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x C"'7 <br />���' <br />[ H <br />9Htn <br />K�� <br />H �1 <br />'z] H '+7 <br />fA H <br />h �� <br />Hl7 <br />O H <br />Hno <br />G� � C) <br />�H� <br />Hy <br />O�H <br />C] r❑J CA <br />� Cii t' <br />Z H Cni� <br />H O [/� <br />AF�PLOG��t ��� ��Fi C�6�l5TRl9�'� a06d PEE;l1Ali <br />TU BE COMPLETED IN INK—PLEASE PRlNT <br />' �:�," <br />CIT' GF4 <br />evereit � <br />BUILDING DEPARTMENT <br />259-8810 <br />DEMOUTION i COMBINATIQN <br />HEATING SYSTEM: Q GAS ❑ ELECTRIC O <br />-: BUILDING <br />eACMITECTORDESiGUER MAIL�UDRESS CITv DP FMONE <br />Gltt ZIP PHO':E UCENSEi <br />GENER�LCONTF�CTOR MAILAOOFESS <br />� <br />SIGN <br />YMV�C <br />HANICnLCONTRAGiOR MAiIAqDRE55 <br />Irv � <br />���+f���1P��1- It�C�it��rlr�n f-r�� � IC, �-1 �_ �{P. i-V�r' ���}�, ll�i� ��i-+�! ��,0;�"`r,��lt ��l?�"�.� <br />��ry Z�p PHOVE UCENSE� <br />NBINGCONTflACTOP MAR�DDFE55 <br />$S OF WORK <br />NEW —�: ADDITION ... ALTERATION -. REPAIR _. D6d0UTION .--� WOODSTOVE/FRPLINSERT G BUILDINGRSLOCATION <br />CONiAGT PEFSON AND PHOHE NO <br />LOT BLOCK � <br />, . ,� 1 \�—G0� <br />irrvaveo <br />� i,� ;� <br />WN BELOW OA ATTA=N FCUR C0�I�51 <br />_ OF <br />Zn._ ��i,� — i`lr'�( <br />UISP <br />FO!i OFFIC[ USE ONLY: <br />FRON'SEtBAGN RE�FSETO�CN <br />BICG <br />ecmAt <br />FiqE SPRHNlERS <br />SiDE <br />xo a own��.c-t�,s <br />RITAKE BY PlPNS PFPROVE� BY CITY Of EVERETT <br />LOCALSALES <br />rnx caoe is 3i as <br />.........;;«.......:�.t. . ._ _ . � _ . . <br />� �. <br />� �� . <br />'> � , <br />_ �: <br />I HEREBY CERIIFY THAT I HAVF. READ AND EXAMIPIED THIS I <br />APPLICATION AND KNC�W THE SAME TO BE TRUE AND C09RECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVENNINCa THIS'n'PE OF <br />WOaK WILL BE COMPL�TE� WITH WHETHER SPECIFIED HEREIN OR <br />NOT. 7HE GRANTING OF A PEfiMI- DOES NOT PRESUME TO GIVE <br />AUTHOFITY'f0 VIOLATE OR CANGEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OA TH�c <br />PERFORMANCE OF CONSTRUCTION. THAT I AM ?.UTHORIZED BY TY.'c <br />OWNEF OF THIS PROPERTY TU PERFORM THE WORK FOR WHIC.`I <br />AP�LICATION IS MADE AND I COMPLY WITH THE STATk <br />CONTRACTORS LAW 78.27 (iCW AND 296.200 WAC. ��. <br />SIGNATOREO�CONTFACTOROReViMOF2EDAGENi OA'E 'I '� <br />X �!� ;� �Z '� . , l'� � c. 1(�-' _ � <br />APPLICANiS GITY BUS� .E551�ENSE N0� AND BU51 55 N�ME <br />R�a <br />FAN <br />T.11 M <br />PI�NW�ECNNVMBEF � FEE <br />BUILDING <br />PLUMBING <br />MECHANIGAL �/'S , <br />ADDITIONFL PLAN CHECK <br />OTiiER � <br />, —r— <br />STATE BUILDING SURC,HARGE <br />PUBLIC WORKS <br />TOTAL `%S <br />� ��Y 1 ���� <br />V t; �. I � <br />� t4 <br />�� � l <br />'i . <br />r <br />,•-,5 . . . I1, i� e <br />