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1 � <br />APPLlCATIdN FOR CONSTRUC7�N PERMIT <br />fM E��qn�n <br />CITY OF <br />everett <br />BUILDING DEPARTMENT <br />259-8810 TO BE COM��/PLETED IN INK—PLEASE PRINT <br />❑ DEMOLITION f l COMBINATION I� BUILDING I 1 MECHANICAL <br />awuER I� . M�R�DDRE9S GiY T�P P� <br />I 7 PLUMBING <br />everett � <br />� ` <br />f7 SION <br />ENANt MML�O�RESS LITY P V�qNF. <br />�,�a �acc: �B•u bo r� ��Gat I.�l� g81-� I <br />I1qGNITECTOR 6qNEA MAM1�ODRESS CITV tiP P�qNE <br />OENEfULG01 CtOB � N�'.MORESL Cltt ZiP PHONE UCENSE/ <br />1��-4��u�-u..� Mbn,� I�a,�ab �R- `fdo �z0 -4 <br />MECN ICQGd/1MCTOR M iL � ESS G�TY IiP P� _:.0 llCkhSE � <br />VIUMBNlOCpItRALTOR M�M1�ODNE65 CIiY 21V PNOlIE — VCENSE� <br />CU!!OF WORN <br />❑ NEW G ADDITION CI ALTERATION I 1 AEPAIF I 1 DEMOLITIGN I.I �yppDSTOVE/FRPL INSERT ❑ BUILDINO RELOCATION <br />TEIUNT IMiflOVEMENI OR INiEPqR REMWEI ONLY CqIT�Ct PERSON � JC PIIONE M�. <br />l0T_ &OCK <br />1��]��]i <br />6'II:L'[.] <br />FRONTBETBACK <br />UBE 20NE <br />rm a ca�sr. uiow�e�f <br />e� a a.00 <br />OCCUPiWCYLOAD <br />flE�80NfORBPNWNLER9 <br />APPLIC�TqN �CC. BY <br />�,S�1tL`I/.V:I <br />I HEREBV CERTIFV THAT I HAVE. READ AND EXAMINED THIS <br />� APPLICATION AND KNOW THE SAME TO BE TRUE AND COR'iECT. ALL <br />LOWOP �TfACNFWRGOPIE9� PROVISIONS OF LAWS AND ORDINA'VCES OOVEFNINO THIS TVPE OF <br />WORN WILL BE COMPLETED WITN �NHETHER SPECIFIED HEREIN OR <br />°� NOT. THE ORANTINO OF A PERMIf DOES NOT PHESUME TO QIVF <br />AUTHORITV TO VIOLATE OR CAIJCEL THE PROVISIONS OF ANV <br />OTHER STAiE OR LOCAL UW REOULATINO CONSTRUCiION OR THE <br />PERFORMANCE OF CONSTRUCTIpN. THAi I AM AUIHORIZED BV THE <br />OWNER OF HIS PHOPERTY TO PERFORM THE WORH FOR WHICH <br />APPLICAi ON IS MAdE AND I COMPLV WITH THE STATE <br />CON7RAC RS LAW 19�.�27 FGYY�Ip 296200 WAC. <br />BqN11iUBC' C(YlTR1CtpAORq/1NON12ED�DENt O�TE <br />l.Y�a�iL1:I1Sfl11:1Y6�••., <br />�I:LL`Iel�[� y9 <br />METAL FIFEPLACE 6 CHIMNEV <br />FIREPLACE INSEtiT <br />HEAT PUMP <br />RE�R6ETBALH BIOE6ETB�Lk FIANCNECNNUMBER FEE <br />IOT�PE� V�CNli61tE FEE$ <br />C_1 VES f 7 NO BwLDING <br />rrrtdcowerurwi oa�»x, �oao.�unwu+�n <br />a� PLUMBINO <br />Np pF gTpniE6 wSEUENt MECH�NIC�L <br />I 1 VES I.I NO <br />FIRE6PRNNLERSRE00 NEqHtUMITATION �TMER <br />I_j VES L] NO STATEBUIL�INOSURCHAPOE <br />STATEENEROVSUPCHRROE <br />PIANe�PPRovEOBY CITY OF EVEHE7T PUBLIC WORNS <br />LOCAL SIILES <br />TAI( CODE 18 3105 tor�� <br />PEHMIT <br />RECEIPT N0. <br />