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APPLICATION FOR CONSTRUCTIOM � <br /> PERIVIIT <br /> M�Ewrqnen <br /> C�TY OF everett <br /> everett e <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK— PLEASE PRINT <br /> ER M��lA00PE55 CIiV 21P PnOnE � <br /> � L�Rs�••� 39�'3 S��n/ .4�� Ed,(,ddii �zU� zS-z - 3�3� � <br /> hNµT M�I�AOORE55 C�iY I�P PMONE � <br /> � <br /> Y1CH�TECTOROESNtNER �ML�OORE55 GiY 2�P PNONE <br /> S�c.F <br /> OEt1E11KCANTP�CTON M�IL�D�PE55 CIiY ZIP GNONE LICEM�E• <br /> � <br /> ME;M�MIC.�LCANTRACTpF MML�OORE55 GITY IlP PHJNE LIGEN.'.E• <br /> �8' <br /> RUMMMOCONTRAGTOR Mu{,�OORE55 CITY iIP VMONE UCEN9E• <br /> � <br /> CNlS]OF NONK <br /> NEW ❑ ADOITON ❑ ALTER�TION ❑ REPAIN ❑ UEMOLITION ❑ WOODSTOVE/FRPLINSERT ❑ 9UIl01NGFElOCATION <br /> TEIMMTIM�110YEMENTORMTER�ORREMOOEIONLT � CANTAGTPERSON�HDPNONEHO <br /> •COMTIULTMIGEOFWO�ic -�O J l� �( . J�. N Z Z� �� 3 <br /> p(k11��[Wpqll�MOSOU�EFOOTAGEIMVOIVE� rj <br /> 5�1��6i( (INfJ— I �Z�`J <br /> r11D'OSEO usE oF eui�oinG I HEF�qY CERTIFV?HAT I HAVE AE10 AND E%AMINED THIS APPL�CATION AND <br /> 5 ���2,�� KNOW TME SAME TO BE TRUE AND CORRECT.ALl PROVISIONS OF UW9 NiD <br /> L[ML OESLRIPf10M UF CPOVENiY ISMOWN BELOW OR AifACM fOUH GOP�E51 ORDINANCES GOVERNING THIS TYPE OF WORK W ILL BE COMPLETED W17H <br /> WHETHER SPECIFIED MEREIN OR NOT.TNEGRANTING OFA PERMITDOE9 NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> �pt e�perz oF ANVOTHEFSTATEORLOCALLAWFiEGUlAi1NGCONSTRUCTIONORiHEPER• <br /> FORMANCE OF CONSTRUI.'TION.THAT I AM AUTHORIZED BY T1E OWNER OF <br /> D �Z Z- L THISPROPERiVTOPERFORMTHEWORKFORWHICHAPPLICATIONISMADE <br /> AND I'COMPL��4. THE STATE ONTRACTOFS LAW iB27 R(TN AND <br /> Srq(F j 3 S 1 298200 WAC / / � ' L1 _ � <br /> � O �,0� 46N�TlIHEOFCONTRA RO A' 12EO�G �ATE t7 <br /> $ —S� � D N. /dJ ' ..✓Lri d /ZG Ec�/ X <br /> �f ,x,(t ac t <br /> FlIp,IECTMONE55 �p%,IGHTSC V SUCENSENO_AROBUSMESSN�ME <br /> 3So3 s»,.. Au,c , ��� <br /> PLUMBlN� MECMANICAL <br /> Np, EOFFII(TUREORITEM FEE NO. TVPEOFE UIPMENT FEE <br /> WATERCL SETRO�lET) PJC-PJHNDLGUNIT -H.P. <br /> BATIINB FORCED AIR SYSTEMS-&T.U. M EA <br /> LAVATORVIWASHBASIM UNITHEATERS-&T.l' M <br /> SHOWER CLOTMES DRYERS <br /> KITCNEN S�NKB DISP. VENiIUTION FAN <br /> DISHWASHER AANGE MOOD <br /> UUNORYTRAY WATER HEATER <br /> CLOTHES W45HER WOOD STOVE _ <br /> URINAL METAL FI'iEPLACE 6 CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR OFAIN HE4T PUMP <br /> BALKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS-RAINLEADERS E%HAUST FAN <br /> SINK I�ERVICE-BAii.ETC.) <br /> SUBTOTAL 5 SUBTOTAL 5 <br /> .v_ �� . crv,dli i � <br />