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� y <br />q�� <br />>Htn <br />y <br />K � <br />oH .ohtl <br />�+tl M �I <br />Hy <br />Zp <br />OHd <br />��g <br />G• f] <br />t"H� <br />HH <br />8 �' <br />M <br />O�N <br />��� <br />���\ P^� <br />APPLICATIO.� FOR CONSTRUCT.JN PERMIT �`'���« <br />mee�-eroreen TO BE COMPLETED IN INK—PLEASE PRINT � <br />CITV OF <br />everett HEATING SYSTEM: ❑ GAS LECTRIC J <br />BUILDING DEPARTMENT <br />� 259-8810 <br />DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br />DNNER � � iARILApDRE55 _ GITY 21P VNONE _ <br />nRCMrtECTQR <br />LO��iRACTO`R, <br />a �EY <br />NPII AODRE55 <br />i.w�� eooaess <br />PLUMBiNGCONtRRGTOR MAILAUDRE55 <br />CLhJ50F WOR!( �— <br />. NEW . - ADDITION ALTERATION <br />LOT <br />VROJECI <br />fOOTAGE <br />9lOCK <br />�ATHTUD <br />LAVATORY�WASH BA: <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNORVTRAY <br />DRINKING FOl <br />FLOOR DRAIN <br />SINK <br />G� <br />nxa�l�uw�su �J �240 �R <br />C�iY ZIP PFONE <br />CITY ZiP PMONE <br />plry 2ieP PHOHE <br />�ofi. Gio �`IU -3-ai �o � <br />CI1Y <br />2iP v.K+vc <br />UCENSEI <br />IiGE'+SE / <br />UGENSE• <br />REPAIR DEMOUTION WOODSTOVE/FRPL INSEHT - BUILDING RELOCATION <br />I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRtCT. ALL <br />LOW ORAiiACM FOUFCOFIES� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUN.E TO Gll'E <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIOYS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCi�IUN OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTNOIiIZED BV 7HE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORR FOR WHICH <br />_ APP�ICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 295200 WAC. <br />SiGNATURE M7R�CLOR OF�RIIEO AGENT DA1[ <br />— X �i r �'� S�Nrcabe�ts�1 <br />� � � APPIIGR 1VBUSINESSUCENSENOAN09U5 SSNAME <br />SUB TOTAL $ <br />PERMIT S <br />FEE <br />FORCED AIF S`.'STEMS—B.T.U. M E.A. <br />UNIT HEATERS—B.T.U. M <br />CLOTHES �FYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />GAS PIPING <br />Ex4AUSTFAN <br />FOR OFFICE USE ONLY: <br />FRONTSETUACK REARSETBACN SIpESETBAGK PIAN p1EGK NOM�ER <br />❑SEIDNE LOTANEA VACANTSITE FEES <br />euaoiNc <br />LVPEOf [ONiS P0.0WnBl[ LYCEOf CONSi ACiUAI M'uvr,vn x0 o��xF�uv�wn; <br />L9q'�° PLUMBING <br />Si2EOFBlDG. NOAFSiONIES BI.SEMENi MECHANICAL <br />OCCUPRNCYIOAD FlFESPRNNLENSREO'D NEIGHTUTAITATION ADDITIONALPLANCHFCK <br />OTHER <br />P.EASONfORSPRMKlERS <br />STATE �UILDING SUfiCHARGE <br />rtrTRNEOY PIANSAPPROVEDBY CITYOFEVERETT PUBLICWORKS <br />LOCAI SRLES <br />TAX CODE IS 3105 TOTRL <br />5 <br />RELEiPT NO <br />`/ <br />n <br />� <br />_�d.5 ��v <br />