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APPLICATIO.�1 FOii CONSTRUCT�dN <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />PERMIT �"�. <br />�1� <br />��.�.. <br />❑ DE610LITION O COM81NAT10N ❑ BUILDING 6� MECHANICAL ❑ p�U11ABING ❑ SIGN <br />PROJECT ADDRESS: / U (!� , Iyq �„� t hjh N�� f� �,� c� y� 3 <br />A � . <br />TENANT Mull�pp1E55 Gtt IIP p�pHE <br />MCN�EGTORpE51GNER 1,Wl�WRE55 Cln. Zi� P�E <br />�EMEMICONiMGTpi MML�OOIIE55 ��ty 1�� PiIONE CIATEIICENSE� <br />ln....�. i_/ iL .L. .-... n A � . <br />� _ _'_ _'___' <br />z�� N0�1E STATE IICENSF • <br />aUllRl�CONTA�CfOR NML�WIIE55 qiy ZIP P11pHE ST�TELILENSE• <br />u�o sou•ae ryoT� <br />�or �� <br />COMl1MJC710N IOMI lENOEP. Md1E55.1ELEP110HE MIMEER <br />No. irve oF <br />WATER CLOSETi <br />FOR OFFlCE USE ONLV: <br />fl10Ni5ETBACI[ oc�o. <br />USE 20NE <br />11EqMT 1MT11TIpN <br />IOT�PE� <br />ra a owewna <br />UNIfS <br />o�*e <br />f <br />f <br />f <br />V11CNIi SITE <br />❑YES ❑ Np <br />s�zE or eioorr i <br />e��nT <br />❑vE5 ❑ NO <br />HEATING SVSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />cowT�cr rensoN nw o� r�o <br />I HEREBV CERTIFV THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNpW THE SAME TO BE TRUE AND CORRECT All <br />PROVISIONS OF UWS AND ORDINANCES (iOVERNINCi THIS TYPE OF <br />WORK WILL BE COMMIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. TNE ORANTINCi OF A PEFMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REOULATINp CONSTRUCTION Oq 7ME <br />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUi110RIZED BV THE <br />ON7JER Of THIS PROPERTY TO PERFORM THE WORK FOR WHICF{ <br />APPUCATION IS MADE I,ND I COMPLY WITH THE STATE <br />CONTRACTORS L I 18.27 RCW AND 296200 WAC. <br />__ ,�/,s/ <br />�T� 011TE <br />d7YlU$IHE$$ LICENSE lq. <br />��L <br />HEAT <br />UNIT <br />IXHAUST FAN <br />SUB TOTAL t <br />PERMIT S <br />TOTALFEE f <br />PtANCqECRNOMBF.R (EF RECEIPiNO <br />BNI�INfi <br />Pl11MBING <br />MECN�NiCM <br />•DDIiION�L M�N CHF.CK <br />01NER <br />Si�IE BUIIDINC• 511RCII�1IGE <br />CITYOFEVERETT runiir.vroa�s <br />LOCAL SALES <br />TAX CODE IS ]105 TOTAL <br />