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n � <br />APPLICATI6.� FOR CONSTRUCT.JN PERMIT� <br />CITY OF EVERFTT • BUILDING DIVISION <br />3200 CEDAR STREET • EVEREIT, WA 98201 • 259-8810 �-- - <br />❑ DEMOLITION ❑ COMBINATION � BUIIDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECTADDRESS: �06 �rl��M62� fJY� �//ERE�t /,vp �J'�2a/ <br />OYMER MUL�WREss Cltt i�r pNpNE <br />cN�ARLEf ,Q /11AGAlfLEY 6D� !✓ETjNo2c� /f!/� �IiEQE�(T �SZ 7Sg�"_ <br />TENWT NNI�IMRE55 G�Y 7�� w�pNE <br />,'f3a0 !'iAG6/1kb �.S'9 2?-03 <br />MICNTEGTOROESIGNER M1UlADDRE55 CIfY lll` PMONE <br />PIUTARMsCONTPACTOR <br />coNm�cr w� oF wowc <br />T1/�I � ST <br />o¢scnae �von�c �w sou�m <br />��r���x 3 37 <br />��M6Df� z� <br />vnoroseo use oF eu�dna <br />�oK aEscnirtiaN <br />iot zN� l�d sc��oa <br />MA1L �OORESS G1Y <br />9�Gcc,Ce /�06// <br />rooT� wvavEo <br />sc Ff �'r,A T1eN 1 k Tc eN <br />��zx�s�Z � <br />�rv �aaxm ee�av an �rt�cN 7wo cor�esi <br />I19 � tG`f�lk P�<. Hnli <br />�••••.•��y�L�IZ�jG 2�IGGG/ <br />lWll LENOER. �ODRE55. TELEPIIONE MJ4MER <br />WATER CLOSET <br />BAT►iTUB <br />FOR OFFICE USE ONLY: <br />� / <br />11E16Hi UMT�TION <br />PERMIT S <br />TOTAL FEE f <br />� I SIUE 5�+1C�/ <br />ZIP PNONE <br />HEATING SYSTEM: �I GAS ❑ ELECTRIC ❑ <br />car�ucr rEnsor� �r+o r� ra <br />/_ l� L//,� c!=�-c1 =( ; 7-. 7/ u(o <br />1 HEREBY CERTIFV TNAT I HAVE READ AND E%AMINEO THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALl <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHEH SPECIFIED HEREIN OR <br />NOT. THE ORANTINO OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHEH STATE OR LOCAL LAW REQUUTINO CONSTRUCTION OR TNE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTFiORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR NHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CANTRACTORS lAW 18.27 RCW AND 296200 WAC. <br />x l�.• � . ', " l 9! <br />�.c�-,Lu� �7/ .. <br />SION�TURE D�TE <br />qIY BUSWESS IICENSE N0. <br />MC—AMNDIA UNRS <br />FORCE') AIR SYSTEMS <br />HEAT PUMP <br />WOOD STOVE <br />MEfAL FIREPLACE I <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS WWGE <br />IXHAUST FAN <br />SUB TOTAL f <br />PERMIT f <br />TOTAL FEE f <br />PI�NCIJ I��� I FEF/ I RECEIPi NO <br />/' ��n. / O <br />toTeaEn vscurtS�TE FEES <br />❑YES O MO BUIIDMC <br />ra. a owcwra size oF eioort i <br />UNITS 3SS SA� PLUMOMG <br />OCCUP�NTLO�D BASEMENT � MECNIJIiCM <br />OYES �MO <br />REASON �ODIIIO4�l �UN CI�fGN <br />OIIIER <br />pE�[pN <br />S1�iC OU'I�MO SIIRCH�OOE <br />PLANS �PI'ROVED BY CITY OF EVERETT �UBuf. WORKi <br />J LOCALSALES <br />oaE 8�S 4L TAX CODE IS 3105 TOTAL <br />