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, APPLIQ �TION FOR CONSTRIlCTIQ PERMI'T� <br /> � CITV OF EVERETT. BUILDING DNISION <br /> • 3200 CEDAR STREET.EVERETT,WA 08201.257�8810 <br /> ❑ DEMOLITION ❑ CGMBINATION ❑ BUILDING � MECHANICAL 0 PLUIiBING ❑ SIGN <br /> PROJECTADDRE53 <br /> 2002 Rockefeper Ave <br /> OWMEN YYlMd1C9f tlM1 IV PNdE <br /> Debbb Adama 2002 Rxkeleper Ave Everon 98201 <25•252b384 <br /> nwwr warmncu urv m vrwx¢ <br /> <NAME> <ADDRESS> <CITV> QIP> <PHONE> <br /> MCJHRCiOXCESqMFR V4LM1pC11E55 prv Zi Rq14 <br /> <NAME> <ADDRESS> <CIT'> QIP> �PHONE> <br /> GENEMLCONfMLlp1 MNL�Op11EY piV SV R�."NE 6T�lEUCENY• <br /> <NAME> <ADDRESS> <CIN> QIP> <PHONE� <UCNO> <br /> MECNNMiULCW1F�Cip1 VIJLAW11C53 p1Y ID %qNE 6T�1El10EMSE� <br /> Dependa6k Heatinp 6 4810 Evaipreen Wy Ste7 Evarett 98203 42S259d918 DEPENHA018KK <br /> nwemocourrucroq 144WORE.19 an xv or�� m�rticenx� <br /> <NAME> <ADDRESS> <C�N> QIP> <PHONE> <LIC NO> <br /> CW iPACi VNCE Oi WONS <br /> t5569.85 HEATING SYSTEM: 0 GAS O ELECTRIC O <br /> asumcwwRuasau.wEroouetwwveo conr�crrtnaanrHonarrtra. <br /> Intlail pas lumece Deoendabk Heatino 8 MC Senice <br /> �YS259d918 <br /> I MEREBY CERTIFY THAT 1 H�VE READ AND E%AMINED THIS � <br /> vxawuouzcoreu�u.a �P���TION AND KNOW THE SMIE TO BE TRUE AND CORREGT,pLL <br /> PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETNER SPECIFIED HEREIN OR <br /> l£W10ESGiV11IXiOFP110VFNLY�SN]WNlFWWON�LT4NiWOCORES� NOL THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> wr__ e�oac_ or _ AUTHORITV TO VIOLATE OR CANCEL TNE PROVISION OF ANY <br /> OT/IER STATE GR LOCAL UW REGULATING CONSTRUCTION OR THE <br /> PERFORI'ANGE OF CONSTRUCTNN.iH�T 1 AM AUTMORIZED BY THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR NRIICH <br /> APPLICA ION IS M�OE AND 1 COMPLY WITM THE STATE <br /> wxc[irraiouwe[n CONT UW78.37ROWANDY98.200WAC. <br /> cor1srnuerwior.��crmcn�oonEss.*ueaHorrtruueEx %_ _ 11/06/2000 <br /> <NAME> <ADDRESS> SION�TIIRE o�rE <br /> DEPENHAO 6KK <br /> <PHONE> GITY 9USiNE55l�CENSE MO. <br /> PLUMBIN6 MECNAMIC�L <br /> NO. MEOFFl%TUREORITEM /g Iq. TYPEOFEGUIPMENT iff <br /> 0 WATERLLQSET OIIE 0 A/C-MINOLGUNRS <br /> 0 ���B 1 FORCEOAIRSYS7EMS <br /> 0 LAMTORV �SN BASIN 0 IEATPI,�AP <br /> a s�qw�a o urrR�res <br /> 0 KRd1ENSINK8p5P 0 CLOTHESIXiYERS <br /> 0 dSmvASHER 0 RMIGEMOOD <br /> 0 UUNDRYTIUY 1 WRERHEAIER <br /> 0 CIOTHE51':ASHER 0 W�ODSTOVE <br /> 0 UfLNP1 0 METALFIREPLACE BURNING <br /> 0 OftWKINGFOUNfAiN FIREPLACEINSERT BURNMG <br /> 0 FLOOfi0NA1N 0 GASflREPIACE <br /> 0 fl4CNFLOWPREVENiERS 0 GASMNGE <br /> 0 SINK SERVICE�BAft ETC. 4 C.�SPIPING <br />_ 0 0 EXlUUSTFAN <br /> 0 0 <br /> 0 0 <br /> 0 <br /> 0 0 <br /> SUBTOTAL S SUBTOT�I S <br /> nBa.tt S �9aAT S <br /> TOTALFEE S TOTALFEE S <br /> FOROFFICE USEONLY: <br /> iROHiSEiB/.CR FM6E1lKF Si0E5E1pAC✓. M CM FR D/� fEF PFCEIFi1q. <br /> �scxou¢ or�nu v�rvrt FEES VAWI1710N FEE <br /> ons o�a �p�p <br /> rrc�iiwuiror w.orm�tuma svt.orewr+ri. <br /> UmT9 qWyxO <br /> OCCWANCY IqllfStp4t OCNVAViIWO B45[MENI MfCXAMfIiL .I <br /> GMWO <br /> OYF] ONO I <br /> fIPESVpiM4EflPE09 NF/SW �dT������� <br /> OMR <br /> fIPE�lAP4RF09 PFASQI <br /> Si11FlUldNOlURCMARGf <br /> �racorconsr. w.rsuwrov�oar CITYOFEVERETT wxwvwaKs <br /> LOCALSALES <br /> d�� TA%CODE191105 1CiAL <br />