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APPLICATIOr! FOR CONSTR���,T�ON PERMIT <br />CITY OF EVERETT • BUILDIP�G DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />fl DEMOUTION n COMBINATION fl BUILDING f-1 MECHANICAL r� pLI�MBING 1 SIGN <br />PROJECT ADDRESS <br />35i1, I�° peu�� �ve, <br />DWNER Mu��00PE55 ,..... _ <br />CITY <br />PNON[ <br />Q$I�Q Z32-37 <br />Z�P CMONE <br />�$l��l0 Z5q•i'1Q5 <br />GENENALLONifiq�TOR MRILApORE55 ��tY <br />Z�� PIIONf: SIAiE IIC[NSE � <br />�E¢k4 N'�� Co PO Box52rr'i LvMnlNoar i�tn, itirl�f-l. ,ar..,�aa� �.�_.. .,. ____ . <br />-.. ��nvrve STATE LICFN$E i <br />PIUMBINGCONTRRCTOR MRILAOORE55 ��n. <br />Z�P PNUNE STATE LICENSF � <br />� ,�� � � �_ <br />AND SOUARE FOOTAGE INVOLVED <br />I� <br />USE <br />��T BLOCN <br />P�RCELTN(I.q.NUMBER <br />�1(au' - mms-��S- usecb4 <br />CONSTNUCiION IO�N LENDER, AD�RE55, TELEPNONE NUMBEfl <br />NO. TYPE Of <br />WATER CLOSET� <br />SHOWER <br />KITCHEN SINK 6 <br />LAUNDR" TRAY <br />CLOTHES WASHER <br />SINK <br />OR ITEM <br />SUB TOTAL $ <br />PERMIT $ <br />TOTAL FEE $ <br />FOR OFFICE USE ONLY: <br />fRpNTSETP�GN REAR SF.TB�CK <br />i <br />a�A <br />USEZONE �REA <br />_ C — 2— '� 93 `P <br />11EIGNTLIMITAiION NOOFOWELLING <br />2p � UNlic a� <br />OCWPANCY Np (N $fORiES OCCUPANT LO�U <br />uaTE <br />HEATING SYSTEM: ( i GAS I l ELECTRIC f l <br />CONiRCi PERSON �NU PHONF NO <br />eua� E�ru� 1'IL �6835 <br />I HEREBY CERTIFY THAT 1 HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORREC7 ALL <br />PROVISIONS OF LAWS AND ORDINA�CES GOVERNING THIS TYPE OF <br />COPIE�I WORK WILL BE COMPLIED 'NITH WHETHFR SPECIFIED HEREIN OR <br />NOT. THE GRANTING [;F q pERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />_. PERFORMANCE OF CONSTRUCTION. THAT I qM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br />x�-� �,.�/s� <br />SIGN T�i�4' ��r 0�T[ <br />��i� 1( <br />CITY BUSINE55 L�^.ENSG N0. — <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT FEE <br />� Nr_eiuurnr_�w� �.., i <br />r�nceu nin sr57EMS — B.LU. M <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRYERS <br />RANGEHOOD i <br />WATER HEATER � <br />WOODSTOVE <br />METAL FIREPLACE fWOon auawur.� � � <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGF. <br />GAS PIPING <br />EXHAUST FAN <br />SI�E SEID6CN � P�AN CIIELN NUMAFR <br />vnc�Nr sne - FEES <br />fJVES LYNp <br />�UIIDING <br />SIZE OF OLDfi41 <br />PLUM[iMG <br />BASEMFNi MPC�InNICAI <br />I1\ES I1 NO <br />ADD1110NP1. PI AN GNECK <br />on��n <br />srnrc nunoc�c, suncrmncc <br />CITY OF EVERETT ri�nur.wones <br />LOCALSALES <br />TAX CODE IS 3105 TOTAL <br />_ SUB TOTAL S <br />PERMIT g , <br />TOTAL FEE S � <br />�« fiGCEIPT NO <br />�ll. (ov <br />�� <br />