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APPLICATIV�I FOR CONSTRUC1.aN PERMIT <br />CITY OF FVERFTT • BUILDING OIVISION � <br />3200 CEDAR STREET • EVERETT, WA g8201 • 259•8810 <br />f I DEMOLITION f i COMBINATION I i BUILDING ! I MECHANICAL �� PWMBING I 1 SIGN <br />PROJECT ADDRESS / /- <br />.Z�<Z %5 _ (- -sL- C✓F'/`p� <br />aoon[ss <br />r.irv zm - r��oNe <br />� ...................... I:IIT lIP <br />PIIpNF <br />:uor � G'� � -�s'YS <br />�ncrnrccr on oesicNEn M�n aonness an rir rHONe <br />C[NEfUL CONfRR[TOfI M�IL �D�RE55 f.IIY )IP PIIONE ST�IE LICENSE � <br />o �✓n e r <br />MECN�HICM.CONiR4C7011 MAI�pDDRE55 Cltt 71P PIIONf STREUCFNSE� <br />PWMBINOCONtRALTOfI M�IL��DRF55 Cltv I�P p11011F STALEUCENSE� <br />CONiR�Li <br />DESCRIOEN'OPK�'C30 AREFOOT�GE.INVOIVED <br />�l(.�P VU✓'c� <br />��OPOSEO OSE OF BUIl01N0 <br />l0T �_ PLOCk <br />� v rvvrnncn <br />CONSTqUCTON IO�N IENDER. �OOqESS. TEIEI'HONE NUMOER <br />TYPE OF <br />WATER CLOSE7� <br />BATHTUB <br />SINK 8 DISP <br />LAUNDRYTRAV <br />CIOTFIES WASh <br />UFINAL <br />SUA TOTAL E <br />PERMIT S <br />TOTAL FEE E <br />FOR OFFICE USE ONLY: <br />fRONT$FTPACK fIGRSfTp�f.N <br />� 5' <br />USE]ONE LOL�REA <br />_ �—� ZZ,3�3 <br />HEIO�IiLIMIi�T10N NOp'UW[LIING <br />UNiTS <br />5�'RINI(tF.RREO-D AFASfNI <br />� �) <br />OFCONST PIA'IS�PPRpVF <br />`J � <br />�-1'•f o�ie ID/2. <br />SIOE SfTA�C�( <br />V�C�N�'F <br />�,YEs ��a <br />£VF Of BLD(irtI <br />S� <br />B�SEMENi � <br />IIVfS 41'NO <br />HEATING SYSTEM: I I GAS I-I ELECTRIC fl <br />b�n �m. � r�elqUrv 11rvp 1'110NE NO <br />1 HEREBY CERTIFV THAT I HAVE READ AND EXAMI��cD THIS <br />APPLICAiION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNIN6 THIS TVPE ClF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN UR <br />NOT. THE GFANTING OF A PERti11T DOES NOT PRESUME TO GIVE <br />AUTHORITV TO ViOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE Ofi LOCAL lAW qE6ULATINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2F0 BV �HE <br />OWNER OF THIS PROPERTY TO FERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE ANO I COMPLV WITH THE STATE <br />CONTRACTORS LAW 192I RCW AND 296200 WAC. <br />X ����'„�:� <br />SIONRURE p� <br />CIIY P.VSMESS LICF.NSE NO <br />MECHANICAL <br />N0. TVPE OF FI%TURE OR ITEM FEE <br />A/C - AMNDLG UNITS - H.P. � <br />FORCEDAIRSYSTEMS-B.T.U. M E.A. � <br />H[AT PUMP —T— <br />UNIT HEATERS - B.T.U. M � <br />CIOTHES DRYERS � <br />VENTILATION FAN � <br />RANGE HOOD � <br />WATER HEATER —T— <br />� JOD STOVE � <br />METAL PIREPLACE i <br />FIREPLAC[INSERT <br />dAS FIFEPLACE <br />OAS FANOE <br />GAS PIPINO <br />EXHAUSTFAN <br />PI I1N CII[CN NIIMflf Il <br />�/c-�:i <br />nunnw� <br />rwunwc <br />IAFCII�NICQ <br />�ODI➢ON�L PL�N CHECN <br />OTI�ER <br />ST�iF �I11lDINC StIPLN,1f1(iE <br />CITY OF EVERETT runnr. vmnxs <br />LOCALSALES <br />TAX CODE IS 3105 TOTAL <br />SU� TOiAL S ' <br />PERMIT S i <br />TOTALFEE E � <br />1 <br />FFE f! � lPT NO <br />/J� [f <br />VALUATION FEE <br />��5�' � �- r�:l <br />_ ' <br />1 <br />-- � <br />/ � �. `i <br />