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�\'I"' APPLICATION"�OR CANSTRUCTI�V PERMIT everett <br />TO BE COMPLETED IN INK—PLEASE PRINT � <br />Mr E.e�DreMn <br />CIN OF }} _-___ <br />eVel�ell HI=ATING SYSTEM: ' G�S U ELECTRIC U_. <br />BUILDING DEPARTMF.NT <br />259-8810 �ECHANICAL I i PLUMBING �' SI(iN <br />DEMOUTION COMBINATION BUILDING _ <br />Mn�l nMi[ss -- �—��- <nvQ /� / � ,+ � <br />� r��oN� �/'�/ _�� <br />ER . __—_ , —__ ___ � __ <br />)QLl i � ` ( i <br />� .� C �LI �11 �—� .�� y-�— �«%�1J___l ' V- C� �v,� � J <br />A1411d 1fV^ r1lr 711• <br />TENt ' V V ^�'� _ __ .—' . __ _ — _-_ —_—_ . ______'_—_— <br />...f.IIV 71P p110NF <br />♦ f,N11EG10Rf1E5K.AfR ��Il ��I111[SS _ <br />��"i�>���1,ATURAL-CAS� INC. _"----�"�---- r111NP — i�r.ense• <br />- �uv <br />• n.�cannnc��rn <br />—_-- Z�1•Ei492 – 355J730 – 742•2944 --.– – <br />MCDou a � ---c� v ---j—�—j � mrre i��Fy/ • <br />uecruHica cannncion u non� 8 �� ` r 1� I—��l? I. �. �. I L. 7 1 �- �' –(� .�.– ' 1-- <br />i�wntt� W1�ht�/I�N 9Bl91 v i � .� .��� � — ��� . <br />�----- �- uiv vm -- r�icme <br />riuMerc+acowrnncion unn nunnrss .- <br />C1�55 (X WO�N ^/� <br />I I NEW ' ADDITION �J'-�N'fRNION __ iiGPAIR _ <br />-------_....��� I.`�'�1�.�'�� - <br />PROP05Fou5EorPlPtnf+S '� 1i <br />� <br />leaM. UEscmr�l(X+fx rnorr�a r �9�nv+N m�� �n <br />�ot ma'� _—._ or <br />ADOi1E55 <br />DISP <br />URINAL <br />fOR OFFICE USE ONLY: <br />FR(XITSEiB�CN RE�RSF�OACN <br />ZpNE <br />UEMOLI710N ' ' WOOUS10VEifRPLINSERT '� I BUILDINGRELOCATION <br />--� cor�mr.i rens��� nrm ruor�e r�n <br />`� �-�I«'�� - <br />inen�nunc�mirs�_— _. -_. <br />� <br />I HEf1EAV CERIIFV iIIAT I HAVE f�EAD AND EXAMINED THIS <br />APPLICNION ANP KNOW iHE SAME f0 BE TRUE AND CORRECL ALL <br />PRUVISIONS OF I.AWS �NU Of�UINAN�ES GOVERNIN6 THIS TVPE OF <br />WORN Wlll BE COA7PLETEO WITH WHEtHER SPECIFIED HEREIN OR <br />NOi. 1HF GRANIING OF A PERMIT DOES NOT PRESUME TO OIVE <br />AUTHORIIY 70 VIOLATF OR CANCEL TNE PROVISIONS OF ANV <br />OTHEii STAIE OR LOCAI LAW (7EGULATING CONSTRUCTION OR?HE <br />PERFOf?MANCF OF CONSTRUCTION. THAi I AM AUTf10R12ED BY THE <br />OWNER OF 7H15 PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />,icr�mm�eurca+mncrononnmi�eN�zennr.err, unie <br />' � . <br />X ��c ���_tt� ��� <br />�d-- <br />�PPIIf.ANiS[AIVPUSi :SSUf,ENSFNOANDBU5�NF55NAME <br />FORCED AIR SYSTEMS-B.T.U�,�'IJI E.A• <br />UNIT HEATERS-B.T.U. M <br />G�S <br />TOIAL b �.__ <br />NIT $ _ _____ __ __ .-- - <br />1LF[E S <br />Si[IESf'lO�CN PUHCNEf. <br />MC4tl1 Slif <br />IlUILUING <br />f.ONSi hCllMl rviir�qrr xn M�Nnuincuqu< <br />� <br />GV[Or�LI%:-��� I �u)nf::IUllll:ti . . III�::IMLH� <br />OCC'JP�NCY1�1411�"��- IIIUtiI`NNNIfI15111U❑ <br />fiER50N <br />INt�KG PV r� nr�, ni�rnnvi n nv <br />–1--- <br />11611NIIIOAII�IION -- <br />CITY OFEVERETT <br />LOCALSALES <br />TA7f COUE IS 3105 <br />�AN <br />& <br />SUB TOTAI S �� <br />� PERMII $ �� <br />IOTAL FEE $ _� <br />PLUA1�71NG <br />M[GHANICAI <br />AUf)II IOt.IAI 1`I AN CI IPf.K <br />OIIIFR <br />S1AtE f1U1L01NG SUItCNnRGE <br />rum.ic wonKs <br />70TA1. <br />NO <br />