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n <br />� <br />APPLICATIO�� FOR CONSTRUCTI.it� PERMIT �'�°��'" <br />m� n,�,n��.���� TO BE COMPLETED IN INK—PLEASE PRINT � <br />r,itv oi <br />everett ----- -- -- _ - - __ _ - <br />L HEATINGSYSTEM_JGAS ,ELECTFIC _J __ _ ____ _1 <br />BUILDING DEPARTMENT <br />259-8810 <br />DEMOLITION COMBINA7iQN BUILDINR MECHANICAL PLUMBING SIGN <br />owNln Mnit ntl[Inrss ntv Iin cruAl( <br />i�HeNr u�n enoness r,irr eir rr�oNr <br />F'jpRTiW [. 1CeN�gi2 �1�13 4GTN Sr. 5.�, �'1NKLL (,Gi7 Y,f�n/Z <br />�qCNREGLOHOESIQNfR M�iL�DORESS Crtv l,? PH011E <br />IOi <br />M�II �OONl55 <br />u�a �oxEss <br />MOMCGONiRACTOP MMI�[IDRESS <br />SS Of WOPN <br />NEW ADDITION XALTFRATION REPAIR <br />� .. ,. <br />e oF wonK � <br />:�NO SWARE FOOt G[ INV0.VE[ <br />OF Al11lOMC � <br />r�or+or Pnoreniv is��owN'lE1�01 <br />BIOCN Of <br />NO. — TYPE <br />WA7ER CLOS <br />BATHTUB <br />/� r <br />8 DISP <br />WASHER <br />BACKFLOW PREVENTERS <br />ROOFORAINS--RAINLEADERS <br />SINN ISERVICE—BA0. ETC.1 <br />PERMIT <br />FOR OFFICE USE ONLY: <br />FNONISFIO�CM IiF1��ti111UfN <br />usEzcw[ ior�nEn <br />fYPE Of L01lLS �ILdY�&F IYR p CONSI ACIWL <br />SiZEO-BLDO M�OFSTD11iES <br />DCCUPNlCYLWU FlRESPRNMLERSRfpD <br />INiKKf IIV <br />PY <br />c�n nr <br />crtr nr <br />UtV I�P <br />FEE <br />� <br />P110NE <br />D[MOLITION WOO�STOVEiFRPL INSEflT BUILOING RELOCATION <br />coNr�c* rcnsoN �No rrar�[�p <br />�-yiN L Ila N�i_ �_ 15'%- .� f-6G <br />� -VLSI2L7j�— � %Fo7('�� <br />_ ks R/+�,��vri��`/ /u�/ til. �k'oi�n�G�i� <br />I HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW TNE SAME TO BE iFUE AND CORRECL ALL <br />PFOVISIONS OF LAWS AND OR�INANCES GOVERNING THIS TVPE OF <br />WORN VIILL BE COMPLETED WITH WHETHER SPEGFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIi DOES NOT PRESUME TO GIVE <br />AUTHORI?V TO VIOLATE OR CANCEL TNE PROVISIONS OF ANV <br />OTHEF STATE OR LOCAL LAW REGULATING CONSTRUCTION Ofi THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV I HE <br />OWNER OF THIS PROPERTV TO PERFORM iHE WORN FOR WHICH <br />APPLICATION IS MADE AND I CG�.IPLV WITH THE STATE <br />CONTRACTOHu LAW 18.27 RCW AN� 296200 WAC <br />smNauncorca+tn�c*onan�urNonizeoeaer+r o��r <br />tf4Uc_3_SrZ__4.7L I��Sr3�fnuT Sd�+P��_ __— <br />�PPL IGNtS Ci M1 11U4Nf 5S 1 iCE NSE NO �ND BU9ME55 N�ME <br />i:[�a <br />A�C—A�HNJLG UNITS—MP. � <br />FORCED AIR SYSTEMS—B T.U. M E A. � <br />UNIT HEATERS—B.T.0 M <br />CLOTHESDRVERS <br />VENTILATION FAN <br />—T— <br />PANGBHOOD <br />WATERMEATER <br />WOOD STOVE <br />METAL FlREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />�— <br />HEA7PUMP <br />GAS PIPING , <br />smrse*nncn rieHcr�fr,�r�uumn nr <br />v�c�r+i s�re FEES <br />BUILOING <br />ocroc�xr rmrvnvi.� rr�iu.� -- ""-_ . -. —_' <br />`'°�"� PWMBINC <br />BeSEM'Ni MECHRNIC�L <br />H[�aa uMrt�rla� ADOITION�L PLRN CHECK <br />OTNER <br />� SiAIF AUIIDING SIIRCHAqGE <br />CITY OF EVERETT vuAuc wonKs ~ <br />LOCAL SAIES <br />TAX CODEIS3105 TOT�� <br />TOTAL <br />-�(�.001. __ - __ �s.'G�_ <br />