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�v' everett <br />APPLICAT10�1 FOR C(�NSTI�UCTI�..�N PERMIT <br />TO BE COMPLETED IN INK—PLEASE PRINT � <br />a,.� b;rrry,���n <br />GIIY Of <br />everett <br />BUILDING DEPARTMENT <br />259�8810 <br />DEMOLITION <br />owu[n raniva.oness �'tv Z1P <br />�p���'�/,✓�l���r.,.! �av d _ 3ss'-8'f7/_ _ <br />rnmu ueanoonrss �� nv a�ror�c <br />nnCiUtELTOR0E5iGNFF1 MAilR00f1[SS CiIY Zi� PMONE <br />CITY ZiP VHONE IICENSE• <br />c.ru��-nai ca++nncmn uni� noonEss <br />I.�ECNRNICAICON RACTOfI MAILR�DRE55 CIiY ZIP �HON[ LICENSEI <br />�V.c✓. �,�/a ��.. f''�, 31�0 - Av< _/ 9��/ 2S�i-S)1/ N.,�fzwh /05 RL <br />cirv nv a��or�E uceeser <br />PIUM�INGCONiHAGiON MARPOOPL55 <br />(:OMBINATION <br />HEATING SVSTEM: U GAS 'J ELECTRIC U <br />BUILDING MECHANICAL PLUMBING SIGN <br />c�nss oF <br />X,'NEW <br />A�DITION ALTERATION <br />� PRIC[ OF WOlIN ��� _ <br />WORK AIID SOUARE (OOTAG[ INVOI\'_D <br />:su. �.tS �Yer/c s i � r-N <br />� use or om�oinc / <br />� � �r�"f <br />RIPTIDf OF �'�� ISNOWN �ELOW OR ATiACN <br />�IOCN OF <br />v.� <br />31NG <br />TYPE OF FIXTURE OR <br />WATER CLOSF– (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHEFl <br />LAUNORY TRAV <br />CLJTHES WASHC-R <br />URINAL <br />�RINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />flOOF DRAINS—FlAINLEADEF <br />REPAIP DEMOLITION WOODSTOVE;FRPL INSERT BUILDIt�G RELOCATION <br />f,ONiACT P[PSON PND CHONE NO <br />SUBTOTAL S <br />PERMIi S <br />TOTpLFEE 5 <br />I NEREBY CERiIFV THAT I 4AVE READ AND ExAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TFiUE AND CORRECT ALL <br />covies PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OP <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEFEIN OR <br />NOT. THE GRANTING OF A PEFMIT DOES NOi PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER SThTE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPEFTY TO PERFORM THE WORH FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH TFiE STATE <br />CONTRACTORS LAW 1027 RCW ANJ 296.200 WAC. <br />SiGNA1UR[OGCONiRAQOROR�IIiNONIZEDAGEIrt �QE <br />AppLiCANiSCITY0iI5i��f55 -NSENONN�3USiNESSNnuC <br />TVPEOFEOUIPMENT _ <br />NC—A�HNDLG UNITS—H.P. <br />FORCED AIR SYSTEMS—B T.U. M E.A. <br />UNIT HEATERS-6 T.U. M _ <br />CLOTHES DFYE(iS <br />IdETAL RREPLAGt� <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />FO ; OFFICE USE ONLY: <br />IRONitiLI6ACN NEARvFTOACh SU[SROAGK �'lA1lU�CfHt1WAl1lP <br />USF.20N[ LUiRBF� MC/.NiSpE FEES <br />pUIL01NG <br />�n'IfItL0�115RLLOWABIF Ivr'fOiLON51,1L111�1 n'<'.'.r.,� xomm.w•�.�.•..� - . <br />'''D'-" PLUMOWG <br />yip( ��� 9�p� NO OF S10RiE5 ORSf.MENi M[��{qNICAI <br />pCr.�IPR6LYlOAD �llIESP{iNFLE1i5f1[OD NCIGIQIilAl1A➢ON <br />AODIiIONAL PIAN CHE::K <br />07HEH <br />ni nSONlOR SPHrtIX1EP5 <br />SiAiE DUIID�NG SURGIinFiGE <br />vunkrt�r rur�snr�n��viotr�� 1 ��TYOFF.VEflETT aUbuCwo�Ks <br />� LOCALSALES <br />I TAX CODE IS 3105 70TAL <br />TOTAL 3 .SO <br />MIT S r <br />1L F6E 5 <br />Y <br />nec[irr no <br />iienoN FEE <br />� <br />Yf� <br />0 <br />w <br />