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,� <br />APPLICATIOr.� FOR CONSTRUCTL �N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • FVERETT, WA 98201 • 259•BB10 <br />❑ DEIIAOLITION ❑ CGMBINATION �BUILDIMG ❑ MECHANICAL �LUMBING ❑ SIGN <br />PROJECT ADDRESS:_ �Dy ��} /kV� �Y�e;� _ GOT ! �;H t� L I I J'� <br />���R MAR�OOIIESS Clry 71P PIIONC <br />A��.f�/ �t.�Cn/✓c1� ..?Y�n'd�.� �ilvn/,,, �nb. �i.v.�.....i� ONJ-?� /�iv_l�c;�_i�n;. <br />YNl <br />CATY <br />wr <br />__— _ ' <br />MulA0fN1E55 COv ;n� � r.unuc �...�.._,..___ <br />� <br />oEsc�aee xoR�c �No <br />�or � e�ocK or v /" 7�� <br />�'W /y af ✓�e A.� l�u sec I� / µ <br />CONSTRIICTION LMN LENDER.I1DOnER. TELEPI/ONE <br />TYPE OF flXTURE OR ITEM <br />WATER CLOSET (TOILE� <br />BATHTUB <br />KITCHEN SINK 6 <br />LAVNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />BACKFLOW PREVENTERS <br />SINK (SERVICE — BAR. ET <br />PERMIT S <br />TOTALFEE S <br />FOR OFFICE USE ONLY: <br />iRONTSETRACN REM SFTB�LK <br />Zo 20 <br />USEIONE IOi�REA <br />/Z-� i/ 9!/ <br />HE16MT LIMI �iION � NO Oi OWELIING <br />.�' 3,5� oNn� 2 <br />r.owsr <br />—�� <br />SIDE SEiB�C1c <br />� <br />V�C�NI SIIE <br />�iES � NO <br />sue or e�ocrti <br />2�7�/R�� � <br />nres �in <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />HEATING SYSTEM: S❑ ELECTRIC O <br />f.MllACf���T �!n/�//1 /i�/I11� �i�7- C% %�% <br />��/w�v (.v/cFc/-r/'t / I / ' b /�'� <br />I HEREBY CER7IFY THAT I HAVE REAU AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND COFlRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE ORANTINO OF A PERMIT DOES NOT PRESUME TO 61VE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTFIER S �ATE OR LOCAL LAW REODUTINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUiHORIZED BY THE <br />OWNER nF THIS PROPERTY TO PERFORM THE WORK FOR WH�CH <br />A?PLIC4710N IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRqCTORS LAW 1827 RCW AND 6.200 WAC. <br />� t�"'��6 v �G� OG70%✓' �.S ��J(o <br />D�TE <br />07. 76.�0 <br />CITY BU9NESS IICENSE NO <br />NO. <br />rvi. — rvnnu�u vm i s <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES ORYERS <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GASRANGE <br />FAN <br />PERMIT S <br />TOTALFEE S <br />PUNCII•CON'H111.41ff1 I fEF �^ __ I RECEIPTNO <br />omimNr. I 1�1q 7.CS I /%�i. �! — <br />rwuninc-- <br />urc�mrucni <br />eoauor�ei. ri eu cnrcK <br />omc� -- <br />sr�i¢ nunuir�a sum:unnce <br />ru�uc wnnns <br />TOTAL <br />