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-. <br />^ <br />APPLICATI�rN FOR CONSTRUCI.ON PERMIT <br />CITY OF [VERETT • BUILDING DlVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259•8810 <br />❑ OEMOLITION ❑ COMBINATION ❑ BUILDING � MECHA ICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: �.��_l� JE'r �g�_�1� <br />�! 1 1 uML�00RE55 , OiY 7m . r�axx <br />"7X 1(// �J\Y�- <br />rnr <br />oEsewse wou� �ra sou�� a��e[ Mvaveo <br />Cs -Fo C-S�Gt/1� <br />PROPOSEDUSEOFlULOMO —. <br />�a� oesrnv��ar� a vnorEnn is��ohm eEiow w �n�cN <br />ioi ewqc pF <br />MRLEL TI11I I.D. MIMlER <br />L12 / _.G _� Q I ,�. <br />KITCHEN <br />FWNTAIN <br />SINK <br />OR ITEM <br />FOR OFFICE USE ONIY: <br />FRONTSETB/�Clc REMSfTMCN <br />USE20NE IOT�NF� <br />NEIONTUMT�Tip1 NOf7iDwElLING <br />UNIIS <br />OCCUP�NCY NO (If SIMUFS OCCIT�NI LO�O <br />o� <br />D�iE <br />f <br />SIOE <br />HEATING SYSTEM: �1 GAS ❑ ELECTRIC ❑ <br />CONf�LT Pf.R50N �ND PNONE Np `I <br />� Y n� �L <br />_ �� i - `�-�.�� 9 <br />1 HEREBY CERiIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS 7VPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFfED NEREIN OR <br />NOT. THE GRANTIN(i OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br />OTHER STATE OR LOCAL LAW REGUUTIN6 CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUC710N AT 1 AM AUTFIORIZED BY THE <br />OWNER OF THIS PR TV ORM TME WORK FOR WHICH <br />APPIICATION MAD D 1 COMPLV WITH THE STATE <br />CANTRACT U C N 296200 WAC. <br />x _ � 8 S; 9� <br />tICENSC NO <br />NO. iYpE OF <br />NC — MHNDLO UI <br />FORCED AIR SYST <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRVERS <br />MNGE HOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE i <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GASRANGE <br />GAS PIPING <br />E%HAUSTFAN <br />PI �N CIIECk MIMpf 0 <br />❑vE5 G� MO pUIl01Nf• <br />SIZE O� BLIXiR I <br />PIUUCINO <br />9�SEMENi MFf.N11NIU1 <br />❑YES ❑ NO --- <br />�MNIIDN�I f`I�NC��ff.R <br />on�fn <br />sretC nunuwr, sunnunaE <br />CIT'/ OF EVERETT runi ic wnnKs <br />LOCAI SALES <br />TAX CODE IS 3105 toiaL <br />fFF <br />SUB TOTAI S <br />PERMIT S <br />TOTAL FEE f <br />NO <br />� <br />— r <br />T <br />� <br />.� <br />