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; , ` APPLIC�►TION FOR CONSTRJCTION PERMIT <br />� Ero o�� TO BE COMPLETED IN INK—PLEASE PRINT <br />G1V OF <br />everett �-- <br />BUILDING DEPARTMENT <br />259•8810 <br />' 17 DEMOLITION I COMBINATION <br />pNNER M�IL�DORE55 <br />A � L.S� 2 : <br />tEru�—�?�1 u�n �ooness <br />HEATING SYSTEM: U GAS lJ ELECTRIC U <br />BUILDINO <br />CItY <br />� �:M�CHANICAL <br />ilr <br />IipLUMBING <br />everett <br />� <br />� I SIGN <br />�RCNITECTOR�ESIONER MMI�DDRESS CIIY 71P PNONE <br />OENEIU4GONTRI�CTOR M��L�D�RE55 Ciiv 21P PHONE LR:ENSE� <br />C.iIY 21P PMONE I�CENSE 1 <br />MEGHANiCILL COM7R�G1di MA� AOORESS ^_ A . . .. n� .� „„ ���� I. I A n I. � n. .� n.l�A R <br />MMl <br />CL/�.490F WORN <br />I.7 NEW I VADD�TION I i ALTEHATION '� � REPAIR <br />CONTR/�CT PRICE OF WOI�M �D `r r <br />,� (1$�a�.`\µl�T CAi� uee Wvav�J M0.1' T 25' <br />�1tfS� OI� <br />rrarosEo use d' outiorca � � <br />�EpAI p[gGq�pflf�N D: FROPEIIIY (5110VM BEIOW O� <br />l0T BIOCN ___ � .__ <br />/�ODRE68 <br />DISP <br />FOH OFFICE USE ONLY: <br />I•n1TRFT9�CH �E�PSEIB�CK <br />UBE Z•1NE <br />BRE <br />voR srnwK� ens <br />PERMIi E <br />TOTALFEE S <br />sioe se re�c� <br />V�C�NT S�IE <br />IIFOD <br />PUNS �PPIIOVF.P Pv <br />CiIY <br />PIqNE <br />� <br />i'� DEMOLITION i' WOODSTOVEIFRPL INSERT I i BUILDIN6 RELOCATION <br />—1 conuc� vEnsor+�How�or+e rro <br />I HEFEBV CERTIFV THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PFOVISIONS OF LAWS AND ORDINANCES GOVERNINO THIS TVPE OF <br />WORN WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OH <br />NO7. THE ORANTINa OF A PERMIi DOES NOT PRESUME TO OIVE <br />AUiHOFITV TO VIOLATE OR CANCEL TFIE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REOULATINO CONSTRUCTION OH THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORH FOR WHICH <br />APPLICATION IS MADE AND I COMPL� WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />SION�lUREOrCONiP�CT0110R�Vi1N)N2ED�OENT D.1iE <br />x `a �-2 � `�� <br />�PPlIC11N15 fYB'JSINE59lICENSE IINDBUS�NE89NNAE <br />AIR SYSTEMS—B.T.U. M <br />RANGE <br />WATEH <br />8 <br />'PUMP <br />PIPIN6 <br />� <br />AUILOING <br />IX[ViMr MMIMIII�YM1�IM�9 - --- - � <br />I <br />r�nm PIUMflWC � <br />--1 - ---- , <br />P�SFMENI MECHANICAI i <br />— <br />____— _" � <br />r�Elm�i UMiunoN ADOITIONAL PL�N CIIFCN � <br />—__—__— i <br />_� ' <br />_ OLIIER _____ ___ __� <br />— � <br />SUIE PWLUING SUfiCHARCE ; <br />CITY OF EVEflETT vueuc wonKs 1 <br />LOCIIL SALES � <br />TAX COUE IS 3105 rore� ; <br />� <br />