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,� .. <br />APPLICATIG _ J FOR CONSTROJCT � JN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 `�� <br />❑ DEMIOLITION ❑ COMBINATION p"9UILDING O MECHANICAL ❑ PLUMBING ❑ SI(iN <br />PRWECT ADDRESS: 3�u I� OA�G-E rj <br />pwwen Mu��od�ss an nv �� <br />�OI-1N 3oNES 3��8 6,4`�ES E'vF2� wk 58201 ZSZ S�{6S <br />TENN/t 4NL�DDRE55 CITY Ilo V1qNE <br />A1ILIIITECTOROE516NER WULIIUDRE55 CIT" IIP PIIONE <br />GENEIUICONIMCTqi MMI�DOPE55 GIfV I�I' PIqNE Sf�TEIICENSE� <br />'PqG�',� Uqe%1!'�s INL C�l(o LAu2E� D,e F_v��¢��r 98201 2S513�i ���+ �+�Tn+ <br />MECN/�MC/QCONIMCTp1 M/ut�DIX�E55 qTY I�P F1qNE ST�TELICENSE� <br />RU4!lqCONTRACT011 MMl/�WRESS CIfY 2�P P110NE STATELICENSE� <br />lOT <br />MIICB TNI I.D. MM <br />c�s„�uc,�w.aw <br />��� <br />No. � <br />G'►::'? <br />y38i 88-2-o23-a�f <br />�:;;�•:: <br />... <br />LAVATORY <br />dSHWA&/ER <br />FOR OFFICE USE ONLY: <br />i110NT SETe11d( _ � PE/JI SETMCk <br />7� <br />tr�3a.-�i <br />SUBTOTAL S <br />3 �oT.�. <br />� / � a oweuna <br />pi $IM[5 OCCUP/�Nf LOAD <br />D�TE <br />HEATING SYSTEM: ❑ GAS O ELECTRIC ❑ <br />PIIOHE !q <br />r��soti zs9-�3ii <br />I HEREBY CERTIFY TNAT 1 HAVE fiEAD AND E%AMINED THIS <br />APPLICATION AND Y,NOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES 60VERNING THIS TYPE OF <br />WORK WILI BE COMPLtED WITH WHE7HER SPECIFIED HEREIN OF <br />NOL THE ORANTINCi OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLA7E OR CANCEL TME PROVISION OF ANV <br />OTHER STATE OR LOCAL LAW RE6ULATN(i CONSTRUCTION OR TME <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTMORIZED BV THE <br />OWNER OF 7MIS PROPERTV TO PERFORM TME WORK WR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 FCW AND 288.200 M�AC. <br />x—���� �/�lsb _ <br />��TUHE D�TE <br />pTY EUSINE55lR:ENSE N0. <br />no. I Trne oF Ea�r � �e <br />HEAT PUMP <br />WOOD STOVE <br />MEfAL FlREPLACE <br />SU8 <br />f <br />f <br />5�pE5pTy1tlt PI/�Np1ECNMMbER fEF / �O NEf.E1PfN0 <br />� � . 'i�� �/% % � / � <br />��T �� <br />❑YES O NU <br />a e�oort i <br />OYES P� <br />eu�onK: <br />PIVI.lINO <br />YECNMIICILL <br />ADpiqN�L R�N CNf.LN <br />07NER <br />STAIE BUIIOMC. SIIRCN�f10E <br />CRY OF EVE1iE1T MISIIC WORNS <br />LOCAL SALES <br />TAX CODE IS �105 TOTAL <br />