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n� <br />APPLICATI�'!N FOR CONSTRUCTi�N PERMIT <br />RM E�t�rprenn <br />c�rv or <br />everett <br />BUILDING DEPARTMENT <br />259-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br />I i DEMOLITION I� COMBINATION �( BUILDING � i MECHANICAL i i PLUMBING <br />owr+en <br />IEN�Ni <br />ui� nr urre <br />CIIY 7�� PIIONF <br />everett � <br />e <br />I 1 SIGN <br />�RCIIIIECTOf10E51CNER � AUDRE55 CI1Y liP PIIONE <br />(��i7`I Qp � J� PtV!%- �{/!T/ <br />C+ENEf14t!ONiR�ClOf1 MA`.�ODIIFSS / Mry4 `pUI /�{ �/IV 9�QZ.\��OWE��� lI�SE��NCRRL�jr <br />SH��rz,ray � 1.�--�D H— �, �, ��a ��� no <br />MECM�NiC�ICONiMCl011 AUIIApDI1f:55 C11V IIP PnONF lIC[NSE� <br />� <br />PLUMHMCC(XtlMC1011 MAiI�DOfI[55 f.IIY )iP PI�(NJf lIC[NSE� <br />CI.�SG Of NVfIK <br />IYLNEW I I AUDITION I I ALTERATION ! RFPAIR I I DEMOLITION '� WOODSIOVEiFRPIIMSEf;T � I BUILDINORELOCATION <br />IENIINTIMPIIOVEMEN10111NiflUOltf4� ��—'l�� COMpCI�fl�!^N�IION[NU <br />cow�nearn�ceorwonK: �I� v S �� � LTv_—_�5 r-b`�d'� <br />DEscNreE wonn nNu �innr. roanu[ iNvcxvrn I�I /Sl�v <br />ipPOSEU USE OF BUILpM6 <br />P-'� �% Z.� - L <br />� niriioncxnnore��sia�� Beiowonn�inc�rrnmcurir� <br />�ot�[ ZQ.�� oiocK _��_ or <br />�r' — <br />(�.� o�3-D-o-o� <br />..1�–. .r_ n I <br />SINK 8 DISP <br />LAUNDRV <br />FRONTSETBACI( � <br />�b' I c7 <br />use za+�— <br />LYPE Ui CON51 RIlOW�9lE <br />�4�1Yr� .]rti <br />SRE O%BIDG. <br />� sF <br />occurer+criono <br />N.� <br />REASON fOR SPRINxlEf15 <br />�PPIICni1ON PCC. BY <br />SUBTOTAL $ <br />PERMIT $ <br />TOTALFEE $ <br />RERRSELBACN SIOESFtO�LK <br />�7�.� �a�lk+i%7 4 <br />I HEfiEBV CEfiTIfV 7HAT I HAVE READ AND EXAMINEO THIS <br />APPLICATION �ND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />Pf70VISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIEO HEREIN OR <br />NOT. ?11E GfiANTING OF A PERMIT DOES NOT PRESUME TO OIVE <br />AUTHORITV 10 VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER SiATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WOHK FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 �':AC. <br />SIGNnTUREOFCONiRnCiORORRUTHORIZEUROENT D�TE <br />x � � 5 L�'p 21 �} 3� <br />APPLIC�Nf 5 CItV OUSINE551 .ENSE NO. �NO BUSME55 N�ME <br />ucnu�mnu <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DRYERS <br />VENTII.f�iION FAN <br />RANGEHOOD <br />WATER HEATER _ <br />WOODSIOVE <br />METAL FIREPLACE 8 CHIMI <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL $ <br />PERMIT $ <br />TOTAL FEE 5 <br />GKNUMPEf1 �FE /'; lCt RECEIPTNO. <br />l unG fi �i!'� ��� � <br />iornn�en�a.� � vncnNisiie F <br />-Tw �S I� VES j( NO BUIL�ING <br />lvf'IIX o51aGNR �'curn�'r xnamvfiPxr,nxvs <br />r.noor pLUM�INC <br />�-rJ M - 1 � �- <br />NO OF SIOOIES <br />rine srn�iei�s neov <br />I I YES �XNO <br />m nNs <br />p�SfMPNf <br />I I Y[5 �O <br />i¢Mrn uMnnnoi� <br />IS <br />CITY OF EVERETT <br />LOCAL SALES <br />TAl( CODE IS 3105 <br />MECI IANICAI <br />onien __,,n j ; �; <br />Slnl F Auil U W G SURCHAf7GE <br />ST47FFNERGYSURCH4RGE <br />rueuc wonKs <br />lOTAL <br />0 <br />