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APPLICATIG.� FO�i CONSTRUC7�:aJN PERMIT I <br />TO BE COMPLETED IN INK—PLEASE PRINT <br />n�c,�,,,�,�� � <br />CIIY Of <br />everett HE-ATINGSYSTEM: IJGAS ❑ELECTRIC ❑.__ ------ ------ <br />BUILDING DEPARTMENT <br />259-0810 <br />I 1 DEMOUTION I i COMBINATION I I BUILDING � MECHANICAL i i PLUMBING <br />.. ��n! A.0 .� fil M7/)�ss/ J<7.� ���(,� /� ✓/� �bl1D �f3��7�i% <br />t7ii-6- U //d7�7 (" '✓ �_' <br />TEN�NT MMLADUR[55 <br />�� CNi1EG101iDE5 N[P MnRnDUPC55 <br />��� a� <br />GlN[MlyGOM19RACTON MALL��ORC55 / <br />�J�r �r1���7. ��qcS %�.S (�L ti.� <br />MECM�NILAICONiMCTOR MAIIAD�R[SS <br />��� C,.sfv-,1�16�� <br />eiuunmf.CON1R�LTOR M�IL�DDfIfSS <br />�//�i c <br />CIiY 7 ZIP <br />(.IiT 21� <br />ZIP <br />ZIP <br />PHON[ <br />II�HSE � <br />� <br />UCENSE � <br />I ICFNS[ I <br />everett <br />� <br />I SIGN <br />WOPK <br />' L 1 ADDITION I I ALTC-RATIUN I I REPAIR I I DEMOLITION ! i WOODSTOVE/FflPL WSERT 11 BUILDING RELOCATION <br />I cor+ucr reesorv ni�o r�wr+e rro <br />rnwe or � <br />NORN AND <br />�PaoPos[ouSEOFe iloiN <br />v � <br />IEG�I DESCPIPiION OP P1iOL'! <br />l01 OLOLK <br />rtrvavco <br />d�lhy�� <br />OF <br />COPIES� <br />�u-S z `"� �-�--� 1-- <br />rn�ircieonncss <br />TYPE <br />SINK 8 <br />HER <br />TRAV <br />SINK <br />FOii OFFICF. USE ONLY: <br />USE ZO'IE <br />iYP[ Of CONIS � <br />5�2[ OF ULO. <br />nE�50N Fofi <br />INi�K[ HY <br />Sll� TOTAL <br />PERMIT <br />IOTALF[E <br />toT �nu <br />iYPF J( CONSt KIIIRI <br />NO.OF StORi[5 <br />FiR[ SPf1NK� CPS RF <br />aur�s nrrnavc u or <br />I H[REBY CERTIFY THAT I HAV[ REA� AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING Thl1S TYPE OF <br />WORK WILL DE COMPLETED WITH WHETHER SPECIFIED HEflEIN OR <br />NOT. TI1E GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTIIORITY TO VIOIATE OR CANCEL THE PROV'�SIONS OF ANY <br />OTHLR STATE OR LOCAL LAW REGULATING CONSTHUCTION OR THE � <br />PERFORldANCE OF CONSTRUCTION. THAT t AM AUTHCfiIZED BY THE '�, <br />OWNEfi OF THIS PROPERTY TO PENFORM THE WORH FOR WNICH i <br />APPUCATION IS MADE AND I COMPLY WITH THE STATE � <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />SIGN�tURFOFCONiR�GiORORAUIHORREDPGENi �AIE <br />�PULPNt� IIGEII�D005�NE59NAM[ � <br />OF <br />UNIT IiEATERS—D.T.U. <br />CLOTHESDRYERS <br />VENTILATION FAN <br />f1ANGE I100D <br />WAT6R HEATER <br />WOOD STOVE <br />INSERT <br />HEAT <br />51D[SGipPCN PL�NCIIECHNUTAO[fl f[E <br />vnca�rsrte FEES <br />13UIlDING <br />p:CIIMMY HO IXIM�l1�M411Vi�S - <br />4N1°P PWIAOING <br />BASFMENt MEGHANICAL <br />uE�GulIIMnl.iioN ADDRIONALPIANCNECH <br />OTi1ER <br />STATE OUILDING SURGNA(1G[ <br />CITY OF EVEflETf NwucwonKs <br />LOCAL SALES — <br />TAX CO�E IS 3105 roTa� <br />Id E.A. <br />PERMIT <br />TOTAIf <br />n[ceinr <br />