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APPLICATION F'4� CONS7G�UCT�ON PE�MIT �}�. <br />CITY OF EVERETT • BUILDING DIVISION �% �,r <br />3200 CEDAR STREET • EVERETT, VJA BB201 • 259•BB10 `!� �""' <br />❑ DEMOUTION �COMBINATIOV �IiUILDING �1dECHANICAL �PLUMBINC O SIGN <br />PROJECTADDRESS:_. /�� 9'j��S�—�= <br />�rzs�TN �1s1�-ua't'�a�1 M,o�`fsvtl.l.��wr� �I.U2`Zc '35�( I�?,d <br />ONMER � 4IUL�0011ESi LIfY TIP PNONC <br />5,�•►� <br />TENNIT YNII�DfMEaS CItY tIP P��pNE <br />s,�.a--�E Tv�d P�orz�-I <br />�r�aTrrrronea�nucn uu�uvmacs nn >in nwnwr <br />^ I�i <br />PWWVWCON7NACTOR MMI�Wf1E55 CIfY ZI�' PNONE STAfEIICEHSE� <br />AND SOU�RE f00T�OE <br />C�J <br />LEGIILOESCRIFTIOV Oi %IOPEIITY (5110VM BEIOW OR ATT/iLM TN{, ;pPIE51 <br />lOi � BIOCN Oi <br />CdISTRUCiION IOAN LENDEII. �D011E55. TEIE�'NOME NWBEii <br />WATEF CIOSET <br />BATHTUB <br />UVATORYIWA5 <br />CI.OTHES WASHER <br />URINAL <br />— BAR. <br />PERMIT f <br />TOTAI FEE f <br />FOR OFFICE USE ONLY: <br />iRONTSFTB�CM � RE�P SETBACk <br />/O �J � <br />USEIOME� lU1�RE• <br />NEIONT UMITIITION / NO O[ DWFLLINO <br />7�2 UNIfS <br />:Y Iq Of SIMb! S OCCUP�NI LO�C <br />KLEFREO'D HE�9d+ <br />IREO'D �F�Sp+ <br />7NST Pl�NS/�'�QVE� <br />�iN <br />`� D�if IO�/Y <br />HEATING SYSTEM: ,�.GAS ❑ ELECTRIC O <br />GON GCT VEFSON �NC �NONE NO . <br />1 HEREBY CERTIFV THAT I HAVE READ AND EXAMINFD THIS <br />APPLICATION AND NNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVI5�ON5 OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLtED WITFI WHETHER SPECIFIED HEREIN OR <br />NOT. THE OHANTiNO Of A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOIATE OR CANCEL THE PFOVISION OF ANY <br />OTHER STATE UR LOCAL LAW REGULATINO CONSTRUCTION �A THE <br />PERFO MANCE OF CONSTRUCTION. THAT I AM AVTHORRED BV THE <br />OWN F THIS PAOPERlV TO PERFORM THE WORK FOR WNICH <br />CON A F�'a �1�l�'�ND 296. 00`WAC. ITH THE STATE <br />. Il O�'11 II II 1/ <br />CITY BUSINES9 LICEHSE NO <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMEHT <br />T <br />� NC—AMNDl.OUNITS <br />; FORCED AIR SYSTEMS <br />� HEAi PUMP <br />_y UNII� NEATERS <br />i CLOTHESDRVERS <br />� RAVGEHOOD <br />� <br />i WATER HEATER <br />i WOOD STOVE <br />� METAL FIREPLACE (WOOD BUR� <br />� FIREPLACE INSERT (WOOD BURI <br />� GAS FIREPLACE <br />; GAS RANGE <br />VAGNi $1IE <br />❑vE5 ❑ NO <br />OF BLD6R1 <br />❑YES �MO <br />PI�H CIIELR NUMBEN <br />-�rt� <br />BU1lb�Nfi <br />PLIIN81N0 <br />MECMeMWI <br />•Dpll i0N11 �I �N CNFCM <br />Of11EP <br />Sf�IE BUIIDINQ 51111CNR1(iE <br />CITY OF EVERETT runnr, vronKs <br />LOCALSALES <br />TAX CODE IS 9105 TOTAI <br />FEE <br />PERMIT S i <br />TOTAL FEE f ' _ <br />fEf �� AEf.E1PT NO <br />VAlU11TI;�N FEE <br />5 ' %' �/ � <br />� <br />l- � � 7. <br />� <br />� �. 1 <br />i <br />i <br />—_�— <br />i <br />i <br />i , <br />� i, <br />�" ' r l <br />— __� <br />i, '.�. I ; . <br />