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APPLICATI�f ] FOR GONSTRUCT' )N PERMIT � <br />TO BE COMPLETED IN BLACK INF:—PLEASE PRINT <br />i_DING DEPARTMENT HEATING SYSTEM: ❑ GAS U ELECTRIC �' N!A <br />i 8810 <br />UEMOLITION i I COMBINATION X BUILDING I I MECHANICAL ❑ PLUMBING �� SIGN <br />!P lMILAODPE55 .C�IIY�,/� ZIP PIIONE n <br />'i�t���LAODP[5��� ��1 CIiY �I � �SI�� PIbME �_ IO � <br />1RELiO��E51GNEn IdRILADOflE55 LRY IIV PIIINIE <br />•BkIGLPNiBACiOfl AUM1P�ORE55 GIiY ZIP PIWNE SLAIELKENSE� <br />S CF WOPN <br />IEW ! I ADDITIUN xALTERATION I I REPAIR I I DEMOLITION I I YlOODSTOVE/FPPLINSERT I l BIIILUNGFELOCATION <br />• �C�NiPCiPEPSG:IP110F110N'NO. <br />3:PIBLWOPNRNOSWAflEfOOtAGEM40lVE0 � <br />:����iaS�wM//ES A/.�N /M1an:u.JgF� <br />:aseouseornu2ort+eLEqFJCS. (ty�A?°r+U35xO�%+ I HERE9Y CERTIFV THAT I HAVE READ AND EXAMINED THIS <br />��4��. Q�c��.n/,Q ���� C^$ APPLICATION,:ND KNOW TNE SAME TO BG TRUE AND CORRECT. ALL <br />' iiLOESLFIPfIG�OFCROPEflry�5110WNOELLWOB�TiACHfO011LOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTVPEOF <br />WORK WILL Fc':OMPLETE� WITiI Y�HETHER SPEGFIED HEREIN OR <br />�� o�oeK _ oe NOT. THE IiRANTING OF A PERMIT �OES NOT PRESUME i0 GIVE <br />AUTHORITV TO VIOLATE OR CAIJCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRl1CTION. THFi 1 AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERN TO PERFORM THE .YORK FOR YJHICH <br />� APPLICATION 13 MAOE AND I COMPLV WIiH THE STATE <br />CONTHACTORS LAW 1827 RCW AND 2962�0 WAC. <br />a <br />_ �ACKFLOYlPREVENTERS _ <br />R�(1F DRAINS—RAINLEAOEFS <br />SINK (SERVICE-6AR, ETC.� <br />SUB T <br />PERM <br />TOTAL <br />PQi OFFICE USE ONLY: <br />�PO�ISEiBACK OERq5Ei8RCN <br />�5[ W�E lOiMEA <br />IitlCON:SAqOWAGtf IYR�i[OYSI.AL104L <br />rtY. Gi3%d�_�j�i — <br />RE )FOIpG. ' .OFSLOfllES <br />ICL'FMlLT�OTO FIFE51 NN1E115PEQU <br />IEA!DNfOf15l'NlIN1EP5 <br />NTAEOY RMISAVPROVEDOY <br />TVPE OF <br />AI�A/HN�Lr UNI <br />FORCED AIR SYSTI <br />UNIT HEATERS—B. <br />CLOTHESDPYERS <br />VENTILATION FAN <br />RANGEHOOD <br />\VATER HE�TER <br />WOOD STOVE <br />METAL FIREPLACE <br />FIREPLACEINSERI <br />HEATPUMP <br />GAS P'�ING <br />� � 703 <br />SiOE <br />wCu+iSne FEES <br />�111L01NG <br />OSUnrAY wtlLm1un�Unts <br />�Pqj� PIUM!'ING � _ <br />BASEMENT MEGHANICRI <br />uEicxiuurtenw� AD�ItIONALPIANCHECH <br />SPOPINLEO <br />STATE DUILOWG SUfiCHAFGE <br />CITY OF EVEflETT PUOIIG WORNS <br />LOCALSALES — <br />TAX COOE IS 3105 Torn� <br />