UNIT HEATEFS — B.T.U. M __ _ <br />RANGE HOOD �_ <br />WATEF HFATER ' <br />WOODSTOVE � <br />� <br />METAL FIREPLACE (WOOD BURNING) � <br />FIREPLACE INSEHT (WOOD �VRNING) ; <br />GAS FIREPLAGE <br />6AS RANGE <br />6AS PIPIN6 <br />EXHAUSTFAN <br />SUB TOTAL S <br />PERMIT E <br />TOTAL FEE E <br />rieN a�er.K Nuunrn . rrr I nccnrr no <br />nves � nuunn+r, <br />SRF. Of BlU(irtI <br />P1111A0M6 <br />B�SEMENi MfOUNIf.AI <br />IIVES �1 NO <br />ADITIION�I PI AN CIIfCM <br />on�rn <br />sui� nunnnia sunc�unr,e <br />CITV OF EVERETT runnr vmn�c <br />LOCAL SALES — <br />TAX CODE IS 3105 7oTAL <br />