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r 4 <br />APPLICATI(..� FOR CONSTRUC7 . JN PERMIT everet[ <br />TO BE COMPLETED IN INK—PLEASE PRINT � <br />rne eve.pmnn <br />CIlV OP <br />eyerett HEATING SYSTEM: ❑ GAS ❑ ELECTRIC U --� <br />- ^� BUILDING DEPARTMENT — <br />:,' 259-8810 ' <br />DEMOLITION ! COMBINATION _BUILDING I I MECHANICAL i J PLUMBtNG LI SIGN <br />owr+rn mm� �oon�ss crtr nr V��ONE <br />� G'%� p��/ �_�/ � �'irl�naC- �i/7� ��7c�/ <br />�p������ M�IL�DOfif.55 Girv im rHw+E <br />nnc�mecronoesicr+en Mnanooness cirv zm r�wr+e <br />GFN[ItALCOMIRACTOR M�RAOORE55 CITV 21P PHONF LICENSE� <br />�/L�4�-!i Cc�/e_ �'�� /'� ��n/" f �-Sv <br />ZIP PNONE LIGENSE I <br />� <br />��� <br />MEGN�NIC�LGONIR� OP M�IIRDDlIE55 CIiY <br />t9lI�e0M6CON'11�C10it M�II.npDnP55 GItY ]IP PiW�Nf UCENS[/ �. <br />o �e_ -3.. G.�SJ�o�..,vs lF�zs�J 335/i.3oy ;7z�,Cs�*f-z3s�2. <br />1or—s c.� -3,N- /' ir. <br />C1A55 0F WOAN <br />I I NEW I I ADDITION I � ALTERATION �' REPAIR L.1 DEMOLITION I I WOODSTOVE/FHPL INSERT ❑ BUILDING RELOCATION <br />cor+t�cT rensoN u+o riwr+e no <br />D�E/S7COIBE WORN IWD SW�/��F, FOOIP4t mvtnv�u <br />lu��V�%�3— �/�_ �/ <br />rna�osco usE uF' nGaoirvc <br />IEGRl0E5CPIFiqN PIIO('EHfY15110WNOCLO� <br />lOT HLOCN OF <br />PRUJEGL <br />URINAL <br />ROOF <br />SINK ( <br />TRAV <br />—�� <br />FOR OFFICE USE ONLY: <br />FnONT SET6RCK REAP SETBACN <br />USEZONE LOi�RER <br />S2[ OF BIOG. <br />OCCl1P�NCY l <br />FIPE <br />Si0HIE5 <br />iN1.1KE8Y I RAN5�1'1'f10VFOAY <br />E <br />1 HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORHECT. ALL <br />co��¢ ,i PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES I�OT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OH CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZEO BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />_ APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />SIGN�TUREOFCONTR�GTOf10RAUT1101�IZE0MiENi OATE <br />X � /� <br />�pPIIC SCIIYB NESSLICENSENO.ANUBUSINESSNMIE <br />UNIT HEATERS—B.T.U. M <br />CLOTHES�RYERS <br />VENTILATION FAN <br />AANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIHEPLACE 8 CHIMNEY <br />FIREPIACE INSEFT <br />HEATPUMP <br />GAS PIPING <br />EXHAUSTFAN <br />S <br />NUM6F.N fEE I PECEIVTNO. <br />VACMIi SO [ �CtD <br />BUILDING <br />OGVr/.Mr nnalmTIUMGYNIR --- <br />anao p�UMLi�.., <br />BnsE�nENt MECHANICAL <br />HEIGIITIIIAIt�iION 4DDITIONALPLANCHECK <br />OTHER <br />STATE BUILDING SURCfIAtiGE <br />CITY OF EVEHETT PUBLIC WORNS <br />LOCALSALES <br />TAX CODE 18 3105 *mµ <br />