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. APPLEC('ION FOR CONSTRUCTIO�;PERMIT� <br /> ' � CINOFEVERETT. BVILDINGDIVISION <br /> 3200 CEDAR STREET.EVERETT,WN 08201.257-BB10 <br /> ❑ pEMOLiT10N ❑ COMBINATION ❑ BUILDING m MECHANICAL ❑ PLUM&NO ❑ SIGN <br /> PRQIECTADDRESS <br /> 4721 Cdlps Ave <br /> owx[� �ra�oon[u rnr s nial[ <br /> EMn Tlqmpson 4721 Colhpe Ave Eve�ell 98203 12S252AB90 <br /> rtwwr �ua�nontas atr a vworrt <br /> <NAME> UDDRESS> <CITY> <ZIP> <PHONE> <br /> �iccronoeawnnrn ru�non[sa urv zv nw�rt <br /> <NAME> NDDRESS� <CIN> <21P> <PMONE> <br /> o[wcwucw�wt�on wr�.mn[as am m �art surtucu+u• <br /> M�> NDDRESS> <CITY> <21P> <PHONE> <LIC NO> <br /> YFCINN�I'lLCPIiMCIpI WLMOFESf GfY 2P PNWE Ei1iFlKEMbE• <br /> FsatWelxHeaterCo 12601132ntlAveNE Kirkland 9803I 125A74�8381 fatM1vhco52d1 <br /> r�wrrocarrw�c*an wawmcss am ss o�art sr�*[uc[rue� <br /> <NAME> <AODRE55> <CITV> <ZIP> <PHONE> �LIC NO> <br /> Cd1MCTP1VCE0iM]bt <br /> _��pp HEATING SYSTEM: O GAS O ELECTRIC O_ <br /> o[ecmawauuoaa�,w[roouocrrvav[o corrt�crranswiwoawraw. <br /> RaUo fi�of pa�wuler Meter <NAME> <br /> <PHONE> <br /> I HEREBY CERTIFY TMAT I MAVE READ ANO EXAMINEO THIS <br /> MPLICRTION AN�KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> wi000xuus�arewuw PROVISIONS OF UWS AND IXt01NANCES GOVERNING THIS NPE OF <br /> WORK WIIL BE COMPLIEO WITH WHETHER SPECIFIEO HEREIN OR <br /> �wancswonwamoxnn�swvme�owon�**.cnmocwEsi NOT. THE GRAN7iNG OF�PERMIT DOES NO7 PRESUME TO GNE <br /> � a�__a __ AUTHORITY TO VIOLR7E OR C�NCEL 7ME PROVISION OF �NV <br /> OTHER STATE OR LOCAL UW RECUTATING CONSTRUCTION OR TME <br /> PERFORMANCE Of CONSTRUCTION.THAT I AM AUTHORIZEO BY THE I <br /> OWNER OF THIS PHOPERTV TO PERFORM THE WORN FOR WHiCIt <br /> NPPLICATION IS M E RND I COMPLV WITH TME STATE <br /> w�aiiwain�urcn <br /> CONTRACTORSLAWI 7 WMID2DB.POOWAC. <br /> COHSiR11CTNWl0.WlEM0E0./�WflEtS.iElEP11G1EMlYlFfl x �inroo --- <br /> <NAME> <ADDRESS> SIONATURE o�ie <br /> <PHONE> LIiY BUSiNE65lICENSE NO. <br /> �LUYBINO MECNANICAL <br /> NO. MEOFFl7(TUREORITEM iff N0. TYPEOFE ►MENT f� <br /> 0 WATERClOSET OIL 0 /JC�MINDLGUNRS <br /> g�7H7ug 0 FORCEDAIRSV£TEMS <br /> 0 LAVATORY ASH BASIN � �T� <br /> p uq�ypy 0 UNRHEATES <br /> O K�TCHENSINKBDISP 0 CLO7HESDRYERS <br /> o as�m�wsHa+ a wwceiwoo <br /> 0 UUNORVTRAY 1 WATERHFATER <br /> 0 CLOTHESWASHER 0 WOOOSTOVE <br /> 0 � 0 MEfALFIREPIACE BURNING <br /> 0 IXiM(WCFIXMfNN 0 FIREPUCF.INSERT BURNING <br /> 0 FLOO{iDRFIN 0 C.�SFIREPUCE <br /> 0 BWG(FLOWPRF.VENiERS 0 CASRANGE <br /> 0 SINN SERVICE-BM ETC. 0 pASPIPING <br /> p � 0 EXMAUSTFAN <br /> 0 � <br /> 0 0 <br /> 0 <br /> 0 � <br /> SUBTOTAL 5 SUBTOTAL S <br /> �� S Paa.�� S <br /> TOTALFEE S 70TN.FEE S <br /> FOROFFICEUSEONLY: CV� — Z <br /> fPOMflEIMCI. EMSEiBACR SIREEIl�LK �.`�CXM11 Efl D� ' fEE RECEIVLN]. <br /> �I <br /> �� airnu ewxviv*c F�kS VALU�710N FEE <br /> OVES CH� BY4➢M <br /> ncwrtwunw waohcium siaaunart.i. <br /> UNiB P1114&N6 <br /> QCGIAµCY NJ.Ofb10114 OCCINAN�LWO IKSE4fM y[p�,�y��jy <br /> OROUP <br /> OV£5 ONO <br /> fIPESVWMYFNPEOD PGSp`I MdiroMALPUNCMECK <br /> O1MN <br /> nnENAnuPEaD ntwsw <br /> SteiEF00.qW5UNCINnGE <br /> rvceawwr. wwa.wnovcner CITYOFEVEREI'f waucwonrs <br /> LOCALSALES <br /> ah TAI(CODE IS J105 TO7Al � <br /> I <br />