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' APPLIC(TION FOR CONSTRUCTI� :PERMIT� <br /> CITY OF EVERETT. BUIL�ING DIVISION <br /> 3200CEDARSTREET.EVERETT,WA08207•257-8810 <br /> ❑ DEMOLRION p COMBINA710N ❑ BUILDING m MECHANICAL ❑ PLUMBING ❑ SIGH <br /> PROJECTADDRESS <br /> 1305'���arins v'iew dr <br /> �q ���u an a A� <br /> hia khuu 1305 s meriro vkw dr aver 98201 25&� <br /> rtwwr r,w�mnEss an xv <br /> <Np�,�E> NDDRE55> <CIN> <ZIP> <PHONE> <br /> MPIIIELTOROESIONEN �MLMOXE93 P1Y Zi �M� <br /> cryqME> <ADDRESS> <CIN> <21P> <PNONE> <br /> acrrcnucartw.c*on �uarmnc�+ an s nwe 6i�1l�ICEN9E• <br /> MqME> QDDRESS> <CI7Y> <ZIP> <PHONE> <LIC N0� <br /> MECIN�MM�l1CWiMCiW IML�LOPFB] UIY ZP OMp1E 6i�RW�MSE� <br /> fe�lwalarhe�lerco 12601132ndevene kid 98031 8f1-B3B7 f.,tw�co52df <br /> RUYYNOCp11MLip1 WLMMES! <br /> an a moNt e*�n'�.u��• <br /> <Nµ�E> <ADDRESS> <CITY> <ZIP> <PHONE> <LIC NO> <br /> caemecrrixcawwu HEATINGSYSTEM: OGAS OELECTRIC O <br /> S��B.00 <br /> o[xnrocv.wuusara[�oon.acr�vavEo coxt�crr[iuwrhovwrxrro. <br /> �NAME> <br /> retro fil 01 Bae hot weler healer <br /> <PHONE> <br /> I HEREBV CERTIFV THAT I HAVE PEAD �ND EXAMINEU THIS <br /> MPLICATON AND KNOW THE SAME TO BE TRUti�ND CORNECL ALL <br /> ��p�o�os�pno PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TIPE OF <br /> WORN WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OF <br /> �cp,uot�cnviwnorrn�arcnn@�uxn�cwwaun�cniv.acaAEsi NOT. TME CRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> `ar _��__� __ AUTMOHITY TO VIOLRTE OR CANCEL TXE PROVISION OF ANY <br /> OTHER STATE OR LOCAL UW REGUTATING CANSTFiUCTION OR THE <br /> PERFORMANGE OF CONSTRUCTION.7HAT I AM AUTMOFtIZED BV THE <br /> OWNER OF TNIS PROPERTY TO PERFORM THE WORK FOR WMICN <br /> APPLICATION IS M�OE AND I COMPLV WITH TME STPTE <br /> CONTRACTORS UW iB.27 ROW AND 798Y00 WAC. <br /> PML4LIMIO.MMCM <br /> X,Nw,r.. OBIOBI'L000 <br /> �pM1pVLiqMLMNIENMR�DW1F55.TElFR�PEMU+BEN OI�fE <br /> <NpME> <qpORESS> SIUM�TUNE <br /> <PHONE� Lltt]UBME68 UCENSE N0. <br /> PLUMEINO YECNI�NICIIL <br /> Mp. 7YPEOFFlXTUREORREM Iff ND. T1'PEOFE PMEM � <br /> 0 WATERCl0.5ET O�LE 0 A/C-AMN�LGUNITS <br /> ��B FOfiCEONRSY5TEM5 <br /> 0 UV,1TIXiY ASH BtiSIN 0 IEATPU.R <br /> 0 ��� 0 IMRNEA7E5 <br /> 0 KITC/IEIISMK6d5P 0 CLO7MESDRYERS <br /> 0 dS1M'ASHFR 0 RNlGEIKK%1 <br /> 0 LAUNDRVTRAV � WAhRHEAiER <br /> 0 �YOTMESWASHER 0 WOOOSTOVE <br /> O �R� 0 MEfP1FIREPLACE BURNMG <br /> 0 OF2INKINGFIXINTNN 0 FIREPIACE�MSEAT �1RN��1G <br /> 0 FIOOHIXWN 0 GASFIREPIACE <br /> p g/�CKFLpylppEyEN7ER5 0 G/SRANGE <br /> 0 SINK SERVICE-BM ETC. � ���' <br /> Q 0 E%IMUSTFAN <br /> 0 � <br /> 0 � <br /> 0 <br /> 0 � <br /> suerorw s sueror�u s <br /> r�r s �a.+r s <br /> TOTALFEE S 70TALFEE S <br /> FOR OFFICE USE ONLY: �O� <br /> iPpli6EiMfX EEtlACR 610ESE1lIGl RANCM1iCK R iEE PFCEIPLW. <br /> �t� ei�� ��yh FEES VALUATON �E <br /> ons ow tuiwa <br /> Hcwr�rwr�nan ra.aowEuw uaae�nart.i. nwemo <br /> UNi6 <br /> pCC1yANLY W.Of51M1£ OCCIiN1ilM� KSFYENi MFONMClI <br /> �WP DVEB OMO. <br /> M011101MLPIANCl�EIX <br /> i1REYPVMkNPE09 PF/90M <br /> OTKR <br /> {IRENM4M[OD P�� <br /> BiAiE BNlp1q SIIPCINROE <br /> .rvcorcws*. ���o�' C��fYOFEVERETT wwcMunxs <br /> LOCALSALES <br /> ah TAl(CODE IS J105 TOTA� <br />