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APPLICATIG.� FOR CONSTRUCt.JN PERMIT <br />CITY OF EVERETT • BUILOING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 258-8810 <br />p pEMOLITION ❑ COMBINATION ❑ BUILDINO ❑ MECHANICAL ,�" PLUMBINO ❑ SION <br />q / ` <br />PROJECT ADDRESS: � ! �.� �f'I �EF sT� <br />u��ccTp�pEyc�R �w�ss cm zm PHONE <br />OENEML CONTMCTpi M1UlA00RE55 CITY 21P PIIONE CIIITE LICENSE • <br />►IEp111NICA�CpNTRACTOR MWL�Op�F55 G7V IIP PNONE STATEl10EN5E� <br />� �,c//o�S �S�3oh� <br />pLU�l�IGCpNTRACTOR MNLIIDDIIE55 Cltt 21P PHONE ST�TELICENSE� ' <br />c-...� / � . fr._ '.. �.n.. n.� � � � �...EA� i./ Oin.r n � i i, s✓/. �. � d � 7a� `YJn _ /� C- <br />OE8C111lE WOIII( MID SOIMNE <br />/.USrAt1t1T1u� <br />.NDT !(lA-v�1t- <br />vnaoseo use oF euw ano <br />�o�l oEscnataa av vnorl <br />iot e�aGc <br />NSiAICTIdI 1011N lENOER. /�011ESS. IELER1014 M111EER <br />u�o <br />ND. TYPE OF RIfTURE 011 ITEY <br />WATER CLOSET(TOILEn <br />BATfiTUB <br />LAVATORV(WASH BASIN) <br />SNOWER <br />KrtCNEN SINIt 8 DISP <br />FOR OFFICE USE ONLY: <br />i110Nt SEiSMX REM SETdICN <br />ME� <br />HEATING SYSTEM: ❑ GAS ❑ EIECTRIC ❑ <br />CONTIICT PEq$d/ �NO PlIpNE NO <br />1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT ALL <br />PROVISIONS OF UWS AND ORUINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPEGFIED HEREIN OR <br />NOT. THE ORANTIN6 OF A PERMIT DOES NOT PRESUME TO 61VE <br />AUTHORITV TO VIOUTE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REOULATIN6 CONSTRUCTION OR TME <br />PERFOFiMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR NMN:11 <br />APPLICATION I MADE AND I COMPLV WITH THE STATE <br />CONTBAB%Of� LA 1827 RCW AND 288200 WAC. <br />� �c D�T�'���..YL <br />nTv awcec i r.Fuu wn <br />�r'_ ��:n�;a� <br />'��� <br />PERMIT S � <br />TOTALFEE S ' <br />SIOE SElMtic <br />y/iCANT $ITE <br />OYES ❑ N� <br />NEqNTUMT�TION I I�NlITOFOWEWN6 <br />Mo a s¢wcs I w.:�w+�.� aw�, I o,.:,.��. <br />❑YES ❑ � <br />CRY OF EVERETT <br />LOCALSALES <br />TAX CODE IS 9105 <br />trrE oF Ea�v�xr I �E <br />FORCED AIR SYSTEMS <br />UNIT HEATERS <br />CLOTHES DRVERS <br />�[ ;S9 <br />TOTAL <br />TOTAL <br />f <br />GlANC11EL�,-1�[�(�J�(�� FEE �CEIPTNO <br />�.J' / � _ ___ <br />BIIILdNfi <br />PLUGBING <br />1,IECNUNC11l <br />�ppT10N�L MAN CHECK <br />OtNER <br />SUIE BWl01r+6 511RCN�RCE <br />PUBIIf. WORN$ <br />TOTAL <br />