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-. <br /> APPLICATIOMI FOR CONSTRUCT�ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT, WA eB201 •259-8810 <br /> fl DEMOLITION fl COMBINATION fl BUILDING MECHANICAL n PLUMBING f�l SIO� <br /> PROJECT ADDRE88 <br /> 2iy �I�vF��ni .s��D, <br /> �� NAn�/ �Zi� `A�✓��t✓ �-�'�. � `r�lzc�"` Z52 —sz� <br /> lEIMNT MMLIIOOIIE{8 LITY 21P //qqE <br /> MCNRECTq10ESqIrtR MAIIAUDRE54 CITY IIP FIIONE <br /> OENEMI LONTMCTOR MAIlA0IX1E55 CITY IIP PNONE ST�TE IICENSE� <br /> tl�EjpU�NICAI.CONTR�LTqI MAII�WRE55 QTY ZIP PIIONE STAiE 110ENSE 1 <br /> G�L <br /> PIUIlNOCONTRACTOR MML�OORE49 Cltt !IP PIIONE $T11TE4GEN9(� <br /> TR�C PPICE OF 1Y011K <br /> ,.$ MEATING 8VSTEM: QQGAS fl ELECTRIC f'I <br /> o[ �sw��r�w G�N NA'l!/ C'.� CONLICT VER90N MD i1qME N0. �J�^.'I/'I '"...�.3F <br /> G <br /> -�rik•wc� wr N� CAs �onK� <br /> I HEREBY :tRTIFY TNAT 1 MAVE READ ANO E%ANINED THIS <br /> APPLICATICN AND 1(NOW THE fiAA�E TO BE TRUE ANO CORRECT ALL <br /> °�� �°F��d"� PROVISIOH9 OP U1W8 AND OROINANCEB 60VERNINO THIB TYPE OF <br /> sf WORK W4L BE COMPLIED WITH WHETFiER &PECIfIED MEREIN OH <br /> uoKoescwvnor�ocviar[mv�s�awM�c�oww�n�cxiwocov�si ppT. THE ORANTINO OF A PERMIT DOES NOT PREBUME TO OWE <br /> ior ran� a AUTMnRITV TO VIOLATE OR CANCEL THE PROVI&ION OF ANv <br /> OTHER BTATE OR LOCAL LAW RE6ULATINO CONBTRUCTION OR TME <br /> PEAFORMANCE OF CONSTRUCTION.THAT I AM AUTNOqIZED BY THE <br /> OWNER Of TMIS PAOPERTV TO PERFORM 1ME WOi1K FOR WMICH <br /> APPLICATION 19 MADE AND I COMPLV WITH TNE BTA1E <br /> �nu i.o.Mw�� CONTRACTORS LAW 1lRl HCW AND�iE200 WAC. <br /> COMTIIIIGl10N LOAN lEN0E11.MOREbb.TELEFlq14 M11OER B�� (y ji�c.J J.���� ��i_ J �� <br /> %7 TU11[T� OATE <br /> dTY NIlMIF88 LILENSE NO. <br /> K�0 �CNA�� , <br /> No. rvK oF�mM[oe rtu� ae No. mi a�aw�►�r rca <br /> WATERCIOSET(TOILEn � NC—MMIOLOUINTB—H.P. ' <br /> BATMTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAVATORY A8H BA&N) � HEAT PUMP � <br /> g►qyyEp � UNITMEATERB—B.T.U. M ' <br /> KITCHEN SM1K�DISP , CLOTNEB DRVERS � <br /> q8HWA8MER � VENTILATION FAN � <br /> uwroonr rn�r ' RAN6E MOOO ' <br /> CLOTMEB WABMER � WATER HEATER � <br /> �q�� � WOOD SiOVE ' <br /> ORINKMIO FOUNTAIN � METAL fIREPLACE(WOOD BURNINO) � <br /> FLOOR DRAIN � fIREPUCE INBERT(WOOD BURNIH(i) ' <br /> lACKFLOW PREVENTERS ; OAS FIREPLACE � <br /> BINK BERVICE—BAR,ETC. � (iA8 RANfiE � <br /> � Z (iAS PIVINO ' <br /> , EItHAUBT FAN � <br /> � � <br /> � � <br /> � � <br /> � � <br /> SUB TOTAL f ' SUB TOTAL { ' <br /> PERMIT i � PERMIT f � <br /> TOTALFEE t ' TOTALFEE { ' <br /> FOR OFFICE U8E ONLY: <br /> i110NTlE1��CK RM6ETMt11 &OfBETMLK ►lANC11FptNUWER iFE 11ECENTND. <br /> .S��a-3 <br /> use iart LOT MiEA wcu+r�re FEE� VAlUAT10N FEE <br /> fIYE4 fl lq ���� <br /> �roNr uru�aN u�rrrta ow¢wra eue a xoau . <br /> vw�wna <br /> �w�wcr xo a t�oacs occ�m�wr to�o s�sEu�Hr MECN�IiILAL <br /> f1YF4 fl NO <br /> f111EAlM1MNEOD RF.ASON ADdf10NALPlANCNECK <br /> � <br /> 0T/1ER I <br /> fN1EBPRINKIERREO'0 RE�SON <br /> ST�7E BUILDIN6 SURCNAROE � <br /> rrvEarr,orrsr PUNSMVROVEDBY CITYOFEVEiIETT PueiKwaRKs I <br /> LOCAL 8ALE8 <br /> o�TE TAX CODE 18 7105 TOTAI <br />