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� pPPLtCATIt��I FOR CONSTRUC7.ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION �ie� <br />3G00 CEDAR STR�f:T • EVERETT, WA 98201 • 259-8810 <br />f�l DEMOLITION f� COMBINATION ij� BUILDING rl MECHANICAL � 1 PLUMQIN_ G � �� <br />pROJECT ADDRE3S --] �� � '� Y, Q �� <br />GENfPALGONTMGTOR MML4DDRE55 <br />arv zm PIIONE sureucer+s�. <br />� � . <br />��T, z�P pppryE STATE UCENSE � <br />MECHAN1CAlCONTRACTOH MAILADORE55 <br />��n. Z�p PNONE ST�TE I ICENSE i <br />PLUM6INGCONTRAf,TOR M/.ILAbORE55 <br />CONTPACT PRIC[ OF WOPK <br />� �l /i� <br />DESCRIBE WORN RND 50' •RF FOOTAGE INVOLVED <br />C�5 <br />or <br />Two <br />l0T BIOCN <br />PARCELiA%I.D.NUMBER <br />GONSBIUCTION LOAN IENDER. ADDPE55, iELEPHONE NUMBER <br />GLOSET <br />SIiOWER <br />LAUNDRYTNAY <br />CLOTHES WASHER <br />UFINAL <br />DRINKING FOUNTA' <br />FLOON DRAIN <br />SINK (SERVICE — �AR, <br />ITEM <br />SUB TOTAL ff� <br />PERMIT S <br />TOTALFEE S <br />HEATING SYSTEM: f 1 GAS !-1 ELECTRIC <br />CONLACT PEf150N AND Pj10NE N0. /") ( <br />I HEiiEBY CERTIFV THAT 1 HAVE FEAD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WOFlK WILI BE COMPLIE� WITH WNETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHEA STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THiS PROPERTY TO PERFORM TF1E WORK FOF WHICH <br />APPLICATIO,V IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1G27 RCW AND 296.200 WAC. <br />C�jL, u�t ��.�ii g- �� `� � <br />x / OAIE <br />SIGNATURE <br />Cltt BUSINE55 LICENSE NO <br />FEE NO. TYPE OF EOUIPMEN7 <br />� A/C—MiNDLGUNiTS—H.P. <br />� FORCEDAIRSYSTEMS—B.T.U. M E.A. <br />i HEAT PUMP <br />� UNIT HEATERS — �.T.U. M <br />' CLOTHESDRYERS <br />� VENiILATION FAN _ <br />FOR OFFICE USE ONLY: <br />fRONTSETAACK FEAR SETOACN SIDESEiBACN <br />USEZONE <br />HEIGIIT LIMIT�TION <br />OCCUPANGY NO 0� <br />cno� I <br />HRE AIMM L�iE'OD <br />!V� <br />FIRF. SPPoNKIER Rfl <br />ND <br />rmF or r,or+sr <br />� <br />1 OT AREA <br />NO OF OWELLING <br />UNITS <br />�� <br />OGGUPAN7LOR0 <br />/ <br />nnt6 <br />RANG[HOOD <br />WA1 ER HEATER <br />WOOD STOV[ <br />METAL FIREPLACE I <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS RANGE <br />FAN <br />VACANf SITE <br />(1VE5 ��ND Ol11LDMG <br />S12E OF BLDG41 <br />�� � . PLUMOING <br />BASF.MENi MECIIPNICAL <br />f1VE5 KNO <br />ADDIIIONAL PUN GMGCN <br />OTHER <br />STAIE �UIIDING SIIRCNMGE <br />CITYOFEVEriETT rnniir.wor+Ks <br />LOCAL SALES — <br />TAX CODE IS 3105 70TAL _ <br />SUBTOTAL 5 <br />PERMIT 5 <br />TOTAL FEE 5 <br />FEC-���� , �Si I�Ef.EIPTNO. <br />...r� <br />0 <br />/.ri` i�- <br />0 <br />