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� � APPLICATII. .V FOR CONSTRUCI.ON <br />. TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPARTMEN'i � <br />259-8810 <br />❑ DEMOLITION ❑ C;OMBINATION <br />OWNEN Wu.�mae�a <br />of the ci <br />HEATING SYSI EM: �GAS ❑ ELECTRIC Q <br />❑ BUILDING I:.I MECHA <br />� 21P <br />of Everett 1401 Poplar <br />PERMIT ���� <br />1:1 PLUMBING CI SIGN <br />t 98301 258-9222 <br />A'�C�MTECiORDESqNEN WLLADDNE6S GTY ZIP P1qNE <br />The Dvkeman 1602 Hewitt Ave Everett 98201 259-3161 <br />OENEMLWNiMCT011 NAlMIX1E83 GiY DP PHONE STATEUCENSE� i. <br />Yun's Co. Inc. 1600 So Graham St Seattle 98108 764-0170 YUNSCI*097CD <br />__.. _._ __..._.,...,.. ...�...�,�,��, cm zw rxone aure ��r+sc � <br />Sc�-m� r��, c�.w <br />a�ss aF v+orac <br />O NEW ❑ AODITtON f_7 ALTERATION I.I REPAIR I_.I DEMOLITION I I WOODSTOVFJFRPLINSERT I.I BUILDIN6RELOCAitOW <br />COMACT PERSON µD PIqHE Np. <br />8 DISP <br />' . FOFi�bFF: :E USE ONLY: <br />FlIONTSElB11Gt 11EMSET <br />IREn01E LOTMEA <br />� . <br />f' <br />�ric': ; r ::i?:7� ;F+ <br />I HEREBY CEHTIFY THAT I HAVE REAO AND EXAMINED THIS <br />APPLtCAT10N AND KNOW THE SAME TO BE TRUE AND CORHECT. ALL <br />LOW ORAT7ACH FOUHCOPIES) PROVISIONS OF LAWS ANO ORDINANCES GOVEpNING THIS TYPE OF <br />� WORK WILL BE COMPLETED WITH WHEi}{ER SPECIFIED HEREIFI OR <br />N07. THE GRANTING OF A PEHMIT DOES NOT PRES�IME TO OIVE <br />AUTHORITY TO V�OLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR IOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THpT I AM AUTHORIZED BV 7HE <br />OWNER OF'fHIS PqOPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS M,\DE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />SUB TOTAL S <br />PERMR : <br />TOTALFEE S <br />SIDE SEIHACK <br />VACANTSRE <br />�TWI om�wcr Mo. <br />Gqle • <br />x �- � 1�1�� 11-ZS�I'2 <br />.s�uTur��— wTe <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />UNR HEATERS--B.T.U. M <br />CIOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPUCE 6 CHIMNEY <br />FIREPLACE INSERT <br />HEA7 PUMP <br />GAS PIPING <br />BUILDING <br />PLUMOINCa <br />MECHANICAL <br />ADDITIONAL PLAN CHECK <br />SPHINKLER <br />STATE BUILDING SURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />TOTAL <br />FEE � qECEIPTNQ <br />H <br />