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APPLICATIGA FOR CONSTR,UCI.JN PERMIT <br />CITY OF EVERETT • BUILDINGS DIVISION <br />3200 CEDAq STREET r EVERETT, W A 95201 r259-BB10 <br />❑ F)EMOLITION ❑ COMBINATION ❑ BUILDING Cl MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS, <br />APICNITEC7 d1 pESNyNER <br />MM ADMSS CITY 1W P"ow <br />OENEFM NTMCTOR MAIL ADDAI SS ('TV )ir <br />ngwF. AIMC IK[AISE r <br />i11SMKi CONTRACTOR MML AGGRESS CAty <br />MTrTTMCT PRICE OF WORN <br />7EfC111EE YIOIIR AND SOIIARE FOOTME WVOLVEo <br />IMgP'O l) LTSE OF MUSOPTO <br />LEGALDE OF PIIOPERI'f ISIIOTOT �EIOM dA ATTACH TOO COPESI <br />LOT KOOK Or <br />PARCEL TAXI 0 NII[MER <br />CON6TIIW r*N LOMI LENDER. IIDORE33. Tmommow NIAwR <br />PLIMSMG <br />NO. TYPE OF AU11E xTOR ITEM FU <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK a asP <br />fCLOTHESWASHEE <br />R ; <br />AY <br />ASHER UNTAINNPREVENTERS <br />SIK (SERVICE — BAR. ETC.) <br />SUB TOTAL f —{ <br />PERMIT f <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />FFWWN . ETEMr71 KM1 <br />LISE ZONE <br />HECHT LARTATIDN <br />1 of AVE A <br />NO Or Df[[LLIIQI <br />I TA <br />oAlt <br />D <br />SO[ SFTRAC+ <br />YACAMI Wr <br />❑YES ❑+' <br />Or KOOn I <br />MSTMF wI <br />p .fo ❑wq <br />HEATING SYSTEM: ❑ GAS Cl ELECTRIC ❑ <br />crrlfACT rrRAoNM n NO <br />CRY OF EVERETT <br />LOCAL SALES <br />TAx CODE IS 3105 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND COIMIECT ALL <br />PROVISIONS OF LAWS AND OROPAANCIS GOVERNING THIS TYPE OF <br />WORK WILL SE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PIEBUME TO ONE <br />AUTHORITY TO VIOLATE OA CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPENTY TO PERFORM THE WORK FOR WNICN[ <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18 27 RCW AND 296.200 WAC <br />------------- <br />PTY oLoW _ <br />UMT <br />TYPSOFOOAWT FH <br />1 <br />cUB TOTAL { — <br />PEAWT { _ <br />TOTAL FEE f _ <br />a0 At Fi F\ND <br />nAwurn <br />NA rMNI <br />g1u[n <br />41tlI MPI • VYM,NY1f1[ _�—._ _ __ <br />Cnow <br />TOTAL _-- <br />