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APPLICA�N FOR CONSTRUC�N PERMIT <br /> CITYOFEVERETT. BUILDINGDIVISION � <br /> 3200CEDARSTREET.EVERETT,WA09201.257-8810 <br /> ❑ DEMOLITION ❑ COM&NATION ❑ BUILdNG 0 MECHAHICAL ❑ PLUM&NG ❑SIGN <br /> PRQIECTADDRESS <br /> 1108 wetmore ave <br /> om�[n wtwon[ss an m Froirt <br /> mikeluarez 1108welmoreave everett wa 90i07 <br /> lEN/J11 WIMLVICSS GiY lll� N"Mf <br /> <NAME> <ADDRES9 <QTY> <ZIP> <PHONE> <br /> MCNRECip1M54N[N ��".MLh[55 GT' 2✓ RRY�E <br /> <NAME> <ADDRESS> �CITY> <ZIP> <PHONE> <br /> GCNLPAtCp11PAClIX1 MARILORC55 GT ID MJ16 Sl�l[VRNSEI <br /> <NAME> <ADDRESS> <CIN> <21P> <PHONE> <LIC NO> <br /> YLCMM1lViC4�IfMLiCP IWtWpiLSS CIiY IP R�JM[ 51�1(IICENSC• <br /> Iasl waler heater co 12601 772nd eva ne kiA 9B03d 816-0387 tashMco5Y01 <br /> RUMBiMGCWiN.�Clqi WtMCiL55 CItY 2f R1.?1E SI�IElCENSC• <br /> <NAME> <AODRE55> <CITV> <ZIP> <PHONE> <LICNO> <br /> mu�n�c*a+Kc a nomc <br /> SqM1g,pp HEATIN35YSTEM: OGAS DELECTRIC O_____ <br /> ocscnmrwonKu+osown[roouccmvuvEo cor�uciv�nswumeraxxo <br /> retm ft ol elect hol waier healer IeB aross <br /> 425�814-372d-133 <br /> I NEREBY CENTIFV THAT 1 HRVE READ AND E%RMINED THIS <br /> APPLICATION AN�KNOW THE SAME TO BE TRUE AN�CORRECT.ALI. <br /> rnowsco usca eimomc pqOVISIONS OF UWS ANO ORDINANCES GOVERNINf,TNIS TYPE OF <br /> WORK WIIL BE COMf'LIED WITX WMETHER SPECIFIED MEREIN OR <br /> �¢ouceswvrrorvorvnorcnrv�v�owxe[irnvcneiuwrv.ocares� NOT. 1ME GRANTING OF A PERMIT OOES NOT PRESUME TO GNE <br /> �o� _ _ __ �� _ p _ _ _ _ __ _ AUTNORITY TO VIOLATE OR CANCEL iNE PROVISION OF ANY <br /> - OTHER STATE OR LOCAL LAW REGUUTING CON5T9UCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTMOR2ED BY THE <br /> OWNER OF TMIS PROPERTY TO PERFORM TNE WOFN FOR WMIGM <br /> APPLICATION IS MAOE AND I COMPLV WIiH THE SiATE <br /> wncruui o rwxn CONTRACTORS lAW 1817 ROW AND 196.700 WAC. <br /> ewsrnucrarvioul«vocn.uuness.�ciEvriontxwatn •�i"1 __0723100_ <br /> %_______--____—__--_ _"___—_ <br /> <NAME> <ADDRf:SS> smes*une o�ie <br /> <PHONE> cnr easr.ess ucer�se e�o. <br /> PLUMBINO MECX�NICAL <br /> N0. TYPEOFFO(TUREORITEM Iff N0. TYVEOFEOUIPNENT !ff <br /> 0 N'ATERCLOSET TOILE 0 WC-AMNIX.GUNITS <br /> 0 �TMN9 0 FORCEUNRSVSTEMS <br /> 0 �AyATORY WASH BASIN O HEATq11A <br /> 0 SIqhER 0 URRNEATES <br /> 0 KITCMENSMI(B�ISP 0 QOTIESIXiYERS <br /> 0 DISMvlSHER 0 RnNGEMooD <br /> 0 tAUNORY1fiAY 1 WAIERNEATER <br /> O CLOMESWASHEN 0 WOODSTOVE <br /> 0 URINRL 0 METALFIREPIACE BURNING <br /> 0 DRINIaNGFOUMAIN 0 fiREPIACEMSERT tlOD&IRNMG <br /> 0 FLOORIXWN 0 WSFIREPIACE <br /> 0 BACItROWPREVENiERS 0 GASRANGE <br /> 0 SINN SERVIGE-BAR.ETC. 0 GASFlPING <br /> p 0 ECH4USTFAN <br /> 0 0 <br /> 0 0 <br /> 0 0 <br /> 0 0 <br /> SUUTOTAL f SUBTOTAI f <br /> a6axr f PHa.�r S <br /> TOTqLFEE E R7TPLFEE f <br /> FOR OFFICE USE ONLY: <br /> fPfN15(1BI{M1 EMSLRAp $Q5E18�CR NAVCMfCNMI4BfP 1(E qEC[IV�Iq. <br /> t11 �— O� <br /> usczonc oru�u wcwr�s�rt FEES VAW�TON FEE <br /> ores ow eu�ww <br /> H�ic��r�urt�rwM r�oaox[umc s�aa�orvri <br /> ur�ns ttwana <br /> CCCN'WL� M�01 SIp1A5 q:CUYN1lOAU B�YMENI ME[N4VCK <br /> flld.V <br /> OYCS Olp <br /> IIPCSPNiNMI[NPCOD lilASCM Mp11CNK1YAVCM.C1( <br /> OM[M <br /> fIRFNARMN[OD AEASP'� <br /> SI�iE 0110.DMO Slli.[MM GE <br /> irr[orcansr nwwswmm�coev CITYOFEVERETT we�Kwa�Ks <br /> LOCALSALES <br /> �.n TAX CODE IS]105 TOUL <br />