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� ~yyy <br />v <br />C H <br />b r3 N <br />i <br />K�n <br />H A <br />� y � <br />:� C9 <br />H Lnq � <br />M, <br />r y �M <br />N <br />O N <br />� �y trE <br />O N <br />N <br />� <br />� ► <br />�►i�PLICATIGrd FOIR C�NSiRUC1..�N PERMIT `�"c" <br />TO BE COMPLI�TED IN INK—PLEASE PRINT � <br />me Eve�O�oon <br />CITY OF <br />everett C <br />BUILDING DEPARTMENT <br />259-BB10 <br />I I DEMOLITION _ I; COMBINATION <br />� EN /,MMt��DPE55 � � <br />�-'I��`�—.(fR�L��7p� ��4� <br />�E��z�`��fu� • / �i�IAKADORE Z <br />HEATING SYSTEA4: "� GAS ❑ ELECTRIC U <br />I ! BUILDING <br />�rl� ..d,c�: �1�—��� �'�o - y` <br />CIiY <br />�B nRECTOADCS�G��FR MAIL�D�RE55 <br />----� UIv <br />GHIEP�LLONTRACTOR MAILADDPESS <br />CI1Y <br />MECNAkiCALLONiRACIOR IAI�II����E55 /^���E � <br />_ R��-1-� /��..... ��i%/ d <br />GiIY <br />MECHANICAL ! �PWMBINa I I SIGN <br />ZiP <br />��. <br />2iP <br />Z�P <br />P� <br />PHINME ---- <br />PNO��E 110EN5E 1 <br />411DNE UGE��SE � <br />u_/�u7� �D��-�aoS <br />CU55 � WORN <br />I I NEW I I AOUITION � ALTERATION i REPAIR I DEMOLITION !'� WOODSTOVE/FRPL INSERT f. i BUILDIND PELOCATI N <br />C011iAG1 PCfI50N �ND PIIORC NO <br />-..__. 13��=— a � yo -- <br />AND 6pWRC FOOUOE <br />ior o�ocK <br />���. '__ __ �� <br />I HEREBY CERTIFY THAT I I1AVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl <br />i�NBEIOW ORATiACNfOU�f. iesi PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />oF _ NOT. TNE GRANTING OF A PERMIT DOES NOT PRESUME TO aIVE <br />— AUTHORITY TO VIOLATE OR CANCEL THE PROVI610N5 OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF TkilS PROPERTY TO PERFORM THE WOFlK F011 WHICH <br />APPLICATION IS MADE AND I COMPLY ,WITH THE STATE <br />• CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />SM1INAIU��RAUUNUPAUIN0�1i3EU ENT DPTE <br />XX�`� ,,�,���� <br />/� �'p�G �� . <br />APPIICANiS GTY BUSIhFcSI�GENSE NO AND BUS'NE55 N/• <br />�.._..__ _—�. <br />Sl1A 70TAL F <br />FOR OFFICE USE ONLY: <br />fPONT5El0ACN 1II ��EARSE�BeCY, <br />USE 20NE I l0� A11tA <br />OWAUIk <br />6Rfi0FBLD6 � NO.OF610PiE5 <br />OCLUPANCYIC�O FIflE6PPNNLEIIS <br />q[ASONfOP SPPINNL[RS <br />IHfANEBY PL�NSAPPROVE[ <br />M E.A. _ 'fJ '� <br />M <br />—{ WATER HEATER � _ � '� <br />'_. . — ' <br />WOODSTOVE __._ � <br />METAL FIREPLACE fl C�11lINEY _ ____;_ I <br />FIREPLACEINSERT __ ___�— ' <br />NhAI PUMP _ : — i <br />EY.HAUST FAN _ —�� ' ' <br />____ ..�.._ .......��. ��T <br />�� <br />. _ . ...��... �_ .��� � <br />. . . . ____ _ _ . . . -(---�T- <br />— � SUB TnT:1L $ 4 ' � � <br />-__ '. ...__'_ __._.. ..�;EflMl7_.____3 T/$ �O� �I <br />— - — ------ —� rOTnI.PEE .S� r-l7��E��J- �. <br />sioEseio�cK- _. ruucnECKuun�or�� I `-r <br />V�GRNI e�n FEES _. _ ,_ <br />euaovae <br />nnoe F� _. _ '' <br />OL(VII.VCv M1O p VAl�VY�.MIS . . . . ' . . • . • _.. — . <br />�'ua• . "— PLU:dBING <br />6ASCUCi+� MECNANICAL _ <br />IIEiGMLIMIlei1011 ADDITIOHALPLANCHEGK <br />_ OTHER _ <br />. STATE�UILU�NGSURCIIARGE <br />CITYOFEVERETT PUJIICWORNS <br />LOCALSALES <br />TAX CODE IS 3105 �OTAL <br />