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��� <br />ro <br />Fj � � <br />K <br />ro � b <br />N N <br />� O � <br />� t30 <br />°z n o <br />"�R <br />�, � <br />� <br />� M <br />'3 <br />O N <br />� C fn <br />� � N <br />O N <br />e�►I�E�LI�:AT1�1_.j FO�t CO�lSTRUGI��_��i iP1:Ft�Vbl�' �"�'�`'" <br />TO BE COh1PLETEJ li: INK—PLEASE PRINT <br />�� <br />Ihc Evuigiacn <br />CIiY OP <br />everett �EATIilG SYSTEM: ❑ GAS ❑ ELFCTRIC ❑ —� <br />BUILDING DEPARTMENT <br />259-8810 <br />! I DEMOLITION I _ COMBINATION <br />onu niur <br />O\'MER 1•I�IL�DDRE55 ���r <br />�JE—YLE'�T7 /hAGc /7tP2/l _ <br />TENANi I,INL��DR[Sc CIiY <br />,�,��,�IAI,�dv � sE,��,�� ; <br />lIP PHONE <br />I PLUMSING SIGN <br />AfiCMII-C. 0�1�[5�+:[R I.IAILPDDR[5$ �'^ " � � <br />GENEBAL GONTR4GTOB hIhIL ADDRESS <br />GIiY ZIP PH01lE 1 iCENSE r <br />G� ��7y ZIP FHONE LIGENSEn <br />AIECNANIGALCONTii�CTOP n+nanoor�ess - _ . _ - - � �,�,��.� _,i,� rG ,�, iuvi– rr..�'7/JLni <br />M1IAi_ <br />c�nss oF woaK <br />'. I NEW '.��. ADDITION ��._I ALTERATION <br />GONTPACTPRICEOFWORH _ <br />OESCRiOE WORK AND SOOARE <br />PflOPOSE� USE OF BUILDiNG <br />LEG�L DESCRiPTION OP PpOP� <br />lOt BLOCH <br />J <br />OF <br />INVOLVE� <br />�SHOWN BELO\Y <br />OF <br />KITCHEN SINK 8 DISP <br />TRAY <br />FOR OFFICE USE QNLY: <br />FRONTSET�PGK REAPSETD�CK <br />USE <br />L0111S.ALtOYlhBIF � lYPEOFCUHSLAGiUdI <br />52EOFBl�G. I NO. <br />RE�'J <br />INi�NE9Y � PLANSAPPROVEDBY <br />�� <br />crtv <br />REPAIR <br />r <br />DEMOLITION �_�� WOODSTOVE�FRPL INSERT I�J BUILDING RELOCATION <br />I HEREBY CERTIFY THAT I Hi+VE REFD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL <br />coaie5l PROVISIONS OF LAWS AND ORDINANCES GOVEFNWG THIS NPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OP CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTIOIJ OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPlICA710N IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1027 RCW AND 296200 WAC. <br />SIGNATUREOfWNiRACTOROHAUTHOf11ZEDAGENT DATE <br />X ...n � .Q � , <br />NTSGITYDUSINESSLI JSENO.AND�USINE! <br />ANICAL <br />TYPE OF EOUIPMENT <br />NC—A/HNDLG UNITS—H.P. <br />FORCED AIR 5`.'STEMS—B.T.U. M <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE & CHIMNEY <br />FIREFLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN __ <br />5 <br />PLANGHECNNUM6EF � FEE <br />VACPNTSRE <br />oui�owc <br />OCCNANfv �106lVMLL�IILONi;S � <br />taouv PLUMBING <br />onSEraENr MECHANICAL <br />HEIGH�LIMRFTION AODITIONALPLA�lC_iECK <br />OTHER <br />STATE �UILDING SURCHAflGE <br />CITY OF EVERETT PUBIIC WORK$ <br />LOCAL SALES <br />TAX COOE IS 3105 I TOTAL <br />5 <br />FEE <br />L���� <br />i�� — <br />00 <br />6 f I o� <br />