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APPLI�ATiON FOR CONSTRUCTlON PERMIT <br />CITY OF EVEFlETT • BUILDING DIVISION <br />32U0 CEDAR STREET � EVER[TT, WA 98201 • 259-8810 <br />❑ DEMOLITION (l COMBINATION I�t BUILDINR kJ MECHANICAL kl PLUMBINQ ❑ SION <br />PROJECT ADDHESS �� z � ��5� �(�(u�I <br />pr. <br />owr+en Mnanopness cuv :m PIIONE <br />Sp7arF un�na rn �2��.1 Btl Ave_ [J HI�-7f11 Lyrere� . FIA 98204 7n(� <br />IENAN( MNlAbbtlE55 5�a�4�n6 <br />���Y , 21P MIONE <br />At10111IECtOBUE510NEf1 M�ILAbUItE55 ���y Z�p " ����E — <br />OENERALCONIR�CTpi MAILADOf1E5S CIIY Zlp pIIONE SI0.tEUCENSE� <br />y�.Q�,QCt HOtfl[�ar 1�2J]71 fl,j-h_TVP W $A- Ql f;tlprp-�-1�_{"IA 9A704 .2S16IS13=9f)flf, RF.T�F'.^t'T11f1KN <br />MF.CFIAMC�LCONIMCTOB MAl1,A0bRES5 � CifY ZIP PIIONE eTAIEUCEN5E1 <br />PIUMI'NOCONIR�CIOq MAILAObRE55 CIfV ZIP pNUNE STAfELICENSEI <br />�or <br />SOUME FOp1A0E <br />BLOpC <br />TYPE OF FIXTURE OR IiEM <br />WATFR CLOSET (101LET1 <br />FIOOR <br />SINK ISERVICE — <br />FOR OFFICE USE ONLY: <br />FpONTSETBACK t1EM5ET911CK <br />LorAnE� <br />� .I VNI18 �WELLINO <br />� <br />Z I �/ <br />U�IE %I <br />�Ef`/E9 O NO <br />� Sf� G�V��,Jt <br />: S.� G�aiC'a< <br />E-�' 9 l <br />O <br />HEATING SYSTEM: 6t1 GAS O EIECTRIC ❑ <br />CONtACi t`En50NANf)1`IIONE NO. <br />13-9006 <br />I HEHEBY CERTIFY THA7 I HAVE READ AND E%AMINED TH13 <br />APPLICATION AND KNOW THE SAME 70 BE Tf;.JE ANO CORRECT. ALL <br />PROVISIONS OF LAWS AND ORUINANCES OOVERNINO THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE aRANiINp OF A PERMIT DOES NOi PRESUME TO I�IVE <br />AUTHORITY 70 VIOLATE OR CANCEL 7HE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW qEOULA?INO CONSiRUCT10N OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THI9 PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICAiION 19 MADE ANO I COMPIY WITH THE STATE <br />CON7 ACTOFlS LAW 1827 RCW ANO 298.200 WAC. <br />5e ect H nes, Injc��-JQ'��� .�,� <br />sianiun_� �' V� V'i"'r L2��/�� <br />U�IE <br />CIfY BUS�NESS LICENSE NO. <br />TYPE OF FIXTURE OR ITEM <br />NC — NHNDLO UNITS — H.P. <br />FORCED AIR SYSTEMS — B.LU. I <br />RANOE <br />WATEfl <br />FIHEPLACE INSERT <br />OAS FIflEPLACE <br />EXHAUSi <br />PUNC��ECNN�� Il �/)%/ I FE��) 1/� D I RECEIFtNO. <br />Z u� <br />BUIL�INO I Q 7 G27 C I .�i/ �l l— <br />c r�uMeiNa <br />\ MECIIIINICM <br />J <br />— I10bI110N�LPL�NCIIECK / <br />< <br />OIIIEfI <br />S7AIE OUIl0IN0 SUf1CIUf10E <br />CITY OF EVERETT vuoucwonKs <br />LOCAL SALES <br />TAX CODE IS 3105 TOtAI <br />