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.__ ,,, <br />APPLICATIOrd FOR CONSTRUCTIJN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVEREIT, WA 98201 •(425) 257-8810 <br />❑ DEMOLITION `❑' CO(�MBINATI/O-N� ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECTADORESS: Y_ 17 � I LlJL,f�1( <br />.� �l�T/-_vv YJ � 1 WUSX LV L�L 1�Jit!/�J �� `9UGv/ F]T� 7_'�'1 ^!v I� <br />R MlILA00HE55 CIiY ZIP PHONE <br />TEN�NT AIAILAUWiE55 LITY T�P VNONE <br />�PGHIIF.Cf OR DESiGNEP MHl �DORE55 CIiY ZiP PNONE <br />GENE�i�LCOHiMGTpq Mri��pDAE55 CITY IiP P�IOYE SI�IEIICFNSE� <br />MELH�NIC�LCONTH�CTOA MAILADDPE55 Cltt Z��' P110NE S7ATF.LICENSE/ <br />PWMBMGCONIR�GTpR MI11L�OpiE55 GITY IIP PNONE ST�TELICENSE� <br />OESGRIBE WORK �NO SOU�pE FppTAGE MVMVED <br />iot eioca <br />CONSTRIICTION IOAN LENOER, �ODHE55, TElER10NE NVMBER <br />PLUMBIN6 <br />BATHTUB <br />LAVATORY <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />URINAL <br />PERMIT E <br />TOTAIFEE S <br />FOR OFFICE USE ONLY: <br />PRONTSFTpALN RF.�RSFT911CK <br />USEIONF tOIARE� <br />MEIGHIIIA1it�ilON NOOiDWR4NG <br />UNIIS <br />nae <br />er <br />9�E SEte�LK <br />��C�NT SItE <br />�YES ❑ NO <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />CON7ACT FERSON ANO PH(klE NO <br />I HEREBV CERTIFV THAT I HAVE READ AND E%AMINED THIS <br />APPLICATiON AND KNOW THE SAME TO 8E TRUE AND CORRECT ALL <br />PROVISIONS OF WWS AND ORDtNANCES GOVERNING THIS TYPE OF <br />WORK WILI BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHURITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOHIZED BY THE <br />OWNEH UF THIS PROPEHTY TO PERFORM TME WORK FOR WHICM <br />APPLICATION IS MADE AND I COMPLY WITH TME STATE <br />C{)NTR�TORS LAW 1827 RCV/( AND 296200 WAC. <br />ZS <br />CITv BUSINE55 UCENSC NO <br />MECNANICAL <br />NO. TYPEOFEOUIVMENT FEE <br />w�. — �vnnuw unu a <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />MFTAL FIREPI.ACE I <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS RANGE <br />PUN�IIECItNUMAfR � fEF <br />AUIIDMf• <br />SKE O� BLDGRI <br />PIUUAMG <br />B�SEMENI MH:H<NIGI <br />❑VES ❑ NO — <br />RDOIIIONRI. Pl �N GUCCK <br />orNen <br />sui[ ewiuwc suncunnce <br />CITV OF EVERETT rupur. wonKS <br />LOCAL SALES <br />TAX CODE IS 3105 TOTa� <br />PERMIT f <br />T01AL FEE E <br />RECFmT NO <br />..�v%„�_ �_�,]� <br />r � <br />�3ari. <br />, u. <br />� �t� , . <br />