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APPLICATIOI"'`FOR CONSTRUCT�"'!N PERMiT <br />�M E�«pw� TO BE COMPLETED IN INK—PLEASE PRINT <br />c�n or <br />everett <br />BUILDINO DEPARTMENT <br />259�8810' <br />� DEMOLITION ��� <br />HEATINQ SYSTEM: �] GAS O ELECTRIC O <br />.a BUILJINO <br />everett <br />e. <br />�PLUMBING :7 SICiN <br />��C�rtCrp�WNON1� �ui�o0n�u _ cm zN rNon[ ,. <br />a�wnaoo�rtMcro� w�eooMa . cm zr nar+t �,q,M�u, <br />�NEW _' ADOITION ..J ALTEMTION _.: REPAIR .. OEMOUTION .... WOODSTOVFJFRPL INSERT U BUILDINO RELOCATION <br />ca+r�cr nnwN µo �� ra <br />R <br />. <br />kac�c a <br />FOR ORFICE USE ONLY: <br />OCCU�ANCY lW0 <br />RS <br />PERMIT <br />TOTALFEE <br />I MEREBY CERTIFY THAT I NAVE REAO ANO EXAMINED THIS <br />APPLICATION AND KNOW THE gAME TO SE TRUE AND CORIIECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES OOVEfININO TMIB TVPE OF <br />WORK WILI BE COMPLETED WRM WMETMER SPECIFIED HEREIN OP <br />NOT. THE ORANTINO OF A PERMR DOEi NOT PREiUME TO OIVE <br />AUTMORITV TO VIOLATE OR CANCEL THE PROVISIONB OF AN� <br />OTHER STATE OR LOCAL LAW REOULATINO CONBTRUCTION OR TME <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTMORIZED BY THE <br />OWNER OF TMIS PROPERTY TO PERFORM TM@ WORK fOR WMICr <br />APPLICATION IS MADE ANO I COMPLV WITM THE BTATE <br />CONTMCTORS LAW i B.Y7 RCW ANO YG6.700 WAC. <br />wrwfv�t a eanuero� a� ar�aMao �owr o�n <br />X����n G�,,�n p�Q��_ I I��O��( <br />•rn n em �ufiMtn iiCtH�� �q. µo �u wwM <br />UNIT MEATERS—B.T.U. M <br />CIOTHES DRYERS <br />' VENTMTION FP.N <br />RANGEHOOD <br />' WATER MEATER <br />W000 STOVE <br />METAI FIREPLACE b CNIM <br />FIREPUCE INSERT <br />MEAT PUMP <br />' GAS PIPING <br />EXMAUSTFAN <br />IIEMiETMCN 310E{(TlAGK <br />LO7MFA VACAN7lRE <br />nnaca�r�crua occ��wc. bd�l1�M4�rn <br />a�ou. <br />Iq.Of OTpIIE{ MOIMENT <br />f111(�/IINKlE110NF0'0 NEqN7lMIITATqn <br />ruH��rrwvco�r ��r( OF EVERETT <br />LOCALSALES <br />TAX CODE IS 3105 <br />BURDiN6 <br />PIUMBINO <br />MECHANICAI <br />ADDITIONAL PUh CMECK <br />OTHER <br />STATE BUI�O�N6 SURCMAROE <br />PUBUC WORKS <br />TOTAL <br />0 <br />� <br />� <br />a <br />