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APPLIC�1TIl A FOR COh`STRUC7 ON PERMIT <br />CITY OF EVERE7T • BUILDING DIVISION �C^�✓� <br />3200 CEDAR STREET • EVEREIT, WA 98201 • 259-BB10 <br />❑ DEMOLITION � COMBINATION ❑ BUILOfNCi ❑ MECHANICAL ❑ PLUMBING O SIGN <br />PROJECT ADDRESS: �� � �= � � �. � <br />OHDESIGNEII ul.�WpqESS CITv T�� nMpNE <br />�r�s- �lu) ��e� A,�� r�����`�3-�_so3) zzs— 9i� � <br />]win�CTon �� yut�o0nE55 cttr br m�owE [f�IEIICENSE• � <br />f �5—'��--� z$� l�nBev= Re�Y�+l���x�t ����, ( <br />l 'R�C�OR MAIL�DDRE55 f1TY Ju' pHpqE�1 Si�tE UCENSC � <br />y,(��_ �Ef�?T 1UlqL�.lA�fh/ _ �l Fil���rT• �%K7nll .YY'�.77.7c/ �SLFifAqll�SQr <br />Mu; �nfIHE55 <br />- 'me�wailt�MO50V�REFppfAUE VOLVFO <br />'J UZ� —" <br />_ � 5�— � <br />LkWI 11ESGRIPIION �� PIqP[RTY <br />�oT _� eiocK _ <br />PARLCITNlID NUMBER � <br />CONSfRVCTIpN IONI IENOER.11pp11E55. TELFP110NE NU4�ER <br />TYPE OF <br />WATER CLOSET� <br />811THTUB <br />UVATORY�WASV <br />SHOWER <br />LAUNORYTRAV <br />CLOTHES WASHER <br />_ URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTE <br />SINK (SERVICE — BAR, <br />FOR OFFICE USE ONLV: <br />lROHTSETBACN RE�RSFTMCM <br />(o' Zo, <br />USE TONE IO1�RE11 <br />�� � (�AS� <br />HEIGNI LIMIT�TqM NO Of OWillll <br />UHIf$ <br />a�CU�/.NCY lq q SIMFS OCCUP�NI 10�1 <br />C 3 U Z- <br />FiqE5P1UNRLERREO'D RF�SON <br />PF <br />-/�/ I UeIE <br />SUB TOTAL f <br />PERMIT S <br />HEATING SYST�M: <br />� ' „ � � // f�C' � P � �ND PnONE <br />� <br />SIDE SETB�LIt <br />_. <br />LiLENSE r <br />�.. _ i <br />GAS ❑ ELECTRIC ❑ <br />�-�� ��_ �.� <br />I HEREBY CERTIr THAT I HAVE iiEA AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF UWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WORK WILL BE COMPLIED WITH WNETHER SPEr,iFiEO NEREW OR <br />NOT. THE aRANTINO OF A PERMIT DOES NOT PRESUME TO �3iVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br />OTNER STATE Oq LOCQ LAW qEOUIJTINO CONSTRUCTION OR THE <br />PEFFORMANCE Of CONSTRUCTION. THAT I AM AUTHORI2ED BY THE <br />OWNER OF THIS PROPEHTY TO PER:ORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />CITY BUSINE55lK.EASC NO <br />MECNANICAL <br />NO. TVPE OF EOUIPMENT <br />A/G — AMNDLO UNfT3 <br />FORCEDl.IR SVSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRVERS <br />RANGE HOOD <br />_ WAT�7 HEATER '--•�— <br />WO JSTOVE <br />METAL FIREPLACE (K U BURNING) <br />FIREPLACE INSERT (WOOD BURNINGI <br />GAS �IREPLACE <br />GASRANOE <br />'3 GAS PIPINO <br />FJCHAUST FAN <br />SUB TOTAL f <br />f ERMIT S <br />, �' , <br />PlANC11fCkNVMBEf1 fF:1 <br />k ? �/'1 —J I . <br />VICANI SR FEES <br />5 ] � BUIlO�N(1 <br />or eioart� <br />i7L S.f, L�vnJq h p���Mp�NO <br />a Sf. G.0A4�h <br />B�SEMENI MFC���NIC�I <br />/ <br />❑.rs � <br />•Op IION�L Pl �N �NF LM <br />O���En <br />Sf�tE BUilOMO SU�CIUII6E <br />CITY OF EVERETT runncwon�s <br />LOCALSALES <br />TAI( CODE IS 3105 �OTAL <br />FEE <br />%L.l,l n.ti �j-• i <br />RFCEIPf NO <br />�_��z� <br />_ �j7:'_� <br />1,j,7 , <br />