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APPLIC/��'ON FOR CONSTRUCTIOR' �ERMIT� <br /> CITY OF EVERETT. BUILDING DIVISION <br /> 3200 CEDAR STREET.EVERETT,WA 08201.:57•8810 <br /> , ❑ DEMOLRION ❑ COMBINA710N ❑ BUILDING ❑ MECHANICAL 0 PLUMBING ❑ SIGN <br /> ?ROJECTADDRESS <br /> 4924 Elm SI <br /> OWNfN YA0.�OM[55 GtV SV Mp1E <br /> Rendv/Altamae Millsa 492<Elm SI Everet� 98203 4252525985 <br /> .cw.u. u+nwoncss un m vnaa <br /> <NqMEa <ADDRE55> <CITV> <ZIP> <PHONE> <br /> MCMiiCLiOPOE5IGNEX YIJI.�Y�E55 GlY ID RKHF <br /> <NAME> <AODFE55> <CIN> <ZIP> �PHONE> <br /> GENEPMCOMiML10N MKAOM�E55 GiV ID PIGME St�iEIICtNSE• <br /> �NAME> <pDDRESS> <CIN> <ZIP> <PHONE> <LIC NO> <br /> MECNI.WFNCIXI1MCi0P 1MRI�D�ME55 piY lP PXOME Si�lEL1UM5E• <br /> <NAME> <A�DRESS> �CIN� <ZIP> <PHONE> 0.1C N0> <br /> nweiwro�*rucion wa�ooness un rn rHaa s*��Eucuucr <br /> <NAME> <ADDRESS� <CITV> QIP> <PHONE> <LIC NO> <br /> Cp11P/.Ci PPiCE Ci WOPR <br /> 3<9.00 HEATING SYS7EM: O GAS O ELECTRIC O___ <br /> ocscnie[wanKumsauuieroav.ccmvavEo cwucrvcnsauu�ovwrrtra. <br /> <NAME> <br /> RomovelReplace electric water healar <br /> <PHONE> <br /> I HEREBV CERTIFY THAT I HA\'E REpD AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT.ALL <br /> vnorouousEof eu�pr+o PROVISIONS OF lAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> WORK WILL BE COMPLIEO WIiM WNETHER SPECIFIED NEftEIN OR <br /> lEO4CE5CPW110NCf VNM'EFtV�SIqWNBELOWOli�T1KN1Vl000%E9) NOT. TME GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br /> `or—_��___o�_____ _ AUTHORITY TO VIOIATE OR CANCEL THE PROVISION OF ANV <br /> OTHER STATE OR�OCAL LAW REGl1LAiING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOR2ED BV THE <br /> OWNER OF TNIS PR ERTV TO PERFORM TNE WOFK FOR WHICH <br /> pPPLICATI UE AND I COMPLV WITM THE STATE <br /> CONTRACT 5 W B.:7R0 AKD298.700WAC. <br /> wncc�unio.rvuueeA <br /> 1128f2000 <br /> CANSiRULiqNLO.WlENM0.�WPE59.lElEMOMEMN9ER J( , -- —' <br /> <NAME> <ADDRE55> SIGN�I OAiE <br /> <PHONE> GILY BUSME55 UCENSE NO. <br /> PLUMBIN6 MECX�NIGAL <br /> NO. TYPEOFFIXTUREORREM ig N0. TYVEOFEOUIPMENT � <br /> 0 WATERCLOSET OILE 0 AIC-NHNDLGUNITS <br /> 0 BATNT�B 0 FIX3CEDWRSYSTEMS <br /> 0 LAVARJRY ASH BPS�H � �T�P <br /> 0 SIIQhER 0 UNITHEA7E5 <br /> 0 KITCHENSINNb015P 0 CLO7HESIXiYERS <br /> 0 d5MNA5MER 0 PPNGENO00 <br /> 0 LAUNURYTRAV 1 WAIERMEATER <br /> 0 CLOTHESW�NER 0 WOODSTOVE <br /> 0 URINAL 0 MET�I.FIREPUCE BURNING <br /> 0 DRMKINGFOUMAIN 0 FIREPLACEINSEftT BURNING <br /> 0 FLOORDRAIN 0 GASFIREPLACE <br /> 0 BACI(fLOWPREVENTEPS 0 G/SRANCE <br /> 0 SINK SERVICE•BAR,ETC. 0 GASPIPING <br /> � 0 EXHAUSTFAN <br /> 0 � <br /> 0 � <br /> 0 � <br /> 0 � <br /> SUBTOTAL 5 SUBTOTAL 5 <br /> PE7A4T S f�(A7f S <br /> TOTALFEE f TOTALFEE 5 <br /> FOROFFICEUSEONLY: IyIOD "O <br /> {Fp1iYtBACK CM3EIMCR LRSEIBI.CR P4ANCMEG(Ml40FN !EE PECEIViIq. <br /> u56loH[ ar.wu w.uxrs�t[ FEES VALW1ilON FEE <br /> Ovl3 ON� p�pyp <br /> NEIGNiLMI�MW NO.CiOYhWt�6 3l'FOiBICfi�tl. 0.UYPIW <br /> �MTS <br /> pCCIRµCY 1q.Of5RWF. OCCUPAMitOM B�SC4[NL 4EU4WGL <br /> �WP OYES OMC <br /> MptlO�uIVW�CNCbt <br /> i1RE5VMIM4[RNEOD A�� <br /> OLNFA <br /> fIPE�WIYR[OD H�� .•�tflULGNOSYMCI4RGE <br /> rncofcn«sr wwsuvAv+Eoar CITYOFE�ERETT weu��wnKs <br /> LOCALSALES <br /> afr TIU(CODE IS NOS TOTAL <br />