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pPPLICATIa_J FOR CONSTRUCTr.�N PERMIT everet[ <br />TO BE COMPLETED IN INK—PLEASE PRINT � <br />fM Everp�een <br />CIiV OF <br />everett HEATING SYSTEM: �GAS CJ ELECTRIC U_ _- <br />BUILDING DEPART'idENT - <br />259-8810 i I PLUMBING � SIGN <br />� DEMOLITION COMBINATION � BUILDING_ y;MECHANICAL <br />— VIIONE <br />M�IL �OI�OF55 /� Cliv �i /1 ]I� � / <br />C EA p1 �� �( L L✓Cl.�.- LG��WA__ _��� :S I�l') <br />U 0/�.:/ /`LuiR-_ a�v nr -- ri�oNr <br />iFN4Ni ` � -�-� M�II �Pfll�f55 - -- <br />"_-.. _"____.__""____. PHONIE <br />MICIIIIEC100D[SIGNffI �ANI �UPO[55 <br />1111 V 711` <br />.._ ._..._.____.. .. _-_.__--"_" <br />. '__ -"-"___ <br />GFNEMLCONffULiOfI -_� �_�MNI.�Uf1fIk55 -�ra�-�- <br />----"-"�- Cllv 711' IY�OtlE LICFNS[� <br />%`-7 p�i`IIONE LICENSF� � . �'� �� <br />���uEc nicntcor+iianct�n unnnuunEss- t �./,.��/.',� !l4' O'J'c�/ rXv��l7�� � /.S�r��s�H.J�'/yob��� <br />c'/•"�9S e �r�� / S?=' E�%O �C tM+u._/-- '� --� <br />� ��--J/�--- -- CIIY ]IP PIIONE LIGENSE� <br />PlUMO�NGCWI11UClOf1 �ILAD011f.G5 <br />CLAS$ Of WOf1N <br />I! NEW I' ADDIiION �A_TERNION REPAIFl � DEMOLITION WOODSTOVE/FRPL INSERT ''� BUILDING RELOCATIO <br />icor+inctrc�tsor� iruor�[r�o <br />A �,o I--/-��,� A �' �r,�.��:� c�y�-�L��Sb'� <br />CONiRRCTPRICEOfK'ORN ���-f��' <br />nCCCNAFWORN�ND50U��f:�00I4G[IVVOLVED � n � <br />USE <br />iecni oescnimior+or rnoi�cmv <br />LOT _ 010(:N _ <br />cATHTUB <br />LAVATORY�WAS <br />SHOWER <br />KITCHEN SWK 8 <br />FLOOii DR�IN <br />BACKFLOW f I <br />HOOF DRAINS <br />SINK (SEFlVICI <br />� 7 LVSn'N' i�.^.� - . <br />I IiERE�V CERTIFY TH�T I H�VE READ AND E%AMINED THIS <br />/1PPLICATION AND KNOW 7HE SAME TO BE TRUE AND CORRECT. ALl <br />un� o�i�nnncnroun�'orirzr PftOVISIONS OF LAWS AND ORDINANCES GOVERNIN� THIS TYPE OF <br />� WOIiK WILL BE COMPL[iEU WITH WHETHER SPECIFIED HEREIN OR <br />rv NOT. 11iE GI7�NTING OF A PERMIT DOES NOi PRESUME TO GIVE <br />AUTFIORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER S7ATE Oli IOCAL lAW REGULATING CONSTRUCTION OR THE <br />- PERfOIiMANCE OF CONSTRUCTION. THAT I �M AUTHORIZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />��PLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTOfiS LAW 18.27 R�W �ND 296.200 WAC. <br />tiIt3NNUfiGOfCON111�CiOROp4lI111011REDACENI DAIE <br />1 <br />-- X /� � <br />�ccY��'/7� �C'�/L/it!-C✓.1 <br />�PPIIC�NfSf.IIY S���ESSUCENSENO �NpEfU51NE55N4A1F����� 5 /� <br />a.' <br />FOR OFFICE USE ONLY: <br />rnonr setonck -� nrnn seinn�. � <br />UNITS-H.P. <br />YSTEh1S-B.T <br />-B.T.U. M <br />CLOTIIES <br />VENTILATION f�N <br />RANGE IIOOU <br />— � WATER HEATER <br />-�-- � VJOOU S10VE <br />""— � MEIAL PI(tEPLACE & CHIh1NEV <br />SUOIOIAL $ <br />PE(ih11T $ _ <br />lOLiL FEE $ <br />_ __-�_ _ - <br />__-_ 1____ <br />HEATPUMP <br />GAS PIf�ING <br />EXHAUST F! <br />SUB IOTAL <br />__- -.-_.__. ____.__ PERMI7 <br />-----------�-------- 70TALFEE <br />cuerKum.�oen rce - I eecemrr�o. <br />usr rorvc ioi nnrn �^�.",�, ^"� •--- <br />_"_ <br />9uI1DING <br />- ____ _ <br />�— rcl�ll'�Vl:v I N.�rn1�5111�4�.1i4�IG � � � <br />7VPF Of CO'IIS NIOW�IiIf IYff fll CUI6I �LIIIN .,, Ii I <br />._ PI_UG1f1MG . "_"' _ _'-__' <br />sc[���-mor,...-.-.� unnrsionn'^ rnsP6mHi Mt3C11A1JICAl. <br />___-__._' _'__.-____ <br />-_— ___"' _ <br />. ______-_—___ _" ""-" <br />"---�'- ....- _ADDIIIUNAI PIAIJCIIf-CK <br />UCCUPnNC.vIMP IIItf9`I111nIfI1Sl11'OP IIf��B��lll.1 ___-'.- <br />---- -- ----- <br />omen <br />-- ------ _ - <br />❑E�SON f011 iPf11NH1 FIIS <br />SIN f: OI IILUINC SURCI IMCf. <br />—__-__'_-__ _"____""I-" _-'.-'-_-_'_-___ <br />_-" — __- <br />wrnkinv �rinNsnrriiovrnm CITYOFEVERETT runi.icwonKs <br />LOCAL SALES <br />� TAX CODE IS 3105 10TAL <br />i <br />N <br />