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APPLICATI�1 FOR CONSTRUC'Iti�N PERMIT <br />IM E.�rynen <br />GTv OF <br />everett <br />BUILDING DEPARTIuIENT TO BE COMPLETED IN INK—PLEASE PRINT <br />259-8810 / <br />n nedni moN fl COMBINATIQN �i BUILUINCi I! MCCHANICAL I I PLUMBINO <br />� <br />everett <br />e� <br />I7 S�aN � <br />RUMBNWCd11R�CfON MaK�D0�E59 Cirv 2iP hqNE UCF.N9E� <br />CUBB Oi WORK � <br />❑ NEW C' ADDITION 1 1 AITEHATION CI REPAIR ! I DEMOLITION I I WOODSTOVE/FRPL INSERT I7 BUiLDINp RELOCATION <br />TENN/T MFROVEMENT ON iMiERi00 PEMWEI OM�Y CqltACi eFR50N �NO PIqNE NO <br />�� �g�p�prr� pF n{qo�p4Y (S�IOWN BELOW OR ATT�CN F Wt1 <br />LOT.'___ BLOCK , OF <br />� <br />i -- <br />CFII <br />FRONT6E7BACN <br />YBE Zp1F <br />�rre a corier �uow�ei[ <br />e� a a.ou <br />OCCUP/�NCV LOAO <br />RE�80N fOR 9PIIN11tlEP8 <br />�ppL�C,VaH �tc. er <br />8 <br />i1E�R 6E�BACN <br />LO1�RE� <br />ttn a consr �ctuu <br />NO OF 6TORIEB <br />i1RE BPRN�lER9 REOU <br />f_I VE9 I I NO <br />PUHS �PPPOVEO BY <br />FEE S <br />BIDE BEIBACN <br />V�C�NI BITE <br />(7 NO <br />I HEREAV CERTIFV THAT I HAVE READ AND E%AMINED THIS ��. <br />APPLICATION AND KNOW TNE SAM6 TO BE TRUE AND CORRECL ALL � <br />PROVISIONS OF LAWS AND ORDINANCES OOVEflNINO THIS TVPE OF '. <br />WORK WILL BE COMPIETED WITH WMEINEH SPECIFIED HEREIN OIl � <br />NOT. THE ORANTINO OF A PEHMIT DOES NOT PRESUME TO 41VE <br />AUTHORITV TO VIOLATE OF CANCEL THE PROVISIONS OF AN� � <br />OTNEii STAT[ OR LOCAL LAW REOULATINO CONSTRUCTION ON THE <br />PERFORMANCE OF CONSiRUCTION. THAT 1 AM AUTHORIZED BV THE � <br />OWNERpppFFF THIS PROPEHTY TO PERFORM THE WOHK FO� WHICH � <br />APPLIC�ON IS MADE AND I COMPLY WITH TH� STATE <br />CONTRA TORSLAWIB?7R6W-AN�296200WAC. ' <br />cnuenutl [[w�MCiOROR�Ui1qRRED�OENT U�1E � <br />I ql"lU�y1/ ' L~ <br />WL CITV U EN E �P,fl���'� <br />TNTOI <br />ANICAL <br />TYPE OF EOUIPMENT <br />A/Cr-ARINDLO UNITS—H.P <br />FORCEDAIRSVSTEMS—B.T.U. M <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DRVERS <br />VENTILATION FAN <br />PANOEHO00 <br />— � TOTAL <br />FlANp1ECNNUMBEP FEE <br />LI YES BUILDINO <br />anw.nc. +ou�.�uwcum� <br />°� PLUMBINO <br />BISEMENT MECN�NICAL <br />I 1 VES [l NO <br />NEqNTLiMil�tl04 OTNEq <br />STATE BUILDINO SUHCNAROE <br />STAiE ENEROV SURCHRPOE <br />CITY OF EVERETT PUBLIC WORNS <br />LOCIIL SALES <br />TAIf COOE IS 3105 TOTAL <br />RECEIVT M l. <br />..., .. „�.,� R, _ <br />, <br />..�, .-, .:.z•vrm.�.�.��ta2:S.:::�;:,—n��: �. - , ... .����:_. --`-.— <br />