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r�. �'- <br />APPLIC.aTION FOR CONSTRvCTION <br />PERMIT <br />rne eve,o,een <br />CIT V OF <br />everett <br />BUILDING DEPARTMENT <br />259•8810 TO BE COMPLETED IN INK — PLEASE PRINT <br />OMNEII MPIL�UUPL55 GIIY ZIP <br />{�o�AW�o MORALES 5t1 t�. R. SNo&o. q$�5 <br />TENANf MRILRDDPE55 GIIY 21P <br />�AME AS ABoV� <br />eo�usr. <br />i <br />�JeR.ETC' <br />everetl <br />e <br />�551� <br />�ilMlJ V� AV�In <br />�NEW ❑ AODITION ❑ ALTEPATION ❑ REPAIR ❑ DEMOLITION ❑ WOOOSTOVE/�RPL INSERt ❑ BU�LDINO RELOGATION <br />TEN�NT IMPpOVEMENT OP IMERIOR RFMODEL ON�V iRGI f'ERSON RNO P11ONE NO <br />CqHiF�CTI'PICEOfWORK a��Ct000= �3i¢IAN FIAYN�S .25$-3G6 <br />ui-sror��,� <br />�ESCR�]TION UF PRCPERTY (SNOW <br />�_ BIOCIt wf� <br />ATt�►c�� n <br />PLUMSINO <br />VO. TYPE OF <br />WATER CLOSE7;Ti <br />BACKFLOW PRE� <br />ROOF ORAINS — <br />Z <br />I IR1E <br />sµ <br />�L <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />-2 <br />5 BSM <br />pY <br />v <br />a <br />a <br />I HEREBY CERTIt'V THAT I HAVE PEAD AND E%AMINED THIS APPLICA�I"ION RND <br />KNOW THE SAMC TO BE TRUE AND COfiRECT. ALL PROVISIONS OF LAWS AND <br />ORDINANCES GOVEFNING THIS 7VPE Of WORK WILL BE COMPLETED WI1H <br />WH[THER SPECIFIFD HEREIN OR NOT. THE GRANTING OFA PERMIT DOES NGT <br />PRESUME 70 GIVL AUTHORITY TO VIOLATE OF CANCEL THE PRCVIS�ONS OF <br />ANV OTHER STAT[ OR LOCAL LAW REGULATING COWSTfiUCTION OR THE PER� <br />FORMANCE OF CONSTRUC710N. THAT I AM AUTHORIZED 6V tHE OWNER OF <br />THIS PROPERN TO PERPORM THE WORK FOR W HICH APPLICATION IS M�DE <br />AND I COMPLY WITH THE STATE CONTRAC70RS LAW 1827 RCW AND <br />296200 WAC. <br />SiGNRiUf1ECf MR���ONIZEO�OENT DRE <br />X Z--I5 - 7 0 <br />MECHANICAL <br />NO. <br />T <br />UIVI I 1lLMICHJ— O.I <br />CLOTHES DRVERS <br />VEN7ILATION FAN <br />RANGEli006 <br />WATER HEATER <br />WOOD STOVE <br />METAI FIREPLACE 8 <br />FIREPLACEINSERT <br />—�— <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />� <br />si <br />SUBTOTAL 5 <br />PERMIT S <br />VRCRNT n ' FEES <br />O VES NO <br />BUILDINO <br />NO. OF OWELUNO UNIT9 <br />'�"' PLUMBINO <br />OCC LOnD � — <br />MECHANICAI <br />NEIOHTLIMItRr�oy OTHER <br />/ ` <br />STA1E BUILDING SURCIIARGE <br />STATE ENERGV SURCHARGE <br />PUBL �O WORKS <br />TOTAL <br />93 <br />Fee <br />i/�� <br />FEE <br />